Objectives
With the advent of compact ultrasound (US) devices, it is easier for physicians to enhance their physical examinations through the use of US. However, although this new tool is widely available, few internal medicine physicians have US training. This study sought to understand physicians’ baseline knowledge and skill, provide education in US principles, and demonstrate that proper use of compact US devices is a skill that can be quickly learned.
Methods
Training was performed at the Mayo Clinic in June 2010 and June 2011. The participants consisted of internal medicine residents. The workshop included didactics and hands-on US experiences with human and cadaver models in a simulation center. Pretests and posttests of residents’ knowledge, attitudes, and skills with US were completed. We reassessed the 2010 group in the spring of 2012 with a long-term retention survey for knowledge and confidence in viewing images.
Results
A total of 136 interns completed the workshop. Thirty-nine residents completed the long-term retention survey. Posttest assessments showed a statistically significant improvement in the knowledge of US imaging, confidence in identifying structures, image identification, and image acquisition (P < .0001). In the long-term retention study, knowledge of US imaging and confidence in identifying structures did decline.
Conclusions
This educational intervention resulted in improvement in US knowledge and image acquisition. However, the knowledge diminished over time, suggesting that further education is needed if US is to become an important component of internal medicine training and practice.
Abstract Purpose The aim of this study was to facilitate attainment of Critical Care Ultrasonography (CCUS) competence. Materials and Methods We developed a Web-based learning program followed by simulation-based hands-on training in noncardiac CCUS for novice learners. We administered knowledge and skills tests before and after the workshop and conducted surveys on confidence levels using a 10-point Likert scale. Knowledge tests were conducted online, and skills tests were video-captured for ev...
Ultrasound training and education in medical schools is rare, and the foci of current ultrasound curricula are limited. There is a significant need for advanced ultrasound training models in medical school curricula to reduce educational burdens for physician residency programs and improve overall physician competency. The authors describe and evaluate the advanced ultrasound training program developed at The Ohio State University College of Medicine (OSU COM). The OSU COM program is a longitudi...
Last. Nick A Maskell(UoB: University of Bristol)H-Index: 51
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Funding/Support: Dr Restrepo is partially funded by the National Heart, Lung, and Blood Institute [K23HL096054]. Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Restrepo is a former participant in advisory boards for Theravance Inc; Forest Laboratories, Inc; Johnson & Johnson Services, Inc; Trius Therapeutics; and Novartis AG and has been a consultant for Theravance Inc; Trius Therapeutics; and Pfizer, Inc. Drs Fernandez and Levine h...
Last. Anjali Bhagra(UR: University of Rochester)H-Index: 15
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Background Few internal medicine residency programs provide formal ultrasound training. This study sought to assess the feasibility of simulation based ultrasound training among first year internal medicine residents and measure their comfort at effectively using ultrasound to perform invasive procedures before and after this innovative model of ultrasound training.
Background The purpose of this study was to evaluate the effectiveness of a simulation-based workshop with ultrasonography instruction in reducing mechanical complications associated with central venous catheter (CVC) insertion. Methods A single-center prospective cohort study was conducted in the medical ICU and respiratory step-down unit of an urban teaching hospital. Fifty-six medical house staff members were trained prior to their rotations over a 6-month period. The data on mechanical compl...
Compact ultrasound technology has facilitated growth in point-of-care uses in many specialties. This review includes videos demonstrating the use of ultrasonography to guide central venous access, detect pneumothorax, detect evidence of hemorrhage after trauma, and screen for abdominal aortic aneurysm.
#1Richard Hoppmann(USC: University of South Carolina)H-Index: 13
#2Victor Rao(USC: University of South Carolina)H-Index: 5
Last. Sarah A Fletcher(USC: University of South Carolina)H-Index: 2
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A review of the development and implementation of a 4-year medical student integrated ultrasound curriculum is presented. Multiple teaching and assessment modalities are discussed as well as results from testing and student surveys. Lessons learned while establishing the curriculum are summarized. It is concluded that ultrasound is a well received, valuable teaching tool across all 4 years of medical school, and students learn ultrasound well, and they feel their ultrasound experience enhances t...
Purpose of reviewComplications from pleural drainage procedures are common, but their incidence is often underrecognized. Significant morbidity and mortality can arise, particularly as a result of poor procedural technique, lack of training and inadequate supervision. This review discusses safety co
Background We studied the reasons why patients undergoing thoracenteses performed in our outpatient pulmonary clinic had a higher frequency of iatrogenic pneumothorax compared to that in the concurrent radiology practice in our institution, which utilizes ultrasound guidance. We reviewed our practice model and implemented a unique experiential training paradigm in a zero-risk simulation environment to improve efficacy, timeliness, service orientation, and safety. Methods We retrospectively deter...
Last. Henry Masur(NIH: National Institutes of Health)H-Index: 115
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Objective: To update the practice parameters for the evaluation of adult patients who develop a new fever in the intensive care unit, for the purpose of guiding clinical practice. Participants: A task force of 11 experts in the disciplines related to critical care medicine and infectious diseases was convened from the membership of the Society of Critical Care Medicine and the Infectious Diseases Society of America. Specialties represented included critical care medicine, surgery, internal medic...
Introduction null Point-of-care ultrasound (POCUS) is an integral aspect of critical care and emergency medicine curriculums throughout the country, but it has been slow to integrate into internal medicine residency programs. POCUS has many benefits for internal medicine providers, guiding diagnostic decisions and aiding in procedures. Additionally, POCUS is a convenient and portable resource specifically for internal medicine providers in the military when practicing in deployed or critical car...
Last. Bina Eftekharsadat(Tabriz University of Medical Sciences)H-Index: 11
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Regarding the increasing application of neuromusculoskeletal sonography among medical specialties, specifically physiatrists, this study aims to assess the knowledge and skill level of these specialists in neuromusculoskeletal sonography in Iran. This descriptive, cross-sectional study was performed in 2018. The utilized questionnaire developed based on previous studies in collaboration with 6 university lecturers of Shaheed Beheshti, Iran, and Tabriz medical universities and a physiatrist from ...
Tato prace shrnuje poznatky z oblasti simulacni techniky využivajici podporu virtualni reality jako vzdělavaci a treninkovou pomůcku v oblasti intervencni kardiologie. Autoři se věnuji historickemu vývoji, soucasnými možnostem, formam simulacnich modalit, jejich výhodam, nevýhodam a limitacim. Dosud publikovane studie ukazuji, že simulatory jsou užitecným prostředkem pro hodnoceni a trenink dovednosti operatera. Vzajemne srovnani těchto studii je vsak pro jejich různorodost obtižne. Neexistuje d...
Last. Simone Scarlata(Università Campus Bio-Medico)H-Index: 18
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On behalf of the GRETA (Gruppo di Ricerca sull’Ecografia Toracica nell’Anziano) , Group of the Italian Society of Gerontology and Geriatrics (SIGG) Background and aims. Bedside chest ultrasound has emerged as a versatile and accurate diagnostic tool for the management of respiratory conditions in several clinical settings, integrating traditional imaging. The current utilization of this technique in geriatric hospital wards is still unknown. Our aim was to assess availability, uses and applicati...
#1Thomas E. Mellor(Walter Reed National Military Medical Center)H-Index: 1
#2Zachary Junga(Walter Reed National Military Medical Center)H-Index: 4
Last. Paul Clark(Walter Reed National Military Medical Center)H-Index: 4
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INTRODUCTION: In 2018, the American College of Physicians formally acknowledged the importance of Point of Care Ultrasound (POCUS) to the practice of internal medicine (IM). For the military internist, POCUS training is critical for care of the trauma patient in austere environments, mass casualty events and natural disasters. While emergency medicine and critical care training programs have adopted POCUS education, few IM programs have integrated POCUS into their core curricula. We designed and...
: Executive Summary: 1) We recommend that ultrasound should be used to guide thoracentesis to reduce the risk of complications, the most common being pneumothorax. 2) We recommend that ultrasound guidance should be used to increase the success rate of thoracentesis. 3) We recommend that ultrasound-guided thoracentesis should be performed or closely supervised by experienced operators. 4) We suggest that ultrasound guidance be used to reduce the risk of complications from thoracentesis in mechani...
#1Troy Maetani(UNC: University of North Carolina at Chapel Hill)H-Index: 2
#2Cody J Schwartz(UNC: University of North Carolina at Chapel Hill)H-Index: 3
Last. Daniel Nissman(UNC: University of North Carolina at Chapel Hill)H-Index: 12
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Rationale and Objectives Many medical specialties have incorporated portable ultrasound into their educational curriculum. Our objective was to determine the utility of an individual smart portable ultrasound device (iSPUD) as an educational tool in resident and fellowship Musculoskeletal Radiology training. Materials and Methods After Institutional Review Board approval, volunteer radiology trainees were instructed to use the iSPUD (Philips Lumify ultrasound probe and Samsung Galaxy Tab S2 8 in...
Abstract Objective To assess the current state of point-of-care ultrasound (POCUS) training in Canadian family medicine residency programs. Design Cross-sectional survey to evaluate POCUS education in accredited Canadian family medicine residency programs; only 1 completed survey was accepted per residency program. Setting Seventeen accredited Canadian family medicine residency programs. Participants Fourteen directors of family medicine programs across Canada. Main outcome measures Opinions of ...
