Evidence map›Paper›PMID 40561973›Full record

Observational studyThe western journal of emergency medicine2025

Evaluation of Point-of-Care Ultrasound Use in Emergency Medicine Residents: An Observational Study.

Michael Fareri, Matthew VandeHei, Benjamin Schnapp, Corlin Jewell, Michael R Lasarev, Roxana Alexandridis, Dana Resop, Sara Damewood, Hani I Kuttab

Abstract readObservational Study
In one paragraph

Observational study in The western journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Michael FareriUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.
Matthew VandeHeiUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.
Benjamin SchnappUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.
Corlin JewellUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.
Michael R LasarevUniversity of Wisconsin-Madison, Department of Biostatistics and Medical Informatics, Madison, Wisconsin.
Roxana AlexandridisUniversity of Wisconsin-Madison, Department of Biostatistics and Medical Informatics, Madison, Wisconsin.
Dana ResopUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.
Sara DamewoodUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.
Hani I KuttabUniversity of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPoint-of-care ultrasound (POCUS) is integral to emergency medicine (EM) training. It is unclear how EM residents use POCUS and how these skills are maintained as they progress in residency training. The purpose of this study was to evaluate resident use of POCUS at various timepoints in EM training.

methodsThis was a retrospective cohort study of EM residents at a single, three-year training program between July 1, 2014-June 30, 2022. Residents were included if they had completed three consecutive years of training and an ultrasound rotation in their postgraduate year (PGY)-1. The following time points were assessed: PGY-1 rotation and 3-, 6-, 12-, 18-, and 24-months post-rotation. Number of scans, accuracy of interpretation, acceptability for credit, and percentage of technically limited studies (TLS) were collected at each point. We analyzed performance characteristics using mixed-effects binomial logistic regression with time as a fixed effect and resident as a random effect. Models were fit separately for each performance characteristic and likelihood ratio tests were performed to determine whether performance varied over time.

resultsA total of 65 residents were included with a total of 13,229 exams performed during the study period. Cardiac and focused assessment with sonography in trauma examinations were performed most commonly. Overall accuracy of all exams during the examination period was 97.1% (95% confidence interval [CI] 96.2-98.0%), TLS was 14.5% (95% CI 9.7-20.6%), and acceptability was 82.9% (95% CI 76.3-88.2%). Trend over time (3, 6, 12, 18, and 24 months) found no differences in accuracy (P = 0.84), TLS (P = 0.20), or acceptability (P = 0.28). Further analyses by individual exam types also showed no significant differences in accuracy, acceptability, nor TLS.

conclusionAccuracy, acceptability, and percentage of technically limited scans did not significantly vary over time, suggesting that POCUS skills are maintained from PGY-1 rotation to each time point evaluated in this study.

Indexed as

Clinical CompetenceEmergency MedicineInternship and ResidencyPoint-of-Care SystemsAdultFemaleHumansMaleRetrospective StudiesUltrasonography

Identifiers

PMID40561973
PMCPMC12208028

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Registered trials

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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.