scholarly journals Point-of-Care Ultrasound Training for Family Medicine Residents: Examining the outcomes and feasibility of a pilot ultrasound curriculum

POCUS Journal ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. 22-26
Author(s):  
Gordon Yao, MD (ipr) BSc ◽  
Taeyoung Peter Hong. MD CFPC ◽  
Philip Lee, MD CFPC (EM) ◽  
Joseph Newbigging, MD CCFP (EM) ◽  
Brent Wolfrom, MD CCFP
Keyword(s):  
Family Medicine ◽  
Screening Program ◽  
Point Of Care ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Point Of Care Ultrasound ◽  
Potential Utility ◽  
Residency Programs ◽  
Abdominal Aortic ◽  
Cost Reductions

It is estimated that 50% of deaths due to abdominal aortic aneurysms (AAA) could be prevented by a national screening program [1, 2, 3]. Thanks to technological advancements and cost reductions, point-of-care ultrasound (POCUS) in family medicine (FM) is becoming more prevalent [4, 5]. Despite the potential utility of POCUS in FM, of 224 FM residency programs surveyed, only 21% had developed a curriculum [6]. The main barriers identified to establishing a FM POCUS curriculum in Canadian FM residency programs were lack of trained faculty, lack of adequate equipment and lack of time in the curriculum [6].

Screening Program of Abdominal Aortic Aneurysm

Angiology ◽  
2019 ◽  
Vol 70 (5) ◽  
pp. 407-413 ◽  
Author(s):  
Muriel Sprynger ◽  
Michel Willems ◽  
Hendrik Van Damme ◽  
Benny Drieghe ◽  
J. C. Wautrecht ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Screening Program ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Ultrasound Screening ◽  
Care Providers ◽  
Abdominal Ultrasonography ◽  
Screening Programs ◽  
Abdominal Aortic ◽  
Elective Repair

In Europe, the prevalence of abdominal aortic aneurysms (AAAs) in the elderly population (≥65 year old) has declined in the past decades to <4%. Aneurysmal degeneration of the aorta is a serious and potentially life-threatening vascular disease. Abdominal aortic aneurysms typically develop subclinically and often only become symptomatic when complicated by impending rupture. Most AAAs are discovered incidentally while investigating for an unrelated pathology. Ruptured AAA is the tenth leading cause of death in Belgium (0.32% of all deaths in 2014). Health-care providers have emphasized the importance of early detection of AAA and elective repair when the rupture risk outweighs operative risk (usual diameter threshold of 55 mm). Routine AAA screening programs, consisting of a single abdominal ultrasonography at the age of 65 years, aim to reduce the number of AAA-related deaths. Does population-based ultrasound screening for AAA achieve its objective and is it cost-effective? This literature review tries to answer these challenging questions.

Screening for abdominal aortic aneurysms: An analysis of the private and indirect costs in a hospital-based screening program

2011 ◽  
Vol 10 (04) ◽  
pp. 246-249
Author(s):  
Sten Vammen ◽  
Jes Lindholt ◽  
Svend Juul ◽  
Eskild Henneberg ◽  
Helge Fasting
Keyword(s):  
Screening Program ◽  
Indirect Costs ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

scholarly journals Point-of-Care Ultrasound for Identification of Ruptured Infrarenal Abdominal Aortic Aneurysm

2022 ◽  
Author(s):  
Anne Kelly Rhudy ◽  
Shivik Patel ◽  
Alex Houser ◽  
Malachi Sheahan
Keyword(s):  
Point Of Care ◽  
Aortic Aneurysms ◽  
Point Of Care Ultrasound ◽  
Review Of Literature ◽  
Acute Setting ◽  
Infrarenal Abdominal Aortic Aneurysm ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms ◽  
Prompt Diagnosis ◽  
Subsequent Intervention

Ruptured abdominal aortic aneurysms are associated with high mortality rates and require prompt diagnosis with subsequent intervention. CT scan is considered the gold-standard for diagnosis, however, in the acute setting ultrasound may be a reasonable diagnostic test for certain patients. We report a case that demonstrates the utility of bedside ultrasound of rAAA for a patient in extremis. Also, we provide a brief review of literature for the diagnosis of rAAA with ultrasound.

scholarly journals Point-of-Care Ultrasound in Family Medicine Residencies 5-Year Update: A CERA Study

2020 ◽  
Vol 52 (7) ◽  
pp. 505-511
Author(s):  
Jeffrey W. W. Hall ◽  
Harland Holman ◽  
Tyler W. Barreto ◽  
Paul Bornemann ◽  
Andrew Vaughan ◽  
...  
Keyword(s):  
Family Medicine ◽  
Core Curriculum ◽  
Point Of Care ◽  
Program Directors ◽  
Point Of Care Ultrasound ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Survey Results ◽  
Research Alliance ◽  
Residency Program Directors

Background and Objectives: In 2014, family medicine residency programs began to integrate point-of-care ultrasound (POCUS) into training, although very few had an established POCUS curriculum. This study aimed to evaluate the resources, barriers, and scope of POCUS training in family medicine residencies 5 years after its inception. Methods: Questions regarding current training and use of POCUS were included in the 2019 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of family medicine residency program directors, and results compared to similar questions on the 2014 CERA survey. Results: POCUS is becoming a core component of family medicine training programs, with 53% of program directors reporting establishing or an established core curriculum. Only 11% of program directors have no current plans to add POCUS training to their program, compared to 41% in 2014. Despite this increase in training, the reported clinical use of POCUS remains uncommon. Only 27% of programs use six of the eight surveyed POCUS modalities more than once per year. The top three barriers to including POCUS in residency training in 2019 have not changed since 2014, and are (1) a lack of trained faculty, (2) limited access to equipment, and (3) discomfort with interpreting images without radiologist review. Conclusions: Training in POCUS has increased in family medicine residencies over the last 5 years, although practical use of this technology in the clinical setting may be lagging behind. Further research should explore how POCUS can improve outcomes and reduce costs in the primary care setting to better inform training for this technology.

scholarly journals Surveillance outcomes of small abdominal aortic aneurysms identified from a large screening program

2016 ◽  
Vol 63 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Kevin C. Chun ◽  
Ashley S. Schmidt ◽  
Sukhmine Bains ◽  
Anthony T. Nguyen ◽  
Kiana M. Samadzadeh ◽  
...  
Keyword(s):  
Screening Program ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

scholarly journals Risk Factor Assessment in a Greek Cohort of Patients With Large Abdominal Aortic Aneurysms

Angiology ◽  
2018 ◽  
Vol 70 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Georgios Makrygiannis ◽  
Evanthia Mourmoura ◽  
Konstantinos Spanos ◽  
Nikolaos Roussas ◽  
Helena Kuivaniemi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Screening Program ◽  
Multiple Logistic Regression Analysis ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Aortic Dilatation ◽  
Nucleotide Polymorphisms ◽  
Current Smoking ◽  
Abdominal Aortic

Environmental and genetic risk factors contribute to the etiology of abdominal aortic aneurysms (AAAs). Matrix metalloproteinases (MMPs) have been associated with the pathophysiology of AAAs. A prospective, nonrandomized case–control study was undertaken to investigate the risk factors for large AAAs (≥5.5 cm) among 175 male Greek AAA patients and to compare the results with a cohort of 166 male controls free from any aortic dilatation, as confirmed by ultrasonography from an existing AAA screening program in the same region. We also assessed the potential association between 2 functional single nucleotide polymorphisms in the genes MMP9 (−1561C/T; rs3918242) and MMP13 (−77A/G; rs2252070), and the presence of large AAAs. Multiple logistic regression analysis revealed AAA family history ( P = .028), hypercholesterolemia ( P < .001), and current smoking ( P < .001) as AAA risk factors. Statistical difference was reached in genotype ( P = .047) and allele ( P = .037) frequencies for rs2252070, but the results did not remain significant after correction for multiple testing. No significant differences in genotype or allele frequencies for rs3918242 were detected. In summary, AAA family history, hypercholesterolemia, and current smoking were found to be risk factors for large AAAs.

scholarly journals Fate and Follow-up of Patients with Small and Intermediate Diameter Abdominal Aortic Aneurysms in a Screening Program

2013 ◽  
Vol 58 (2) ◽  
pp. 561-562
Author(s):  
LeAnn A. Chavez ◽  
Kevin C. Chun ◽  
Kai Y. Teng ◽  
Kiana M. Samadzadeh ◽  
Eugene S. Lee
Keyword(s):  
Screening Program ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic
Sign in / Sign up

Export Citation Format

Share Document