Evidence map›Paper›PMID 42763574›Full record

ArticleJournal of general and family medicine2026

Current Gaps in Point-of-Care Ultrasound Supervision in Generalist Practice in Japan: A Nationwide Survey.

Toru Yamada, Takuma Kimura, Kyoko Shigetomi, Takahiro Shinohara, Shuji Ouchi, Suguru Mabuchi, Hiroyuki Ichige, Toru Kameda, Shumpei Yoshino, Yuka Kitano and 7 more

Abstract read
In one paragraph

Article in Journal of general and family 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.

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

17 authors.

Toru YamadaDepartment of General Medicine, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0003-4583-364X
Takuma KimuraDepartment of R&D Innovation for Home Care Medicine, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0009-0002-9318-6539
Kyoko ShigetomiDepartment of Cardiovascular Surgery Juntendo University Hospital Tokyo Japan.
Takahiro ShinoharaDepartment of General Medicine, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0009-0000-8750-7098
Shuji OuchiDepartment of General Medicine, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0009-0009-3447-163X
Suguru MabuchiDepartment of General Medicine, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0002-8620-5191
Hiroyuki IchigeDepartment of Community Medicine (Ibaraki), Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0009-0001-7535-5741
Toru KamedaDepartment of Ultrasound Medicine Saiseikai Utsunomiya Hospital Tochigi Japan.ORCID https://orcid.org/0000-0002-7538-3427
Shumpei YoshinoDepartment of Intensive Care Medicine Aso Iizuka Hospital Iizuka Fukuoka Japan.
Yuka KitanoEmergency and Critical Care Medicine, School of Medicine St. Marianna University Kawasaki Kanagawa Japan.
Keita EndoDepartment of Nephrology, Diabetes and Endocrinology Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
Kazuya OkadaDepartment of Critical Care Medicine Tokyo Metropolitan Bokutoh Hospital Tokyo Japan.
Hiroshi KamijoDepartment of Emergency and Critical Care Medicine Shinshu University Hospital Nagano Japan.ORCID https://orcid.org/0000-0001-7292-1157
Hiromizu TakahashiDepartment of General Medicine Juntendo University Urayasu Hospital Chiba Japan.
Tomoko KusamaOita University of Nursing and Health Sciences Oita Japan.
Takeshi IshidaDepartment of Community Medicine (Ibaraki), Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.ORCID https://orcid.org/0009-0001-6276-6859
Masayoshi HashimotoDepartment of General Medicine, Graduate School of Medical and Dental Sciences Institute of Science Tokyo Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Point-of-care ultrasound (POCUS) is increasingly used in generalist practice by physicians, nurse practitioners, and nurses. However, the current availability of clinical supervision and preferred supervision models for POCUS remains unclear. Methods: We conducted an anonymous web-based survey among members of five academic societies related to generalist practice in Japan between April 2024 and March 2025. The target respondents were physicians, nurse practitioners, and nurses. The survey assessed POCUS use in daily clinical practice, current supervision status, preferred supervision models, and previous training experience. Results: A total of 1056 valid responses were analyzed, including 835 physicians and 221 nurses or nurse practitioners. Overall, 735 respondents (69.6%) reported performing some form of POCUS in daily clinical practice. The most common current supervision status was having no available supervisor inside or outside the facility (36.9%), more common among physicians than among nurses and nurse practitioners (42.2% vs. 17.2%, Conclusions: POCUS is widely used in generalist practice in Japan, but clinical supervision remains insufficient. Reported current supervision differed from preferred supervision models, suggesting that real-time online supervision may be a feasible strategy to support safe and sustainable POCUS implementation.

Indexed as

clinical supervisiongeneralist practicenursenurse practitioneronline supervisionpoint‐of‐care ultrasound

Identifiers

PMID42763574
PMCPMC13589104

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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.