Innovation Through Collaboration: Creation of a Combined Emergency and Internal Medicine Point‐of‐Care Ultrasound Fellowship

2018 ◽  
Vol 38 (8) ◽  
pp. 2209-2215 ◽  
Author(s):  
Cameron M. Baston ◽  
Paul Wallace ◽  
Wilma Chan ◽  
Anthony J. Dean ◽  
Nova Panebianco
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Point Of Care Ultrasound

Entrusting internal medicine residents to use point of care ultrasound: Towards improved assessment and supervision

2018 ◽  
Vol 40 (11) ◽  
pp. 1130-1135 ◽  
Author(s):  
Daniel J. Schnobrich ◽  
Benji K. Mathews ◽  
Bernard E. Trappey ◽  
Brian K. Muthyala ◽  
Andrew P. J. Olson
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Internal Medicine Residents

Response to Letter to the editor: Acute Medicine Journal

2020 ◽  
Vol 19 (1) ◽  
pp. 57-57
Author(s):  
Ben Chadwick ◽  
◽  
Nick Murch ◽  
Anika Wijewardane ◽  
◽  
...  
Keyword(s):  
Internal Medicine ◽  
Acute Care ◽  
Working Group ◽  
Point Of Care ◽  
Early Years ◽  
Point Of Care Ultrasound ◽  
Acute Medicine ◽  
Front Door ◽  
Medicine Journal ◽  
Wide Range

Editor- Thank you for giving us the opportunity to respond to the letter received regarding the Joint Royal College of Physicians Training Board (JRCPTB) curriculum for Acute Internal Medicine (AIM) that has previously been circulated for comment and consideration of implementation in August 2022. Dr Williamson is correct in asserting that the proposed curriculum hopes to produce doctors with generic professional and specialty specific capabilities needed to manage patients presenting with a wide range of medical symptoms and conditions. It does aim to produce a workforce that reflects the current trends of increasing patient attendances to both primary care and emergency departments- one that has a high level of diagnostic reasoning, the ability to manage uncertainty, deal with co-morbidities and recognise when specialty input is required in a variety of settings, including ambulatory and critical care. Contrary to the situation described in the correspondence, the new curriculum does not move away from each trainee being required to develop a specialist skill, such as medical education, management, stroke medicine or focused echocardiography. Trainees will still need to acquire competency in a specialist skill for their final 36 months of their training programme, usually after they have completed their Point of Care Ultrasound (POCUS) certification. The thinking behind introducing mandatory POCUS in the curriculum is that: POCUS is in the proposed curricula for intensive care medicine, respiratory medicine and emergency medicine, therefore we feel that in order to recruit the best trainees it is imperative POCUS training is offered as standard As evidenced by the trainee surveys, they often do not get allocated time to develop their specialist skill, especially in the early years of Higher Specialty Training before they often have decided on a particular skill. The introduction of mandatory POCUS training should legtimise time off the ward to obtain this skill early in training. POCUS is becoming more and more standardised in 21st Century acute care alongside the reducing costs of Ultrasound probe e.g. Philips Lumify and Butterfly iQ which are compatible with smart phones POCUS has been heralded as the fifth pillar of examination (observation, palpation, percussion, auscultation, insonation)1 The proposed curriculum therefore facilitates trainees to have regular dedicated time to develop interests inside or outside acute medicine to supplement their professional experience and training. This will also enable trainees to have time away from the ‘front door’ high intensity acute care. Mandatory POCUS will continue to set AIM training apart from other physician training programmes and continue to attract high quality trainees to apply to the specialty. Formal feedback seen at the SAC meeting in October 2019 to the draft curriculum (personal correspondence from JRCPTB) showed a positive response from nine individuals, an ambivalent one from two people, and only two against the introduction of formal POCUS training in the curriculum. Point of Care Ultrasound will likely be a welcome addition to the curriculum and will benefit patients, trainees and front door services up and down the country. Concerns regarding supervision are being addressed by the POCUS working group, in anticipation of the lead in period of well over two years. It is anticipated that most trainees can achieve POCUS sign off (e.g. Focused Acute Medical Ultrasound) in 6 to 12 months (personal correspondence Nick Smallwood from POCUS working group). With ongoing concerns regarding recruitment and retention in Acute Internal Medicine we agree strongly that with POCUS inclusion, we have a further selling point for AIM training.

scholarly journals Creating a Novel Cardiac Limited Ultrasound Exam Curriculum for Internal Medical Residency: Four Unanticipated Tasks

2016 ◽  
Vol 3 ◽  
pp. JMECD.S18932 ◽  
Author(s):  
Melissa Nardi ◽  
David J. Shaw ◽  
Stanley A. Amundson ◽  
James N. Phan ◽  
Bruce J. Kimura
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Postgraduate Education ◽  
Internal Medicine Residency ◽  
Point Of Care Ultrasound ◽  
Evidence Based ◽  
Medical Residency ◽  
Cardiac Ultrasound ◽  
Formal Curriculum ◽  
The Past

Over the past two decades, our internal medicine residency has created a unique postgraduate education in internal medicine by incorporating a formal curriculum in point-of-care cardiac ultrasound as a mandatory component. The details regarding content and implementation were critical to the initial and subsequent success of this novel program. In this paper, we discuss the evidence-based advances, considerations, and pitfalls that we have encountered in the program's development through the discussion of four unanticipated tasks unique to a point-of-care ultrasound curriculum. The formatted discussion of these tasks will hopefully assist development of ultrasound programs at other institutions.

Point-of-Care Ultrasound for Internal Medicine: An International Perspective

2018 ◽  
Vol 111 (7) ◽  
pp. 439-443 ◽  
Author(s):  
Irene W. Y. Ma ◽  
Chiara Cogliati ◽  
Frank H. Bosch ◽  
Ana Claudia Tonelli de Oliveira ◽  
Vincenzo Arienti ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
International Perspective ◽  
Point Of Care Ultrasound

Internal medicine point-of-care ultrasound assessment of left ventricular function correlates with formal echocardiography

2015 ◽  
Vol 44 (2) ◽  
pp. 92-99 ◽  
Author(s):  
Benjamin K. Johnson ◽  
David M. Tierney ◽  
Terry K. Rosborough ◽  
Kevin M. Harris ◽  
Marc C. Newell
Keyword(s):  
Internal Medicine ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Point Of Care ◽  
Left Ventricular ◽  
Point Of Care Ultrasound ◽  
Ultrasound Assessment
Sign in / Sign up

Export Citation Format

Share Document