Journal article
Implementing a 3 year, longitudinal point of care ultrasound curriculum in an internal medicine residency program
Journal of ultrasound, Vol.27(1), pp.123-127
03/2024
DOI: 10.1007/s40477-023-00838-9
PMCID: PMC10908930
PMID: 37973677
Abstract
PURPOSEPoint-of-care ultrasound (POCUS) is highly utilized in the critical care setting. There is also growing evidence supporting use of POCUS by internal medicine (IM) physicians as an extension of traditional physical diagnostic skills. As part of the newly formed curriculum at our residency program, we performed pre and post curriculum assessment of the residents' ability to acquire focused cardiac, lung, pleural, abdominal and vascular images.METHODSThe POCUS instruction was delivered as a combination of pre-workshop self-study learning materials (monthly textbook chapters, online modules etc.), with short didactic sessions, and hands-on-scanning of healthy, male volunteers at 10-week intervals.RESULTSA total of 62 residents (23 Post-Graduate Year 1 (PGY), 24 PGY2, 15 PGY3) participated in the year-long curriculum. When pretest and post test data were analyzed at the end of the curriculum, we calculated the odds ratio for acquiring the correct image (score of 1) vs partial/incorrect acquisition (scores of 2 and 3). Significant differences were found in acquisition of most views including para-sternal short (OR 7.7, 95% CI 2.86-20.74, p < 0.001), Inferior vena cava (IVC) (OR 5.05, 95% CI 1.91-13.35, p = 0.001) and bladder (OR 5.06, 95% CI 1.76-14.55, p = 0.003). Non-significant differences were found in acquisition of apical 4 chamber, pl (A-Line) and internal jugular vein (IJV).CONCLUSIONWe found that the implementation of a longitudinal POCUS curriculum resulted in significant improvement in image acquisition for many common bedside ultrasound views. Future directions include advancing our bedside echocardiography curriculum for upper-level residents to include quantitative left ventricular and right ventricular function analysis, and including more case based pathologic image review.
Details
- Title: Subtitle
- Implementing a 3 year, longitudinal point of care ultrasound curriculum in an internal medicine residency program
- Creators
- Charles Rappaport - University of IowaAndrei Schwartz - University of IowaBryan McConomy - University of IowaSamuel Choice - University of IowaPatrick Ten EyckJustin Smock - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of ultrasound, Vol.27(1), pp.123-127
- DOI
- 10.1007/s40477-023-00838-9
- PMID
- 37973677
- PMCID
- PMC10908930
- NLM abbreviation
- J Ultrasound
- eISSN
- 1876-7931
- Language
- English
- Electronic publication date
- 11/16/2023
- Date published
- 03/2024
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Biostatistics; General Internal Medicine; Internal Medicine; Design Biostat and Ethics
- Record Identifier
- 9984513301502771
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