ArticleJournal of medical education and curricular development
Point of Care Ultrasound Curriculum in an Internal Medicine Residency Program: 9 Years of Experience From a Teaching Hospital in the United States.
Article in Journal of medical education and curricular development. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Background: The growing availability of portable ultrasound devices enables clinicians to enhance physical examination, improve diagnostic accuracy, promote safer procedures and reduce costs. In the United States, ultrasound education is increasingly integrated into medical training with growing demand for structured training in residency programs. Beginning in 2016, we implemented a POCUS curriculum in the Internal Medicine residency program at the University of Miami/Jackson Memorial Hospital. Objective: To describe the design and outcomes of a structured POCUS training curriculum aimed at developing resident proficiency. Methods: We conducted a prospective educational study over nine years including 314 Internal Medicine residents, who completed a two-week POCUS elective. Participants were assigned a unique code to ensure data de-identification. The curriculum comprised two sequential components: the first week consisted of didactic lectures, simulation based learning, and supervised interactive hands-on scanning: the second week offered supervised clinical real time ultrasound use. Outcomes were assessed using pre-and post-course multiple-choice tests, procedural skills checklists, and structured evaluations. Results: Faculty-assessed image acquisition and technical skills were high (mean checklist score 96.65%, SD = 4.22), demonstrating competency across ultrasound domains. Faculty ratings exceeded learner self-ratings (4.19 vs 3.69; Z = 14.09, P < .001). Knowledge scores improved from 63.83% (SD = 16.18) pre-course to 92.11% (SD = 8.79) post-course (Z = 15.36, P < .001, r = 0.87). Residents' feedback was excellent. Conclusions: Our nine-year experience suggests that a structured two-week POCUS curriculum is a feasible and effective approach for standardizing POCUS education in Internal Medicine residency programs.
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