Evidence map›Paper›PMID 39623051›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Point-of-care ultrasound in palliative medicine residency programs: report of a national survey and local workshop.

Erin McCarthy, Kaede Takami, Shree Lamichhane, Leonie Herx, Craig Goldie, Danielle Kain, Majid Iqbal, Wilma Hopman, Aynharan Sinnarajah, Frank Myslik and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Erin McCarthyDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Kaede TakamiDepartment of Medicine, Queen's University, Kingston, ON, Canada.
Shree LamichhaneDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Leonie HerxPalliative Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Craig GoldieDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Danielle KainDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Majid IqbalDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Wilma HopmanKingston General Hospital Research Institute, Kingston, ON, Canada.
Aynharan SinnarajahDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Frank MyslikDivision of Emergency Medicine, Department of Medicine, Western University, London, ON, Canada.
Jean MathewsDivision of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada. Jean.mathews@kingstonhsc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePoint-of-care ultrasound (POCUS) is used in various clinical specialties to improve diagnostic and procedural accuracy and has many potential applications in palliative care. However, it is unclear what is the current state of training and use of POCUS in palliative care in Canada. Our objectives were to understand the current state of training and use of POCUS in Canadian Palliative Medicine subspecialty residency programs and to develop and implement a local training workshop for POCUS in palliative care.

methodsWe surveyed residency program leaders regarding formal training and clinical applications of POCUS for faculty and residents in their programs. The results from the national survey informed the design of a workshop for POCUS at our institution. Faculty and resident participants completed pre- and post-workshop surveys evaluating their comfort with using and teaching POCUS.

resultsMost residency programs provided between one to ten hours of POCUS teaching to residents. Clinical application was generally limited to assessing ascites and performing paracentesis. Lack of POCUS-trained faculty was identified as the most common barrier to more widespread use of POCUS. On a limited budget, we successfully implemented a POCUS training workshop at our institution that improved participant confidence and comfort in using and teaching POCUS.

conclusionsAlthough POCUS is viewed as a beneficial skill for enhancing patient care and is a competency in palliative medicine residency programs, there are gaps in both training and utilization. A POCUS workshop is an effective and low-cost "first-step" intervention that can be easily replicated in other programs.

Indexed as

Internship and ResidencyPalliative MedicinePoint-of-Care SystemsUltrasonographyCanadaHumansPalliative CareSurveys and QuestionnairesAscitesPalliative careParacentesisPOCUSPoint-of-care ultrasoundSymptoms

Identifiers

PMID39623051

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.