Impact of Point-of-Care Ultrasound in Medical Decision Making: Informing the Development of an Internal Medicine Global Health POCUS Curriculum  

Michelle Fleshner, MD MPH; Steve Fox, MD; Thomas Robertson, MD; Ayako Wendy Fujita, MD; Divya Bhamidipati, MD; Thuy Bui MD – Point-of-care Ultrasound (POCUS) is particularly useful in low-middle income countries (LMICs) where advanced imaging modalities and diagnostics are often unavailable. However, its use among Internal Medicine (IM) practitioners is limited and without standard curricula. This study describes POCUS scans performed by U.S. IM residents rotating in LMICs to provide recommendations for curriculum development.

Ultrasound Image Quality Comparison Between a Handheld Ultrasound Transducer and Mid-Range Ultrasound Machine  

Nayema Salimi, MD; Antonio Gonzalez Fiol, MD; N. David Yanez, PhD; Kristen L. Fardelmann, MD; Emily Harmon, MD; Katherine Kohari, MD; Sonya Abdel Razeq, MD; Urania Magriples, MD; Aymen Alian, MD – Not all labor and delivery floors are equipped with ultrasound machines which can serve the needs of both obstetricians and anesthesiologists. This cross-sectional, blinded, randomized observational study compares the image resolution (RES), detail (DET), and quality (IQ) acquired by a handheld ultrasound, the Butterfly iQ, and a mid-range mobile device, the Sonosite M-turbo US (SU), to evaluate their use as a shared resource. 

E-Point Septal Separation Accuracy for the Diagnosis of Mild and Severe Reduced Ejection Fraction in Emergency Department Patients  

José Atilio Núñez-Ramos, MD, MSc; María Camila Pana-Toloza, MD, MSc; Sheyla Carolina Palacio-Held, MD – Chest pain, dyspnea and syncope are among the most common reasons to seek care in the Emergency Department (ED). Chest pain accounts for more than a thousand visits per year [1], dyspnea and syncope represent approximately 7 to 8% of ED consults [2,3]. At this moment, a thorough cardiovascular evaluation cannot be accomplished only with physical examination. Valvular disease and systolic dysfunction diagnosis improve when evaluated with a physical exam along with cardiac ultrasound [4].

Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum  

Michael  C. Cooper, MD; Jodi Jones, MD; Mandy Pascual, MD; Steven Field, DO; Juan M. Rendon, MD; Christine Kulstad, MD; Bryant Dixon, MD; Kristie Pham Tu; Aman Narayan; Hunter Pyle; Khiem Hoang; Anthony Han; Dalbir Bahga MD; Aman Pandey, MD; Lynn Roppolo, MD – Point-of-care ultrasound (POCUS) is used by emergency physicians to make rapid critical diagnoses in the emergency department (ED) [1]. POCUS is now being incorporated into medical student patient assessment curricula [2, 3]. Several studies have demonstrated the feasibility of medical students using POCUS and have included teaching multiple POCUS applications to medical students simultaneously [2,4,5]. However, there are few studies demonstrating medical students’ ability to accurately perform POCUS on pediatric patients and these studies have typically included one POCUS application taught at a time [6-9].

Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation

Zachary W. Binder, MD; Sharon E. O’Brien, MD; Tehnaz P. Boyle, MD, PhD; Howard J. Cabral, PhD; Joseph R. Pare, MD, MHS – The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ).   We were unable to find a published curriculum to deliver education for this at any skill level. 

Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework

Valérie Desjardins, BSc; Paul Pageau, MD; Barbara Power, MD; Isabelle Burnier, MD, M.Ed; Carolina Souza, MD, PhD; Warren J. Cheung, MD, MMEd; Michael Y. Woo, MD – The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with PoCUS skills, before and after completing the clerkship rotation.

The Use of Thoracic Ultrasound to Predict Transudative and Exudative Pleural Effusion

Peter T. Evans MD; Robert S. Zhang MD; Yulei Cao MS; Sean Breslin MD; Nova Panebianco MD, MPH; Cameron M. Baston MD, MSCE; David M. DiBardino, MD – Pleural effusion is a common reason for hospital admission with thoracentesis often required to diagnose an underlying cause. This study aimed to determine if the imaging characteristics of TUS effectively differentiates between transudative and exudative pleural fluid.

Development and Evaluation of Resident-Championed Point-of-Care Ultrasound Curriculum for Internal Medicine Residents

Leila Haghighat, MD; Hayley Israel, MD; Eric Jordan, MD; Ethan L. Bernstein, MD; Merilyn Varghese, MD; Benjamin M. Cherry, MD; Reinier Van Tonder, MD; Shyoko Honiden, MD; Rachel Liu, MD; Christopher Sankey, MD – Point-of-care ultrasound (POCUS) is a powerful clinical tool that has seen widespread adoption, including in Internal Medicine (IM), yet standardized curricula designed by trained faculty are scant. To address the demand for POCUS education at our institution, we created a resident-championed curriculum with support from skilled faculty across multiple specialties.