Evidence map›Paper›PMID 41963889›Full record

ArticleBMC medical education2026

Undergraduate point-of-care ultrasound education in Japan: a nationwide cross-sectional survey of curriculum status, barriers, and implications for educators.

Toru Yamada, Masanaga Yamawaki, Takahiro Shinohara, Hiroyuki Ichige, Suguru Mabuchi, Takuma Kimura, Takeshi Ishida, Masayoshi Hashimoto

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Toru YamadaDepartment of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan. toru.y.fmed@tmd.ac.jp.ORCID http://orcid.org/0000-0003-4583-364X
Masanaga YamawakiDepartment of Medical Education Research and Development, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-Ku, Tokyo, Japan.ORCID http://orcid.org/0000-0003-2981-3702
Takahiro ShinoharaDepartment of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0009-0000-8750-7098
Hiroyuki IchigeDepartment of Community Medicine (Ibaraki), Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-Ku, Tokyo, Japan.
Suguru MabuchiDepartment of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.ORCID http://orcid.org/0000-0002-8620-5191
Takuma KimuraDepartment of R&D Innovation for Home Care Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-Ku, Tokyo, Japan.ORCID http://orcid.org/0009-0002-9318-6539
Takeshi IshidaDepartment of Community Medicine (Ibaraki), Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-Ku, Tokyo, Japan.ORCID http://orcid.org/0009-0001-6276-6859
Masayoshi HashimotoDepartment of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoint-of-care ultrasonography (POCUS) is increasingly recognized as an essential bedside clinical skill and a valuable educational tool in undergraduate medical education. Although many medical schools worldwide have begun integrating POCUS into their curricula, the extent to which undergraduate POCUS education has been formally implemented and accredited in Japan remains unclear. Therefore, this study aimed to investigate the accreditation status and implementation of undergraduate POCUS curricula across Japanese medical schools.

methodsWe conducted a nationwide, cross-sectional, web-based survey of all 82 Japanese medical schools between July and September 2025. The questionnaire addressed institutional characteristics, perceived educational need for POCUS, accreditation status of undergraduate POCUS curricula, curriculum structure and content, instructional methods, assessment strategies, and perceived barriers and facilitators to implementation. Descriptive statistics were used to summarize findings, and reported barriers to implementation were compared between institutions with and without accredited curricula.

resultsSixty valid responses were analyzed (response rate: 73.2%). Although 81.6% of respondents agreed that POCUS should be integrated into undergraduate medical education, only 12 institutions (20.0%) had a formally accredited POCUS curriculum. Among accredited programs, 58.3% implemented longitudinal curricula spanning multiple academic years, most commonly integrating POCUS into clinical clerkships and physical examination teaching. All programs included diagnostic POCUS, with abdominal applications being the most frequently taught, whereas procedural POCUS was included in fewer than half of programs. Post-training assessments were conducted in 58.3% of institutions, primarily through practical skill evaluations. Major barriers to implementation included shortages of trained faculty (75.0%), limited equipment and educational resources (66.7%), lack of institutional leadership to drive curriculum development (58.3%), and insufficient curricular time. No statistically significant differences in perceived barriers were observed between institutions with and without accredited curricula (χ2 test, all p values > 0.05).

conclusionsDespite broad recognition of the educational value of POCUS, formal accreditation and educational infrastructure remain limited in Japanese medical schools. Institutions that have adopted POCUS commonly employ longitudinal and clinically integrated approaches. These findings highlight a substantial gap between perceived educational need and practical implementation and provide actionable insights for educators and curriculum leaders to prioritize faculty development, resource allocation, and institutional support for undergraduate POCUS education.

Indexed as

CurriculumEducation, Medical, UndergraduatePoint-of-Care SystemsSchools, MedicalAccreditationClinical CompetenceCross-Sectional StudiesHumansJapanSurveys and QuestionnairesUltrasonographyCurriculum implementationPoint-of-care UltrasoundUndergraduate medical education

Identifiers

PMID41963889
PMCPMC13217953

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.