Haghighat Leila, Israel Hayley, Jordan Eric, Bernstein Ethan L, Varghese Merilyn, Cherry Benjamin M, Van Tonder Reinier, Honiden Shyoko, Liu Rachel, Sankey Christopher
Division of Cardiology, Department of Internal Medicine, University of California San Francisco San Francisco, California USA.
Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine New Haven, Connecticut USA.
POCUS J. 2021 Nov 23;6(2):103-108. doi: 10.24908/pocus.v6i2.15194. eCollection 2021.
Point-of-care ultrasound (POCUS) is a powerful clinical tool that has seen widespread adoption, including in Internal Medicine (IM), yet standardized curricula designed by trained faculty are scant. To address the demand for POCUS education at our institution, we created a resident-championed curriculum with support from skilled faculty across multiple specialties. Our objective was to teach postgraduate year (PGY)-3 IM residents the basics of POCUS for evaluation of the pulmonary, cardiac, and abdominal systems through resident-developed workshops. The goal of acquisition of these skills was for resident education and to inform decisions to pursue further patient testing. Three half-day workshops were created to teach residents how to obtain and interpret ultrasound images of the pulmonary, cardiac, and abdominal systems. Workshops were comprised of didactic teaching and practical ultrasound instruction with expert supervision of clinicians within and outside of IM. Residents were asked to complete a written survey before and after each workshop to assess confidence, knowledge, and likelihood of future POCUS use. Across the three workshops (pulmonary, cardiac, and abdominal), 66 sets of pre- and post-workshop surveys (32 pulmonary, 25 cardiac, and 9 abdominal) were obtained and analyzed. Confidence in and knowledge regarding POCUS use increased significantly across all three workshops. Likelihood of future use increased in the cardiac workshop. We implemented a resident-championed POCUS curriculum that led to improved attitudes and increased knowledge of POCUS for PGY-3 IM residents.
床旁超声(POCUS)是一种得到广泛应用的强大临床工具,在内科(IM)领域亦是如此,然而由训练有素的教员设计的标准化课程却很少。为满足我校对POCUS教育的需求,我们在多个专业的熟练教员的支持下,创建了一个由住院医师主导的课程。我们的目标是通过住院医师开发的研讨会,向三年级内科住院医师传授POCUS评估肺部、心脏和腹部系统的基础知识。掌握这些技能的目的是用于住院医师教育,并为进一步的患者检查决策提供依据。我们开设了三个半天的研讨会,教导住院医师如何获取和解读肺部、心脏和腹部系统的超声图像。研讨会包括理论教学和实际超声操作指导,并由内科内外的临床医生进行专家监督。我们要求住院医师在每个研讨会前后完成一份书面调查问卷,以评估他们对POCUS的信心、知识以及未来使用POCUS的可能性。在这三个研讨会(肺部、心脏和腹部)中,我们共获得并分析了66套研讨会前后的调查问卷(32套肺部、25套心脏和9套腹部)。在所有三个研讨会中,住院医师对POCUS使用的信心和知识都显著提高。在心脏研讨会中,未来使用POCUS的可能性增加。我们实施了一个由住院医师主导的POCUS课程,该课程改善了三年级内科住院医师对POCUS的态度并增加了他们的相关知识。