scholarly journals Diagnosis of Testicular Cancer via Point-of-Care Ultrasound

2021 ◽  
pp. 53-54
Author(s):  
Roberto Velazquez-Amador ◽  
Verna Marquez ◽  
Rohit Kanda
Keyword(s):  
Family Medicine ◽  
Testicular Cancer ◽  
Diagnostic Tool ◽  
Point Of Care ◽  
Point Of Care Ultrasound

Point-of-care ultrasound is an emerging diagnostic tool in Family Medicine practice. The case presented in this article exemplifies how point-of-care ultrasound can facilitate diagnosis onsite, expedite care and possibly improve prognosis.

Pilot Project: Does formal bedside training of medical students with a FAST exam increase their knowledge and comfort level with ultrasound use in a community family medicine practice setting?

POCUS Journal ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 15-17
Author(s):  
Rimi Sambi, MD ◽  
Heather Sawula, MD ◽  
Brent Wolfrom, MD ◽  
Joseph Newbigging, MD
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Point Of Care ◽  
Training Session ◽  
Undergraduate Curriculum ◽  
Knowledge Retention ◽  
Comfort Level ◽  
Point Of Care Ultrasound ◽  
Medical Undergraduate ◽  
Fast Exam

As point of care ultrasound (PoCUS) becomes increasingly popular and a standard of care in many clinical settings, the interest for integration in medical undergraduate curriculum is also growing [1]. This project aims to assess whether formal bedside Focused Abdominal Scan for Trauma (FAST) exam training of medical students increases their knowledge and comfort with the use of bedside ultrasound in a family medicine setting at Queen’s University. Third year medical students (n=18) were recruited to participate in a training session involving a 1-hour online video and 2-hour hands-on session. Knowledge based surveys were completed before and after the training. A survey was completed 4 months after the teaching session evaluating knowledge retention, comfort, and application of skills. Student knowledge of PoCUS and FAST increased and was maintained (pre-training 56%±20%, post-training 82%±10%, p<0.001). Self-evaluation of comfort performing a FAST examination (5-point Likert scale) similarly increased post-training session (pre-training 1.4±0.8, post-training 3.8±0.9, p<0.005), but decreased 4 months later (3±1.2, p<0.005). Students in this study were unanimously interested in ultrasound training and the methods used effectively increased theoretical knowledge and comfort with use. Students did not retain their comfort levels with FAST exam 4 months after the training session, nor did they have the opportunity to utilize the skills learned. Further evidence is required to identify the applicability of these results to undergraduate curriculum development.

The accuracy of point-of-care ultrasound as a diagnostic tool for patella fractures

2016 ◽  
Vol 34 (8) ◽  
pp. 1576-1578 ◽  
Author(s):  
Turgay Yılmaz Kilic ◽  
Murat Yesilaras ◽  
Ozge Duman Atilla ◽  
Ali Turgut
Keyword(s):  
Diagnostic Tool ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Patella Fractures

scholarly journals Considerations for Implementing Point-of-Care Ultrasound in a Community-Based Family Medicine Residency Program

2019 ◽  
Vol 6 ◽  
pp. 238212051988432
Author(s):  
Megan Weemer ◽  
Matt Hutchins ◽  
Eric Beachy ◽  
Nicole McGuire
Keyword(s):  
Family Medicine ◽  
Residency Program ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Family Medicine Residency ◽  
Vein Thrombosis ◽  
Recent Graduates ◽  
Barriers To Implementation ◽  
Procedural Guidance ◽  
Deep Vein

Background: Prior to implementing Point-of-Care Ultrasound (POCUS) training into our Family Medicine Residency Program, we sought to determine opinions on the most relevant applications according to current Family Medicine residents and recent graduates. As there are so many POCUS applications relevant to Family Medicine, it would be efficient to teach only the most relevant scans. Objective: Examine current POCUS use and the perception of future use among current residents and recent graduates of a Family Medicine Residency Program. Methods: In 2017, an electronic survey was used to examine differences in perceptions regarding the value of POCUS applications, benefits of use, and potential barriers to implementation. Results: Of the 88 surveys sent, 21 of 21 current residents (100%) and 28 of 67 recent graduates (41.8%) completed the survey with a total completion rate of 55.7%. The POCUS practices differed between groups. Current residents were significantly more likely than recent graduates to use POCUS for vascular procedural guidance and other procedural guidance. Recent graduates were significantly more likely to report POCUS use for abdominal aortic aneurysm screening and lower extremity Doppler screening for deep vein thrombosis. All P values were significant at the .05 level. Conclusions: Point-of-Care Ultrasound training is generally desired by current residents. Some applications are perceived to be of sufficient utility by current residents and recent graduates. Findings would justify investment of time and effort required to implement POCUS training in Family Medicine Residency curriculums. Curriculum should focus on applications viewed as high priority based on usage rates.

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].

Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA

2020 ◽  
Vol 97 (1143) ◽  
pp. 55-58
Author(s):  
Michael Reaume ◽  
Mehdi Farishta ◽  
Joseph A Costello ◽  
Tyler Gibb ◽  
Thomas A Melgar
Keyword(s):  
Internal Medicine ◽  
Critical Care ◽  
Family Medicine ◽  
Point Of Care ◽  
Diagnostic Errors ◽  
Diagnostic Error ◽  
Radiology Department ◽  
Point Of Care Ultrasound ◽  
Study Objective ◽  
Diagnostic Use

PurposeThe purpose of this study is to identify the extent of diagnostic error lawsuits related to point-of-care ultrasound (POCUS) in internal medicine, paediatrics, family medicine and critical care, of which little is known.MethodsWe conducted a retrospective review of the Westlaw legal database for indexed state and federal lawsuits involving the diagnostic use of POCUS in internal medicine, paediatrics, family medicine and critical care. Retrieved cases were reviewed independently by three physicians to identify cases relevant to our study objective. A lawyer secondarily reviewed any cases with discrepancies between the three reviewers.ResultsOur search criteria returned 131 total cases. Ultrasound was mentioned in relation to the lawsuit claim in 70 of the cases returned. In these cases, the majority were formal ultrasounds performed and reviewed by the radiology department, echocardiography studies performed by cardiologists or obstetrical ultrasounds. There were no cases of internal medicine, paediatrics, family medicine or critical care physicians being subjected to adverse legal action for their diagnostic use of POCUS.ConclusionOur results suggest that concerns regarding the potential for lawsuits related to POCUS in the fields of internal medicine, paediatrics, family medicine and critical care are not substantiated by indexed state and federal filed lawsuits.

scholarly journals Application of Point-of-Care Ultrasound for Family Medicine Physicians for Abdominopelvic and Soft Tissue Assessment

Cureus ◽  
2020 ◽  
Author(s):  
Sarah E Frasure ◽  
Elizabeth Dearing ◽  
Morgan Burke ◽  
Maria Portela ◽  
Ali Pourmand
Keyword(s):  
Soft Tissue ◽  
Family Medicine ◽  
Point Of Care ◽  
Point Of Care 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 Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital

2016 ◽  
Vol 6 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Jordan Chanler-Berat ◽  
Alfunsi Birungi ◽  
Brad Dreifuss ◽  
Ronald Mbiine
Keyword(s):  
Diagnostic Tool ◽  
Intestinal Perforation ◽  
Point Of Care ◽  
Point Of Care Ultrasound
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