An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center.

Autor:	Frasure SE; Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington D. C., USA., Treat R; Emergency Department, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Dow J; Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Dearing E; Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Dominguez L; Internal Medicine/Primary care, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Drake A; Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Ogle KY; Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Portela M; Family Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Willis J; Family Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA., Boniface KS; Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D. C., USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Mar 18; Vol. 15 (3), pp. e36329. Date of Electronic Publication: 2023 Mar 18 (Print Publication: 2023).
DOI:	10.7759/cureus.36329
Abstrakt:	Introduction Limited guidance exists for primary and urgent care ultrasound applications. This study sought to identify the most useful applications for providers in these clinical settings, to create and implement a structured interdisciplinary point-of-care ultrasound (POCUS) curriculum, and to assess the effectiveness of the course.  Methods This prospective cohort study took place at an urban academic medical center. After a needs-based assessment of ultrasound applications in primary and urgent care, the Emergency Medicine ultrasound faculty and fellows were paired with a primary or urgent care provider (N = 6). The pairings met for scanning sessions in the emergency department to practice image acquisition, documentation, and incorporation of ultrasound into the workflow. Participants were given POCUS pre-work to review before each session. The final bedside session included a formal Objective Standard Clinical Examination (OSCE) to assess learner proficiency to be cleared for independent imaging. The program was assessed using pre- and post-training surveys.  Results The survey results demonstrated that renal, gallbladder, and soft tissue scans were the most interesting and useful to primary and urgent care providers after completion of the training course.  Conclusion The course was effective, and efficient, simple, high-yield POCUS applications should be included in future programs and organizational guidelines for primary and urgent care POCUS education. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Frasure et al.)
Databáze:	MEDLINE
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