Canadian national survey of point-of-care ultrasound training in family medicine residency programs

. 2018 Oct;64(10):e462-e467.

Canadian national survey of point-of-care ultrasound training in family medicine residency programs

Taft Micks¹, David Braganza², Shuo Peng³, Patti McCarthy⁴, Kyle Sue⁵, Pamela Doran⁶, Jeffrey Hall⁷, Harland Holman⁸, Danielle O'Keefe⁹, Peter Rogers¹⁰, Peter Steinmetz¹¹

Affiliations

¹ Emergency physician in Brandon, Man. mickstaft@gmail.com.
² Practising physician in New Brunswick.
³ Clinical fellow in emergency medicine ultrasonography at the Ottawa Hospital in Ontario.
⁴ Educational Consultant with Eastern Health and a doctoral candidate at Memorial University of Newfoundland (MUN) in St John's.
⁵ Clinical Assistant Professor in the Faculty of Medicine at MUN.
⁶ First-year family medicine resident at MUN.
⁷ Associate Professor in the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine in Columbia.
⁸ Assistant Professor in the Michigan State University College of Human Medicine.
⁹ Associate Professor and Program Director of the Family Medicine Residency Program in the Faculty of Medicine at MUN.
¹⁰ Assistant Professor in the Faculty of Medicine at MUN.
¹¹ Assistant Professor in the Department of Family Medicine and Director of Undergraduate Bedside Ultrasound Teaching at McGill University in Montreal, and is on the board of the Canadian Point of Care Ultrasound Society.

PMID: 30315038
PMCID: PMC6184970

Canadian national survey of point-of-care ultrasound training in family medicine residency programs

Taft Micks et al. Can Fam Physician. 2018 Oct.

. 2018 Oct;64(10):e462-e467.

Authors

Taft Micks¹, David Braganza², Shuo Peng³, Patti McCarthy⁴, Kyle Sue⁵, Pamela Doran⁶, Jeffrey Hall⁷, Harland Holman⁸, Danielle O'Keefe⁹, Peter Rogers¹⁰, Peter Steinmetz¹¹

Affiliations

¹ Emergency physician in Brandon, Man. mickstaft@gmail.com.
² Practising physician in New Brunswick.
³ Clinical fellow in emergency medicine ultrasonography at the Ottawa Hospital in Ontario.
⁴ Educational Consultant with Eastern Health and a doctoral candidate at Memorial University of Newfoundland (MUN) in St John's.
⁵ Clinical Assistant Professor in the Faculty of Medicine at MUN.
⁶ First-year family medicine resident at MUN.
⁷ Associate Professor in the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine in Columbia.
⁸ Assistant Professor in the Michigan State University College of Human Medicine.
⁹ Associate Professor and Program Director of the Family Medicine Residency Program in the Faculty of Medicine at MUN.
¹⁰ Assistant Professor in the Faculty of Medicine at MUN.
¹¹ Assistant Professor in the Department of Family Medicine and Director of Undergraduate Bedside Ultrasound Teaching at McGill University in Montreal, and is on the board of the Canadian Point of Care Ultrasound Society.

PMID: 30315038
PMCID: PMC6184970

Abstract
in English, French

Objective: To assess the current state of point-of-care ultrasound (POCUS) training in Canadian family medicine residency programs.

Design: Cross-sectional survey to evaluate POCUS education in accredited Canadian family medicine residency programs; only 1 completed survey was accepted per residency program.

Setting: Seventeen accredited Canadian family medicine residency programs.

Participants: Fourteen directors of family medicine programs across Canada.

Main outcome measures: Opinions of program directors in family medicine education on the relevance of POCUS in family medicine, and the role of POCUS training in family medicine residency programs.

Results: The Web-based, anonymous survey, which was completed during the months of March and April 2016, achieved a response rate of 82% (14 out of 17 program directors). About one-fifth (21%) of program directors reported having an established ultrasound curriculum. Almost all directors (93%) believed that POCUS teaching should be integrated into family medicine residency curricula. Barriers to establishing training included the following: lack of adequate equipment (57%), lack of instructors (57%), lack of available time in the curriculum (57%), and lack of funding available to support training (71%). Seventy-one percent of respondents believed that POCUS could be used in outpatient family medicine clinics to alter clinical decision making. Some potential benefits associated with POCUS in primary care include more rapid diagnosis, improved patient outcomes, and potential to reduce health care costs.

Conclusion: Although only a few Canadian family medicine residency program directors reported actually having an established ultrasound curriculum, most of them believed that POCUS training should be offered to family medicine residents and that its use could positively affect primary care. A growing number of family medicine residency programs are considering incorporating ultrasound training into their curricula, but resource availability remains a considerable barrier to implementation.

Objectif: Déterminer l’état actuel de l’enseignement de l’échographie au chevet du patient (ECP) dans les programmes canadiens de résidence en médecine familiale.

Type d’étude: Une enquête transversale pour évaluer l’enseignement de l’ECP dans les programmes canadiens accrédités de résidence en médecine familiale; on acceptait un seul questionnaire complété par programme de résidence.

Contexte: Dix-sept programmes canadiens accrédités de résidence en médecine familiale.

Participants: Quatorze directeurs de programmes de résidence en médecine familiale au Canada.

Principaux paramètres à l’étude: L’opinion des directeurs de programmes en médecine familiale sur l’importance de l’ECP et la place d’une formation en ECP dans ces programmes.

Résultats: Cette enquête anonyme a été effectuée en ligne, entre mars et avril 2016. Au total, 14 directeurs de programme sur 17 ont complété l’enquête (taux de réponse 82 %). Environ 21 % des directeurs ont déclaré avoir déjà instauré une formation en échographie. Presque tous (93 %) estimaient que ce type de formation devrait faire partie du curriculum de résidence en médecine familiale. Parmi les obstacles à l’instauration d’un tel cours, 57 % d’entre eux ont mentionné le manque d’équipement, 57 %, le manque de formateurs et 57 %, le manque de temps dans le curriculum, et 71 % ont mentionné le manque d’argent disponible pour donner cette formation. Enfin, 10 des répondants croyaient que l’ECP pouvait être utilisée dans les cliniques extrahospitalières de médecine familiale pour favoriser la prise de décision. Parmi les avantages potentiels de l’ECP dans un contexte de soins primaires, mentionnons un diagnostic plus rapide, de meilleures issues pour le patient et une réduction éventuelle des coûts de santé.

Conclusion: Malgré le fait que très peu de directeurs de programme de résidence en médecine familiale au Canada déclarent avoir déjà instauré un cours sur l’échographie dans leur programme, la plupart estiment qu’une formation en ECP devrait être offerte à tous les résidents en médecine familiale et qu’une telle initiative permettrait d’améliorer les soins primaires. De plus en plus de programmes de résidence en médecine familiale envisagent d’ajouter une formation en ECP dans leur curriculum, mais les ressources disponibles restreintes demeurent un obstacle à l’instauration d’un tel cours.

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References

1. Siepel T, Clifford DS, James PA, Cowan TM. The ultrasound-assisted physical examination in the periodic health evaluation of the elderly. J Fam Pract. 2000;49(7):628–32. - PubMed
1. Rosenthal TC, Siepel T, Zubler J, Horowitz M. The use of ultrasonography to scan the abdomen of patients presenting for routine physical examinations. J Fam Pract. 1994;38(4):380–5. - PubMed
1. Dulohery MM, Stoven S, Kurklinsky AK, Halvorsen A, McDonald FS, Bhagara A. Ultrasound for internal medicine physicians: the future of the physical examination. J Ultrasound Med. 2014;33(6):1005–11. Erratum in: J Ultrasound Med 2014;33(7)1208. - PubMed
1. Ahn JS, French AJ, Thiessen ME, Browne V, Deutchman M, Guiton G, et al. Using ultrasound to enhance medical students’ femoral vascular physical examination skills. J Ultrasound Med. 2015;34(10):1771–6. Epub 2015 Aug 31. - PubMed
1. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749–57. - PubMed

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[1] Siepel T, Clifford DS, James PA, Cowan TM. The ultrasound-assisted physical examination in the periodic health evaluation of the elderly. J Fam Pract. 2000;49(7):628–32. - PubMed

[2] Siepel T, Clifford DS, James PA, Cowan TM. The ultrasound-assisted physical examination in the periodic health evaluation of the elderly. J Fam Pract. 2000;49(7):628–32. - PubMed

[3] Rosenthal TC, Siepel T, Zubler J, Horowitz M. The use of ultrasonography to scan the abdomen of patients presenting for routine physical examinations. J Fam Pract. 1994;38(4):380–5. - PubMed

[4] Rosenthal TC, Siepel T, Zubler J, Horowitz M. The use of ultrasonography to scan the abdomen of patients presenting for routine physical examinations. J Fam Pract. 1994;38(4):380–5. - PubMed

[5] Dulohery MM, Stoven S, Kurklinsky AK, Halvorsen A, McDonald FS, Bhagara A. Ultrasound for internal medicine physicians: the future of the physical examination. J Ultrasound Med. 2014;33(6):1005–11. Erratum in: J Ultrasound Med 2014;33(7)1208. - PubMed

[6] Dulohery MM, Stoven S, Kurklinsky AK, Halvorsen A, McDonald FS, Bhagara A. Ultrasound for internal medicine physicians: the future of the physical examination. J Ultrasound Med. 2014;33(6):1005–11. Erratum in: J Ultrasound Med 2014;33(7)1208. - PubMed

[7] Ahn JS, French AJ, Thiessen ME, Browne V, Deutchman M, Guiton G, et al. Using ultrasound to enhance medical students’ femoral vascular physical examination skills. J Ultrasound Med. 2015;34(10):1771–6. Epub 2015 Aug 31. - PubMed

[8] Ahn JS, French AJ, Thiessen ME, Browne V, Deutchman M, Guiton G, et al. Using ultrasound to enhance medical students’ femoral vascular physical examination skills. J Ultrasound Med. 2015;34(10):1771–6. Epub 2015 Aug 31. - PubMed

[9] Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749–57. - PubMed

[10] Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749–57. - PubMed

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Canadian national survey of point-of-care ultrasound training in family medicine residency programs

Affiliations

Canadian national survey of point-of-care ultrasound training in family medicine residency programs

Authors

Affiliations

Abstract
in English, French

Similar articles

Cited by

References

MeSH terms

LinkOut - more resources

Full Text Sources

Miscellaneous

Abstract in English, French

Similar articles

Cited by

References

MeSH terms

LinkOut - more resources

Full Text Sources

Miscellaneous

Abstract
in English, French