Development of a Point-of-Care Ultrasound Track for Internal Medicine Residents.

Autor: Nathanson R; Medicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA. nathansonr3@uthscsa.edu.; Division of General & Hospital Medicine, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA. nathansonr3@uthscsa.edu., Le MT; Division of General & Hospital Medicine, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA., Proud KC; Division of Pulmonary & Critical Care, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA., LoPresti CM; Hospital Medicine Service, University Hospitals, Cleveland, OH, USA.; Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA., Haro EK; Medicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.; Division of General & Hospital Medicine, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA., Mader MJ; Medicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA., O'Rorke J; Medicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.; Division of General & Hospital Medicine, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA., Wathen PI; Division of General & Hospital Medicine, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA., Soni NJ; Medicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.; Division of General & Hospital Medicine, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA.
Jazyk: angličtina
Zdroj: Journal of general internal medicine [J Gen Intern Med] 2022 Jul; Vol. 37 (9), pp. 2308-2313. Date of Electronic Publication: 2022 Jun 17.
DOI: 10.1007/s11606-022-07505-5
Abstrakt: Background: Point-of-care ultrasound (POCUS) training has been increasing among internal medicine (IM) residency programs, but few programs can provide longitudinal training due to barriers such as lack of trained faculty.
Aim: Describe the development of a longitudinal POCUS track for IM residents using local and external resources, including a national POCUS certificate program.
Setting: University-based IM residency program affiliated with a public and veterans affairs hospital.
Participants: Twelve IM residents from 2018 to 2021.
Program Description: Residents complete a national POCUS certificate program by attending live courses and completing online modules, an image portfolio, and final knowledge/skills assessments. Locally, residents participate in 1-month procedure and diagnostic POCUS rotations and provide peer-to-peer POCUS teaching of residents and medical students.
Program Evaluation: The POCUS track increased residents' use and comfort with diagnostic and procedural applications. All residents rated being satisfied or very satisfied with the track and would recommend it to prospective applicants (100%). The most commonly reported barriers to utilizing POCUS per residents were time constraints (83%), lack of available ultrasound equipment (83%), and lack of trained faculty (58%).
Discussion: IM residency programs with limited faculty expertise in POCUS can leverage external resources to provide longitudinal POCUS training to its residents.
(© 2022. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.)
Databáze: MEDLINE
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