ArticleThe ultrasound journal2021
Lung ultrasound training and evaluation for proficiency among physicians in a low-resource setting.
Article in The ultrasound journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic accuracy of lung ultrasound in diagnosis of ARDS and identification of focal or non-focal ARDS subphenotypes: a systematic review and meta-analysis.Critical care (London, England) · 2024Pooled it
- Comparative accuracy of lung ultrasound and chest radiography for pneumothorax detection after cardiac surgery: a feasibility pilot study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026Article
- From concepts to evaluation: mapping approaches to POCUS training assessment in low- and middle-income countries - a systematic scoping review.The ultrasound journal · 2026Article
- Advances in bedside imaging: lung ultrasound.Intensive care medicine experimental · 2025Review
- Observations in incorporating lung ultrasound views into the echo lab: value in decompensated heart failure.BMC cardiovascular disorders · 2025Article
- Concepts for point-of-care ultrasound training in low resource settings: a scoping review.The ultrasound journal · 2025Review
- Rib Reverberation: An important New Artifact in Lung Ultrasound.POCUS journal · 2025Article
- Handheld Ultrasound Devices Used by Newly Certified Operators for Pneumonia in the Emergency Department-A Diagnostic Accuracy Study.Diagnostics (Basel, Switzerland) · 2024Article
- Lung ultrasound in respiratory therapy: a global reflective survey.Multidisciplinary respiratory medicine · 2024Article
- Diagnostic Accuracy of Bedside Lung Ultrasound in Detecting Traumatic Pneumothorax by Novice Physicians in the Emergency Department of a Tertiary Care Hospital of Nepal.Emergency medicine international · 2024Article
- Assessing feasibility of targeted primary care referrals for patients with clinical suspicion of interstitial lung disease using lung ultrasound: a prospective case finding study. The potential benefits of LUS utilization.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023Article
- New International Guidelines and Consensus on the Use of Lung Ultrasound.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2023Review
- Point-of-care ultrasonography in nephrology comes of age.Clinical kidney journal · 2022Review
- Prospective, multicentre observational study of point-of-care ultrasound practice in emergency departments across Australia and New Zealand: The POCUS-ED Registry.Emergency medicine Australasia : EMA · 2022Observational
- Normalising lung ultrasound.African journal of thoracic and critical care medicine · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLung ultrasound (LUS) is helpful for the evaluation of patients with dyspnea in the emergency department (ED). However, it remains unclear how much training and how many LUS examinations are needed for ED physicians to obtain proficiency. The objective of this study was to determine the threshold number of LUS physicians need to perform to achieve proficiency for interpreting LUS on ED patients with dyspnea.
methodsA prospective study was performed at Patan Hospital in Nepal, evaluating proficiency of physicians novice to LUS. After eight hours of didactics and hands-on training, physicians independently performed and interpreted ultrasounds on patients presenting to the ED with dyspnea. An expert sonographer blinded to patient data and LUS interpretation reviewed images and provided an expert interpretation. Interobserver agreement was performed between the study physician and expert physician interpretation. Cumulative sum analysis was used to determine the number of scans required to attain an acceptable level of training.
resultsNineteen physicians were included in the study, submitting 330 LUS examinations with 3288 lung zones. Eighteen physicians (95%) reached proficiency. Physicians reached proficiency for interpreting LUS accurately when compared to an expert after 4.4 (SD 2.2) LUS studies for individual zone interpretation and 4.8 (SD 2.3) studies for overall interpretation, respectively.
conclusionsFollowing 1 day of training, the majority of physicians novice to LUS achieved proficiency with interpretation of lung ultrasound after less than five ultrasound examinations performed independently.
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