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Point of care ultrasound training in internal medicine: Steps towards standardization

  • Charles M. LoPresti
    Correspondence
    Corresponding author.
    Affiliations
    Louis Stokes Cleveland Veterans Affairs Medical Center, Division of Medicine, 10701 East Boulevard. Cleveland, OH 44106, United States

    Case Western Reserve University School of Medicine, 2109 Adelbert Rd, Cleveland, OH 44106, United States
    Search for articles by this author
Published:March 17, 2020DOI:https://doi.org/10.1016/j.ejim.2020.02.034
      Point of Care Ultrasound (POCUS) is rapidly gaining international acceptance in the field of internal medicine. Realizing POCUS's potential to decrease procedural complication rates [
      • Franco-Sadud R.
      • Schnobrich D.
      • Matthews B.
      • Candotti C.
      • Abdel-Ghani S.
      • Perez M.
      • Rodgers S.
      • Mader M.
      • Haro E.
      • Dancel R.
      • Cho J.
      • Grikis L.
      • Lucas B.
      • Soni N
      Recommendations on the use of ultrasound guidance for central and peripheral vascular access in adults: a position statement of the society of hospital medicine.
      ,
      • Cho J.
      • Jensen T.
      • Reierson K.
      • Mathews B.
      • Bhagra A.
      • Franco-Sadud R.
      • Grikis L.
      • Mader M.
      • Dancel R.
      • Lucas B.
      • Soni N.
      Society of Hospital Medicine Point-of-care Ultrasound Task Force
      Recommendations on the use of ultrasound guidance for adult abdominal paracentesis: a position statement of the society of hospital medicine.
      ,
      • Dancel R.
      • Schnobrich D.
      • Puri N.
      • Franco-Sadud R.
      • Cho J.
      • Grikis L.
      • Lucas B.P.
      • El-Barbary M.
      • Soni N.J
      Society of Hospital Medicine Point of Care Ultrasound Task Force
      Recommendations on the use of ultrasound guidance for adult thoracentesis: a position statement of the society of hospital medicine.
      ] improve diagnostic accuracy [
      • Soni N.J.
      • Schnobrich D.
      • Mathews B.K.
      • Tierney D.M.
      • Jensen T.P.
      • Dancel R.
      • Cho J.
      • Dversdal R.K.
      • Mints G.
      • Bhagra A.
      • Reierson K.
      • Kurian L.M.
      • Liu G.Y.
      • Candotti C.
      • Boesch B.
      • LoPresti C.M.
      • Lenchus J.
      • Wong T.
      • Johnson G.
      • Maw A.M.
      • Franco-Sadud R.
      • Lucas B.P
      Point-of-care ultrasound for hospitalists: a position statement of the society of hospital medicine.
      ], reduce time to diagnosis [
      • Zanobetti M.
      • Scorpiniti M.
      • Gigli C.
      • Nazerian P.
      • Vanni S.
      • Innocenti F.
      • Stefanone V.T.
      • Savinelli C.
      • Coppa A.
      • Bigiarini S.
      • Caldi F.
      • Tassinari I.
      • Conti A.
      • Grifoni S.
      • Pini R
      Point-of-care ultrasonography for evaluation of acute dyspnea in the ED.
      ,
      • Fischer E.A.
      • Kinnear B.
      • Sall D.
      • Kelleher M.
      • Sanchez O.
      • Mathews B.
      • Schnobrich D.
      • Olson A.P.J
      Hospitalist-operated compression ultrasonography: a point-of-care ultrasound study (HOCUS-POCUS).
      ], improve patient satisfaction [
      • Howard Z.D.
      • Noble V.E.
      • Marill K.A.
      • Sajed D.
      • Rodrigues M.
      • Bertuzzi B.
      • Liteplo A.S
      Bedside ultrasound maximizes patient satisfaction.
      ], and facilitate shared diagnostic understanding at the bedside [
      • Mathews B.K.
      • Miller P.E.
      • Olson A.P.J
      Point-of-care ultrasound improves shared diagnostic understanding between patients and providers.
      ], internists are turning to ultrasound as one of the most practice-altering innovations since the invention of the stethoscope over 200 years ago. While some enthusiasts have been teaching and advocating for POCUS's internal medicine applications for years, there seems to have been a spike in demand for learning POCUS more recently; initially by those providers in the acute medicine fields of hospital medicine and critical care [

      Point of care ultrasound certificate of completion, https://www.chestnet.org/Education/Advanced-Clinical-Training/Certificate-of-Completion-Program/SHM-COC; 2020[accessed 3 February 2020].

      ,
      • LoPresti C.M.
      • Boyd J.S.
      • Schott C.
      • Core M.
      • Lucas B.P.
      • Colon-Molero A.
      • Kessler C.
      • Mader M.J.
      • Haro E.K.
      • Finley E.P.
      • Restrepo M.I.
      • Pugh J.
      • Soni N.J
      A national needs assessment of point-of-care ultrasound training for hospitalists.
      ], but more recently by those in the outpatient setting as well [ ].

      Keywords

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