Curious about how #POCUS is taught? This #Tweetorial is for U
#Preview for #ASEchoJC 🔜9/4 8pm EST
Point-of-Care Cardiac Ultrasound POCUS: State-of-the-Art in Medical School Education bit.ly/2wxD4PZ by @amerjohri
#POCUS not 🐇🎩, not short #TTE
2/ Current #goals #Cardiac #POCUS #MedEd
(1) introduce concepts of ultrasound- common imaging views, correlate with anatomy, & physical examination skills
(2) develop scanning techniques➡️ basic competence
(3) recognize & differentiate b/w normal anatomy & basic pathology
3/ When Do We Start? Prerequisite knowledge for #POCUS teaching
"priming effect" of preclinical education
Big machine 1st over handheld Martinez et al bit.ly/2wzCcJB @UMMC
Start 1st year @Hoppmann et al bit.ly/2Q4ECsO @UofSCSOM
4/ How much training is required? Curriculum duration
no clear consensus
published accounts 2-25 hrs
financial/resource commitments
rigid scheduling
HHU simple interface BUT
poorer image resolution, processing power
Greater difficulty for novices not as easy as it looks
5/ How is Cardiac Ultrasound taught in Medical Schools? Methods
didactic education
hands-on training
image interpretation
@IcahnMountSinai bit.ly/2om3XSh all 4yrs
@amerjohri 🇨🇦 👑 bit.ly/2LSR4Zq all 4 yrs
@ThorEdvardsen bit.ly/2om3XSh 🇳🇴 4 h
6/Methods con't
online modules as effective as in-person didactic lectures
@OhioStateMed #ultrasound curriculum “push technology" @dpbahner
#FOAMed #FOAMus @POCUSJournal #FITSurvivalGuide
@ASE360 #POCUS online modular curriculum to be unveiled @WorldCongressUE 9/16
7/Hands-On Practice & Simulation for Developing Image Acquisition Skills
hands-on practice- live patients, students practice on one another before actual patients
Simulation
standardized student assessment
pathology variety
emerging techniques Augmented reality,Gamification
8/Competency evaluation
#POCUS = teaching tool &clinical skill
quality & performance of imaging studies operator dependent
reliable assessments of competence
task-specific checklists & global rating scale to assess good clinical practice
9/ What Are the Limitations Faced by Medical Schools for Teaching #POCUS?
Diagnostic- lack of published accounts regarding the diagnostic accuracy of #POCUS use by medical students
Personnel Resources Limitation
Little published evidence on #legal aspects of #cardiac #POCUS
10/ Want to ask ? #Joinus #ASEchoJC 9/4 8-9 pm
Are all cardiac POCUS scans part of the PE, or are some considered diagnostic testing?
Time to add a 5th pillar to bedside PE? Inspection Palpation Percussion, Auscultation & Insonation doi: 10.1001/jamacardio.2018.0001 @luppdup
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