A Shared Point of Care Ultrasound Curriculum for Graduate Medical Education

Author:

Ferre Robinson M.1,Kaine Joshua C1,Lobo Daniela1,Peterson Dina1,Sarmiento Elisa1,Adame John1,Herbert Audrey1,Wallach Paul M.1,Russell Frances M.1

Affiliation:

1. Indiana University School of Medicine

Abstract

Abstract

Background Point of care ultrasound (POCUS) education has grown significantly over the past two decades. Like most curricular items, POCUS education is siloed within individual graduate medical education (GME) programs. The purpose of this study was to evaluate the effectiveness of a shared GME POCUS curriculum between five GME programs at a single institution. Methods Post-graduate-year-1 (PGY-1) residents from emergency medicine (EM), family medicine (FM), internal medicine (IM), combined internal medicine-pediatrics (IM-Peds) and combined emergency medicine-pediatrics (EM-Peds) residency programs were enrolled in a core POCUS curriculum. The curriculum included eleven asynchronous online learning modules and ten hands-on training sessions proctored by sonographers and faculty physicians with POCUS expertise. Data was gathered about the curriculum’s effectiveness including participation, pre- and post-curricular surveys, pre- and post-knowledge assessments, and an objective skills assessment. Results Of the 85 residents enrolled, 61 (72%) participated in the curriculum. Engagement varied between programs, with attendance at hands-on sessions varying the most (EM 100%, EM-Peds 100%, FM 40%, IM 22%, Med-Peds 11%). Pre- and post-knowledge assessment scores improved for all components of the curriculum. Participants felt significantly more confident with image acquisition, anatomy recognition, interpreting images and incorporating POCUS findings into clinical practice (p < 0.001) after completing the curriculum. Conclusion In this shared GME POCUS curriculum, we found significant improvement in POCUS knowledge, attitudes, and psychomotor skills. This shared approach may be a viable way for other institutions to provide POCUS education broadly to their GME programs.

Publisher

Springer Science and Business Media LLC

Reference16 articles.

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2. Not Just Hocus POCUS: Implementation of a Point of Care Ultrasound Curriculum for Internal Medicine Trainees at a Large Residency Program;Mellor TE;Mil Med,2019

3. American Academy of Family Physicians. Recommended Curriculum Guidelines for Family Physicians: Point of Care Ultrasound. https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint290D_POCUS.pdf. Accessed Feb 2, 2023.

4. Evaluating a longitudinal point-of-care-ultrasound (POCUS) curriculum for pediatric residents;Brant JA;BMC Med Educ,2021

5. Prevalence and scope of point-of-care ultrasound education in internal medicine, pediatric, and medicine-pediatric residency programs in the United States;Reaume M;J Ultrasound Med,2019

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