Harvard Medical School, Brigham and Women's Hospital, 10 Vining Street Neville House, Boston, MA 02115, USA.
Division of General Internal Medicine, Department of Medicine, University of Calgary, HRIC 4A08 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada.
Med Clin North Am. 2025 Jan;109(1):285-297. doi: 10.1016/j.mcna.2024.07.001. Epub 2024 Oct 10.
Point-of-care ultrasound (POCUS) enhances diagnostic accurate, reduces time to diagnosis, and improves patient satisfaction. Competenties encompass indications, image acquisition, interpretation, and medical decision-making. Education involves didactic methods and hands-on practice with emphasis on longitudinal training and feedback. Assessment tools target knowledge, psychomotor, attitudinal domains. POCUS portfolios and quality assurance ensure competence and continued overarching POCUS oversight and feedback. Scan numbers are often used as a surrogate for competency; however, it is important to note that learning curves vary by POCUS application. Proper POCUS use requires understanding its diagnostic power and potential limitations. POCUS indications vary by clinical scenarios and beneficial applications for training and credentialing vary by medical niche. This text underscores the importance of standardized training and evidence-based practices in POCUS utilization.
床旁超声（POCUS）提高诊断准确性，缩短诊断时间，提高患者满意度。能力包括适应证、图像采集、解读和医学决策。教育包括理论方法和实践操作，强调纵向培训和反馈。评估工具针对知识、心理运动和态度领域。POCUS 档案和质量保证确保能力和持续的全面 POCUS 监督和反馈。扫描数量常被用作能力的替代指标；然而，值得注意的是，学习曲线因 POCUS 应用而异。正确使用 POCUS 需要了解其诊断能力和潜在局限性。POCUS 的适应证因临床情况而异，培训和认证的有益应用因医学专业而异。本文强调了在 POCUS 应用中标准化培训和循证实践的重要性。
