Piloting a Graduate Medical Education Point-of-Care Ultrasound Curriculum.

Autor:	Ferre RM; Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA., Russell FM; Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA., Peterson D; Department of Radiologic Sciences, Indiana University School of Medicine, Indianapolis, USA., Zakeri B; Department of Continuing Medical Education, Indiana University School of Medicine, Indianapolis, USA., Herbert A; Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA., Nti B; Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA., Goldman M; Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, USA., Wilcox JG; Department of Family Medicine, Indiana University School of Medicine, Indianapolis, USA., Wallach PM; Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Jul 23; Vol. 14 (7), pp. e27173. Date of Electronic Publication: 2022 Jul 23 (Print Publication: 2022).
DOI:	10.7759/cureus.27173
Abstrakt:	Objective As point-of-care ultrasound (POCUS) use grows, training in graduate medical education (GME) is increasingly needed. We piloted a multispecialty GME POCUS curriculum and assessed feasibility, knowledge, and comfort with performing POCUS exams. Methods Residents were selected from the following residency programs: internal medicine, family medicine, emergency medicine, and a combined internal medicine/pediatrics program. Didactics occurred through an online curriculum that consisted of five modules: physics and machine operation, cardiac, lung, soft tissue, and extended focused sonography in trauma applications. Residents completed a pre- and post-curriculum questionnaire, as well as knowledge assessments before and after each module. One-hour hands-on training sessions were held for each module. Differences between pre- and post-participation questionnaire responses were analyzed using the Wilcoxon rank sum. Results Of the 24 residents selected, 21 (86%) were post-graduate year two or three, and 16 (65%) were from the internal medicine program. Eighteen (67%) residents reported limited prior POCUS experience. All pre- to post-knowledge assessment scores increased (p<0.05). Statistically significant increases pre- to post-curriculum were found for frequency of POCUS use (p = 0.003), comfort in using POCUS for assessing for abdominal aortic aneurysm, soft tissue abscess detection, undifferentiated hypotension and dyspnea, cardiac arrest and heart failure (p<0.025); and competency in machine use, acquiring and interpreting images and incorporating POCUS into clinical practice (p<0.001). All participants felt the skills learned during this curriculum were essential to their future practice. Conclusions In this pilot, we found using a combination of online and hands-on training to be feasible, with improvement in residents' knowledge, comfort, and use of POCUS. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2022, Ferre et al.)
Databáze:	MEDLINE
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