Internal Medicine Residents’ Perceptions of Point-of-Care Ultrasound in Residency Program: Highlighting the Unmet Needs
Keywords:
internal medicine, Internship, residency, ultrasonographyAbstract
Background: Point-of-care ultrasound (POCUS) is increasingly used in internal medicine field. Ultrasound training has been part of the training provided in the Internal Medicine Residency Program (IMRP). The aim of this study is to examine the residents’ needs and perceptions regarding their competency and needs of POCUS. Methods: We conducted a cross-sectional descriptive study using secondary data from a survey among internal medicine residents at the Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National General Hospital. The survey was conducted to evaluate and improve the curriculum in IMRP. Results: A total of 175 out of 197 residents (88.8%) completed the questionnaire. Almost all the residents (99.4%) agreed that POCUS is a beneficial must-have skill during residency. Nevertheless, only 40% of residents identified themselves as competent in POCUS. Sixty-two percent residents reckoned that the training received during the residency program is insufficient. They indicated that the most useful skills are US of hepatobiliary, lungs, heart, kidneys, and US-guided procedures. Conclusion: This study confirms that there is a need for POCUS training for IM residents, as the majority perceived themselves as unable to perform US. It is necessary to optimize the training provided to ensure proficiency.References
Arienti V, Camaggi V. Clinical applications of bedside ultrasonography in internal and emergency medicine. Intern Emerg Med. 2011;6(3):195–201.
Olgers TJ, Ter Maaten JC. Point-of-care ultrasound curriculum for internal medicine residents: What do you desire? A national survey. BMC Med Educ. 2020;20(1).
Schnobrich DJ, Gladding S, Olson APJ, Duran-Nelson A. Point-of-care ultrasound in internal medicine: A national survey of educational leadership. J Grad Med Educ. 2013;5(3):498–502.
Kessler C, Bhandarkar S. Ultrasound training for medical students and internal medicine residents A needs assessment. J Clin Ultrasound. 2010;38(8):401–8.
Peh WM, Kang ML. A pilot survey on an understanding of point of care bedside ultrasound (POCUS) among medical doctors in internal medicine: Exposure, perceptions, interest and barriers to training. Proceedings of Singapore Healthcare. 2018;27(2):85–95.
Elhassan M, Gandhi KD, Sandhu C, Hashmi M, Bahl S. Internal medicine residents’ point-of-care ultrasound skills and need assessment and the role of medical school training. Adv Med Educ Pract. 2019;10:379–86.
Ma IWY, Arishenkoff S, Wiseman J, et al. Internal medicine point-of-care ultrasound curriculum: Consensus recommendations from the Canadian Internal Medicine Ultrasound (CIMUS) Group. J Gen Intern Med. 2017;32(9):1052–7.
Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): Unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018;18(3):219–24.
Kolegium Ilmu Penyakit Dalam. Daftar Kompetensi Dokter Spesialis Penyakit Dalam dan Dokter Spesialis Penyakit Dalam Subspesialis. Jakarta: Kolegium Ilmu Penyakit Dalam; 2018.
Olgers T.J, Azizi N, Blans M.J, et al. Point-of-care ultrasound (PoCUS) for the internist in acute medicine: a uniform curriculum. Neth J Med. 2019;77(5):168–76.
Torres-Macho J, Aro T, Bruckner I, et al. Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine. Eur J Intern Med. 2020;73:67–71
Downloads
Published
How to Cite
Issue
Section
License
CopyrightThe authors who publish this journal agree to the following requirements:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. (See The Effect of Open Access)
The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.