Abstract
Point-of-care ultrasonography (POCUS) is a limited ultrasound study performed by the clinician at the bedside as a component or an adjunct to physical examination. POCUS has multiple applications in nephrology practice, including evaluation of obstructive uropathy, objective assessment of volume status, arteriovenous access assessment, and procedural guidance. However, unlike specialties such as emergency medicine, POCUS training is not yet integrated into most nephrology fellowship curricula, and the sonographic applications taught vary widely among fellowship programs. In this article, we have used our institutional experience to provide a roadmap or blueprint for nephrology programs looking to create a POCUS program. We provide an overview of the curriculum, including the basic organization, applications taught, online resources, milestone development, and quality assessment. We also discuss the nuances of POCUS workflow and perspectives on billing for these limited studies. In addition, we share the evaluation forms and sample documentation we use in our program. Future support, in the form of endorsed nephrology society guidelines, is needed before POCUS training is universally incorporated across nephrology fellowship programs.
Publisher
American Society of Nephrology (ASN)
Reference35 articles.
1. The Accreditation Council for Graduate Medical Education: ACGME Program Requirements for Graduate Medical Education in Emergency Medicine. Available at: https://acgme.org/Portals/0/PFAssets/ProgramRequirements/110_EmergencyMedicine_2020_TCC.pdf?ver=2020-06-26-125900-147. Accessed July 4, 2021
2. The State of Ultrasound Education in U.S. Medical Schools
3. A road map for point-of-care ultrasound training in internal medicine residency;LoPresti;Ultrasound J,2019
4. The nephrologist as an ultrasonographer;Koratala;Adv Chronic Kidney Dis,2020
5. The promising role of lung ultrasound in assessment of volume status for patients receiving maintenance renal replacement therapy;Koratala;Blood Purif,2020
Cited by
37 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献