Journal Article

A shared point of care ultrasound curriculum for graduate medical education

Russell, Frances M., Ferre, Robinson M., Herbert, Audrey, Kaine, Joshua C., Adame, John, Peterson, Dina, Lobo, Daniela, Sarmiento, Elisa, Wallach, Paul M.

2024

Overview

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: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Abdomen / Clinical Competence / Coronary vessels / Curricula / Curriculum / Curriculum development / Distance learning / Education / Education, Medical, Graduate / Educational Measurement / Emergency medical care / Emergency medicine / Family medicine / Gallbladder / Graduate Medical Education / Humans / Internal medicine / Internship and Residency / Knowledge / Leadership / Learning management systems / Medical Education / Medical personnel / Medicine / Pediatrics / Performance evaluation / Point of care testing / Point of care ultrasound / Point-of-Care Systems / Pregnancy / Reading Materials / Surgeons / Theory of Medicine/Bioethics / Training / Ultrasonic imaging / Ultrasonography / Ultrasound imaging / Venous access