Southern Illinois University School of Medicine, Springfield, IL.
University of Nebraska Medical Center, Omaha, NE.
Fam Med. 2023 Jul;55(7):460-466. doi: 10.22454/FamMed.2023.175650. Epub 2023 Apr 21.
Point-of-care ultrasound (POCUS) education has become a mainstay in resident education in multiple specialties, including family medicine (FM), but literature regarding the use of POCUS during clinical medical student education is lacking. The purpose of this study was to investigate whether and how POCUS education is conducted in FM clerkships in the United States and Canada and how it compares to more traditional FM clinical procedural instruction.
As part of the 2020 Council of Academic Family Medicine's Educational Research Alliance survey of FM clerkship directors, we surveyed clerkship directors in the United States and Canada about whether and how POCUS education, as well as other procedural instruction in their institutions and FM clerkships, was conducted. We included questions regarding POCUS and other procedural use by preceptors and faculty.
We found that 13.9% of clerkship directors reported structured POCUS education during clerkship, while 50.5% included other procedural training. The survey revealed that 65% of clerkship directors felt that POCUS was an important component of FM, but this was not a predictor of POCUS use in personal or preceptor practice nor of its inclusion in FM clerkship education.
Structured POCUS education is a rare component of FM clerkship education; while more than half of clerkship directors felt that POCUS was important for FM, few used it personally or included it in clerkship education. As POCUS continues to be integrated into medical education in FM, the clerkship may represent an opportunity to expand POCUS exposure for students.
床边超声检查（POCUS）教育已成为包括家庭医学（FM）在内的多个专业住院医师教育的主要内容，但关于在临床医学专业学生教育中使用 POCUS 的文献却很少。本研究旨在调查美国和加拿大的 FM 实习中是否以及如何进行 POCUS 教育，以及它与更传统的 FM 临床程序教学有何不同。
作为 2020 年学术家庭医学理事会教育研究联盟对 FM 实习主任调查的一部分，我们调查了美国和加拿大的实习主任，了解他们所在机构和 FM 实习中是否以及如何进行 POCUS 教育以及其他程序教学。我们包括了关于实习导师和教师使用 POCUS 和其他程序的问题。
我们发现，13.9%的实习主任报告在实习期间有结构化的 POCUS 教育，而 50.5%的实习主任则包括其他程序培训。调查显示，65%的实习主任认为 POCUS 是 FM 的一个重要组成部分，但这并不是他们个人或实习导师实践中使用 POCUS 的预测因素，也不是将其纳入 FM 实习教育的预测因素。
结构化的 POCUS 教育是 FM 实习教育的罕见组成部分；尽管超过一半的实习主任认为 POCUS 对 FM 很重要，但很少有人在个人或实习教育中使用它。随着 POCUS 继续被整合到 FM 医学教育中，实习可能是为学生扩大 POCUS 接触的机会。
