ArticleJournal of general internal medicine2026
POCUS for the People: A Rounds-Integrated Point-of-Care Ultrasound Curriculum for Medical Students at a Guatemalan Public Hospital.
Article in Journal of general internal medicine, 2026. 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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11 authors.
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Abstract
backgroundInternal medicine (IM) education in resource-limited hospitals is constrained by heavy workloads and imaging limited to plain radiography. Point-of-care ultrasound (POCUS) supports experiential learning and diagnostic reasoning, yet no rounds-integrated IM curricula have been described in Latin America, and most programs stop short of practice-based bedside assessment.
aimTo implement and evaluate a rounds-integrated POCUS curriculum in a resource-limited IM setting.
settingHospital Nacional de Coatepeque (228-bed Guatemalan public hospital).
participantsEight final-year medical students without formal ultrasound training. PROGRAM DESCRIPTION: The curriculum combined flipped-classroom prework, a 2-day course focused on pleural and abdominal fluid detection, and a 2-month longitudinal program embedding POCUS into daily rounds, with Butterfly Cloud portfolio review, WhatsApp-based feedback, and designation of three learners as local "champions" in a train-the-trainer model. PROGRAM EVALUATION: Knowledge and confidence gains largely persisted at 2 months. Hands-on performance was strongest for pelvic/bladder view acquisition, artifact recognition, and image optimization, and lowest for spine sign recognition and probe orientation and manipulation. Barriers included probe scarcity and limited institutional support; champions emerged as key drivers of peer learning. DISCUSSION: Rounds-integrated POCUS training is feasible in resource-limited settings and may support early skill development when paired with longitudinal mentorship and local champion development.
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