"POCUS serves as a valuable diagnostic and therapeutic tool, allowing healthcare providers to make rapid clinical decisions while increasing diagnostic accuracy, shortening hospital length of stay, and improving bedside medicine. Despite a growing adoption of POCUS education across the U.S. internal medicine residency programs, instruction on the technology has remained highly variable and inconsistent, said Leela Chockalingam, MD, assistant professor of Medicine in the Division of Hospital Medicine and first author of the study."
"We realized that there was no national consensus on which POCUS skills should be taught in internal medicine residencies and how they should be taught," Chockalingam said. To address this issue, Chockalingam and her team conducted a modified 3-round Delphi panel consisting of online surveys, taken from December 2023 to May 2024, asking POCUS experts to rank the importance of POCUS skills, teaching methods and evaluation strategies on a 5-point Likert scale."
New consensus-based recommendations on point-of-care ultrasound (POCUS) skills, instructional methods, and assessment strategies aim to improve education and training nationwide. POCUS improves rapid clinical decision-making, diagnostic accuracy, shortens hospital length of stay, and enhances bedside care. Instruction across U.S. internal medicine residencies has been highly variable, and many residents receive no POCUS education. A modified three-round Delphi panel of POCUS experts, conducted December 2023–May 2024, used a 5-point Likert scale to rank skills, teaching methods, and evaluation strategies. Consensus was achieved on 53 of 103 skills, 14 of 35 teaching methods, and 5 of 9 evaluation strategies. Included skills spanned lung, abdominal, procedural, cardiac, musculoskeletal, and vascular domains, while teaching and evaluation emphasized direct image-acquisition practice.
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