As ultrasound technology emerges, new and more robust clinical applications will develop and learners who become proficient in the acquisition and interpretation of these images will be better prepared to take advantage of utilizing this resource. The need for rapid action and decision making is pushing ultrasound applications towards the point of care. Point of care ultrasound (POCUS) is most effective when providers have been trained and credentialed utilizing an interdisciplinary approach.
POCUS has rapidly become an expectation in providing hands-on medicine as the “new stethoscope.” Introducing ultrasound early in residency and maintaining that expectation throughout the program engrains POCUS into daily patient rounding.
PGY-1 Internal Medicine Residents POCUS program began in 2013.
- 10 half days of proctored POCUS education with Sanford sonographers
- Web based learning modules
- Introduction to Ultrasound basics
- Scanning simulation
- Supervised development of POCUS scanning skills
Each learner has protected time embedded in the ultrasound department. PGY-1 Internal Medicine Residents are scheduled 10 half days a month during their first year.
Web-based learning modules are utilized as a prep tool prior to the first ultrasound rotation. These simulate scanning techniques and provide introduction to physics, instrumentation and image recognition.
Every learner is expected to perform and document a minimum of 25 ultrasound exams under the guidance of a registered sonographer. A pathology log sheet documents interesting findings. All skill logs are documented on an Excel spreadsheet, which becomes a part of the learner’s portfolio and can be used for credentialing purposes.
In 2018, an Interdisciplinary Team was established for patient rounding. Team of experts includes: medical students, residents, hospital faculty, sonographer, pharmacist, and case manager. The development of an interdisciplinary team approach supports the longitudinal learning method. During patient case presentations everyone is able to participate, offering their area of expertise, which facilitates immediate patient care at the beside.
Different scanning competencies taught in POCUS curriculum
Residents have completed POCUS rotations since 2013
Residents prefer hands-on scanning experience