Evidence map›Paper›PMID 38383018›Full record

ArticleCanadian family physician Medecin de famille canadien2024

Use of point-of-care ultrasound in rural British Columbia: Scale, training, and barriers.

Tracy Morton, Daniel J Kim, Tracey Deleeuw, Jason Curran, Paul Olszynski, Virginia W Robinson

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

Tracy MortonFamily physician at the Haida Gwaii Health Centre in British Columbia and Clinical Assistant Professor in the Department of Family Practice at the University of British Columbia.
Daniel J KimClinical Associate Professor and Director of the Point of Care Ultrasound Fellowship program in the Department of Emergency Medicine at the University of British Columbia in Vancouver and an emergency medicine physician at Vancouver General Hospital.
Tracey DeleeuwProject and Research Facilitator at the Rural Coordination Centre of British Columbia in Penticton.
Jason CurranManager of Rural Research and Physician Engagement at the Rural Coordination Centre of British Columbia in Vancouver.
Paul OlszynskiAssociate Professor of Emergency Medicine and Director of both Simulation and Clinical Ultrasonography in the College of Medicine at the University of Saskatchewan in Saskatoon.
Virginia W RobinsonMedical Lead for the Rural Provincial POCUS project at the Rural Coordination Centre of British Columbia and a family physician at Elk Valley Hospital in Fernie, BC.
Agriculture Food and Rural Development · CAFamily Research Institute · USPenticton Regional Hospital · CARural Resources · USUniversity of Saskatchewan · CAVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the scale and scope of use of point-of-care ultrasound (POCUS) in rural British Columbia (BC).

designOnline survey.

settingRural BC.

participantsPhysicians practising in rural BC communities.

main outcome measuresPractitioner demographic and practice characteristics, locations and frequency of POCUS use, POCUS education and training, and practitioner attitudes about and barriers to POCUS use.

resultsTwo hundred twenty-seven surveys were completed in fall 2021, corresponding to a response rate of 11.9% of all rural practitioners in BC. A total of 52.1% of respondents worked in communities with less than 10,000 people, while 24.9% had practices with relatively large proportions of Indigenous patients (more than 20% of the practice population). Respondents reported ease of access to local POCUS devices, with use highest in emergency departments (87.2%) followed by ambulatory care clinic (54.7%) and inpatient (50.3%) settings. Use of POCUS influenced clinical decision making in half the occasions in which it was employed, including a range of diagnostic and procedural applications. Barriers to use included lack of training, limited time to perform POCUS scans, and absence of image review or consultative support. Needed support for POCUS identified by respondents included real-time image acquisition advice and funding for both device acquisition and training. Recommendations for including POCUS training in undergraduate and residency education were strongly supported.

conclusionUse of POCUS in BC is expanding in frequency, scope, and scale in practices serving rural areas and in rural communities with large Indigenous populations, with practitioners reporting important improvements in clinical care as a result. Future research could help improve systemic support for POCUS use, guide needed curriculum changes in medical school and postgraduate training, and be used to inform continuing professional development needs.

Indexed as

Point-of-Care SystemsRural PopulationBritish ColumbiaCurriculumHumansSurveys and QuestionnairesUltrasonography

Identifiers

PMID38383018
PMCPMC11271830
OpenAlexW4392005433

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.