An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada
Abstract Background Point-of-care ultrasound (POCUS) is a growing part of internal medicine training programs. Dedicated POCUS rotations are emerging as a particularly effective tool in POCUS training, allowing for longitudinal learning and emphasizing both psychomotor skills and the nuances of clin...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2022-09-01
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| Series: | The Ultrasound Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13089-022-00287-1 |
| _version_ | 1811274862743781376 |
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| author | Mathilde Gaudreau-Simard Katie Wiskar Elaine Kilabuk Michael H. Walsh Michael Sattin Jonathan Wong Zain Burhani Shane Arishenkoff Jeffrey Yu Ada W. Lam Irene W. Y. Ma |
| author_facet | Mathilde Gaudreau-Simard Katie Wiskar Elaine Kilabuk Michael H. Walsh Michael Sattin Jonathan Wong Zain Burhani Shane Arishenkoff Jeffrey Yu Ada W. Lam Irene W. Y. Ma |
| author_sort | Mathilde Gaudreau-Simard |
| collection | DOAJ |
| description | Abstract Background Point-of-care ultrasound (POCUS) is a growing part of internal medicine training programs. Dedicated POCUS rotations are emerging as a particularly effective tool in POCUS training, allowing for longitudinal learning and emphasizing both psychomotor skills and the nuances of clinical integration. In this descriptive paper, we set out to review the state of POCUS rotations in Canadian Internal Medicine training programs. Results We identify five programs currently offering a POCUS rotation. These rotations are offered over two to thirteen blocks each year, run over one to four weeks and support one to four learners. Across all programs, these rotations are set up as a consultative service that offers POCUS consultation to general internal medicine inpatients, with some extension of scope to the hospitalist service or surgical subspecialties. The funding model for the preceptors of these rotations is predominantly fee-for-service using consultation codes, in addition to concomitant clinical work to supplement income. All but one program has access to hospital-based archiving of POCUS exams. Preceptors dedicate ten to fifty hours to the rotation each week and ensure that all trainee exams are reviewed and documented in the patient’s medical records in the form of a consultation note. Two of the five programs also support a POCUS fellowship. Only two out of five programs have established learner policies. All programs rely on In-Training Evaluation Reports to provide trainee feedback on their performance during the rotation. Conclusions We describe the different elements of the POCUS rotations currently offered in Canadian Internal Medicine training programs. We share some lessons learned around the elements necessary for a sustainable rotation that meets high educational standards. We also identify areas for future growth, which include the expansion of learner policies, as well as the evolution of trainee assessment in the era of competency-based medical education. Our results will help educators that are endeavoring setting up POCUS rotations achieve success. |
| first_indexed | 2024-04-12T23:27:51Z |
| format | Article |
| id | doaj.art-12e1c6fc690640f4a6afc8114ac43055 |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-04-12T23:27:51Z |
| publishDate | 2022-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-12e1c6fc690640f4a6afc8114ac430552022-12-22T03:12:22ZengSpringerOpenThe Ultrasound Journal2524-89872022-09-011411610.1186/s13089-022-00287-1An overview of Internal Medicine Point-of-Care Ultrasound rotations in CanadaMathilde Gaudreau-Simard0Katie Wiskar1Elaine Kilabuk2Michael H. Walsh3Michael Sattin4Jonathan Wong5Zain Burhani6Shane Arishenkoff7Jeffrey Yu8Ada W. Lam9Irene W. Y. Ma10Division of General Internal Medicine, Department of Medicine, The Ottawa Hospital, University of OttawaDivision of General Internal Medicine, Department of Medicine, University of British ColumbiaDivision of General Internal Medicine, Department of Medicine, University of OttawaDivision of General Internal Medicine, Department of Medicine, University of CalgaryDivision of General Internal Medicine, Department of Medicine, Western UniversityDivision of General Internal Medicine, Department of Medicine, University of AlbertaDivision of General Internal Medicine, Department of Medicine, Western UniversityDivision of General Internal Medicine, Department of Medicine, University of British ColumbiaDivision of General Internal Medicine, Department of Medicine, Western UniversityDivision of General Internal Medicine, Department of Medicine, University of AlbertaDivision of General Internal Medicine, Department of Medicine, University of CalgaryAbstract Background Point-of-care ultrasound (POCUS) is a growing part of internal medicine training programs. Dedicated POCUS rotations are emerging as a particularly effective tool in POCUS training, allowing for longitudinal learning and emphasizing both psychomotor skills and the nuances of clinical integration. In this descriptive paper, we set out to review the state of POCUS rotations in Canadian Internal Medicine training programs. Results We identify five programs currently offering a POCUS rotation. These rotations are offered over two to thirteen blocks each year, run over one to four weeks and support one to four learners. Across all programs, these rotations are set up as a consultative service that offers POCUS consultation to general internal medicine inpatients, with some extension of scope to the hospitalist service or surgical subspecialties. The funding model for the preceptors of these rotations is predominantly fee-for-service using consultation codes, in addition to concomitant clinical work to supplement income. All but one program has access to hospital-based archiving of POCUS exams. Preceptors dedicate ten to fifty hours to the rotation each week and ensure that all trainee exams are reviewed and documented in the patient’s medical records in the form of a consultation note. Two of the five programs also support a POCUS fellowship. Only two out of five programs have established learner policies. All programs rely on In-Training Evaluation Reports to provide trainee feedback on their performance during the rotation. Conclusions We describe the different elements of the POCUS rotations currently offered in Canadian Internal Medicine training programs. We share some lessons learned around the elements necessary for a sustainable rotation that meets high educational standards. We also identify areas for future growth, which include the expansion of learner policies, as well as the evolution of trainee assessment in the era of competency-based medical education. Our results will help educators that are endeavoring setting up POCUS rotations achieve success.https://doi.org/10.1186/s13089-022-00287-1Point-of-care ultrasoundPOCUSInternal MedicineEducation |
| spellingShingle | Mathilde Gaudreau-Simard Katie Wiskar Elaine Kilabuk Michael H. Walsh Michael Sattin Jonathan Wong Zain Burhani Shane Arishenkoff Jeffrey Yu Ada W. Lam Irene W. Y. Ma An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada The Ultrasound Journal Point-of-care ultrasound POCUS Internal Medicine Education |
| title | An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada |
| title_full | An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada |
| title_fullStr | An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada |
| title_full_unstemmed | An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada |
| title_short | An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada |
| title_sort | overview of internal medicine point of care ultrasound rotations in canada |
| topic | Point-of-care ultrasound POCUS Internal Medicine Education |
| url | https://doi.org/10.1186/s13089-022-00287-1 |
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