Development and implementation of a point of care ultrasound curriculum at a multi-site institution

Frances M Russell, Audrey Herbert, Robinson M Ferre, Bita Zakeri, Valerie Echeverria, Dina Peterson, Paul Wallach, Frances M Russell, Audrey Herbert, Robinson M Ferre, Bita Zakeri, Valerie Echeverria, Dina Peterson, Paul Wallach

Abstract

In 2014, over 60% of medical schools were incorporating point of care ultrasound (POCUS) into their curriculum. Today, over 6 years later, many more schools are teaching POCUS or are in the planning stages of implementing a POCUS curriculum. In 2019, the AAMC reported that 53 schools or over one-third of US medical schools have multi-site campuses for undergraduate medical education. Implementation of a POCUS educational initiative at a multi-site campus presents unique challenges for teaching a uniform curriculum statewide. This article will discuss the POCUS curriculum and implementation process at a large multi-site institution.

Keywords: Integrated curriculum; Medical education; Medical students; Multi-site campus; Point of care ultrasound.

Conflict of interest statement

FMR is or has been in the last year a consultant for GE Healthcare, and Rosh Review LLC. RMF is or has been in the last year a consultant for and/or received Honoria from Vave Healthcare, 3rd Rock Ultrasound, and InnovatED Ultrasound. AH, BZ, VE, DP and PMW have no conflicts of interest.

Figures

Fig. 1
Fig. 1
POCUS Modules
Fig. 2
Fig. 2
Undergraduate medical education curriculum showing where POCUS modules were implemented, specifically in which year of schooling and in what course

References

    1. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749–757. doi: 10.1056/NEJMra0909487.
    1. Smith-Bindman R, Aubin C, Bailitz J, Bengiamin B, Camargo C, Corbo J, Dean AJ, Goldstein RB, Griffey RT, Jay GD, Kang TL, Kriesel DR, Ma OJ, Mallin M, Manson W, Melnikow J, Miglioretti DL, Miller SK, Mills LD, Miner JR, Moghadassi M, Noble VE, Press GM, Stoller ML, Valencia VE, Wang J, Wang RC, Cummings SR. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014;371:1100–1110. doi: 10.1056/NEJMoa1404446.
    1. Jones AE, Tayal VS, Sullivan DM, Kline JA. Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of nontraumatic hypotension in emergency department patients. Crit Care Med. 2004;32(8):1703–1708. doi: 10.1097/01.CCM.0000133017.34137.82.
    1. Melniker L, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. 2006;48(3):227–235. doi: 10.1016/j.annemergmed.2006.01.008.
    1. Rempell JS, Saldana F, DiSalvo D. Pilot point-of-care ultrasound curriculum at harvard medical school: early experience. West J Emerg. 2016;17(6):734–740. doi: 10.5811/westjem.2016.8.31387.
    1. David P, Bahner DP, Goldman E, Way D, Royall NA, Liu YT. The state of ultrasound Education in U.S. medical schools: results of a national survey. Acad Med. 2014;89(12):1681–1686. doi: 10.1097/ACM.0000000000000414.
    1. Damewood SC, Leo M, Bailitz J, Gottlieb M, Liu R, Hoffmann B, Gaspari RJ. Tools for measuring clinical ultrasound competency: recommendations from the ultrasound competency work group. AEM Educ Train. 2020;4(Suppl 1):S106–S112.
    1. (2017) Ultrasound guidelines: emergency, point-of-care and clinical ultrasound guidelines in medicine. Ann Emerg Med 69(5):e27–e54
    1. Russell FM, Herbert A, Zakeri B, Blaha M, Ferre RM, Sarmiento EJ, Wallach PW. Training the trainer: faculty from across multiple specialties show improved confidence, knowledge and skill in point of care ultrasound after a short intervention. Cureus. 2020;12(12):e11821.
    1. Lewiss RE, Hayden GE, Murray A, Liu YT, Panebianco N, Liteplo AS. SonoGames: an innovative approach to emergency medicine resident ultrasound education. J Ultrasound Med. 2014;33(10):1843–1849. doi: 10.7863/ultra.33.10.1843.

Source: PubMed

3
Tilaa