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Table 2 Key features of 2021-2022 internal medicine POCUS rotations

From: An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada

 

University of Alberta

University of British Columbia

University of Calgary

University of Ottawa

Western University

FMC

RGH

Resources

How many dedicated internal medicine ultrasound machines are available at each site offering an IM POCUS rotation [13]?

Hand-held

1

2

1

1

1

1

Cart-based

1

4

4

2

2

5

What is your funding model for the preceptors on the rotation?

 

Fee-for-service

Yes

Yes

Yes

Yes

Yes

Yes

Salaried

No

No

Yes

No

No

No

Stipend

No

No

No

No

No

No

Concomitant clinical work

Sometimes Clinics, CTU, consults

Sometimes CTU, consults

Sometimes CTU, consults

Always Clinics

Usually Consults

Sometimes Clinic, CTU, consults,

How many hours per week would you estimate the dedicated POCUS attendings devote to the POCUS service (didactic and hands-on teaching as well as reviewing exams)?

 

10–20

25–35

30–40

25

25–30

30–50

Does your program have access to hospital-based archiving?

 

Yes

No (in process)

Yes

Yes

Yes

Does your program offer an IM POCUS fellowship?

 

No

Yes

Yes

No

No

Requirements

Are there prerequisites for trainees wishing to participate in the rotation?

 

PGY4/5 only

PGY2 or above

PGY 2 or above

PGY 2 or above

PGY4/5 only

PGY2 or above

Is there an exit evaluation for trainees who complete the rotation?

 

Across all sites, trainees are evaluated via an In-Training Evaluation Report (ITER) in addition to Internal

Medicine Entrustable Professional Activity for procedural skills

Is there a target number of exams to be performed per trainee?

Target # exams

5 Cardiac

20 Thoracic

10 Abdominal

10 IVC

No set targets

50 Thoracic

5 IJ

10 Inferior epigastric vessels

5 Intercostal vessels

30 IVC

50 FAST1

No set targets

25 Cardiac

25 Thoracic

10 Abdominal

10 IVC

5 MSK

30 Cardiac with IVC

20 Thoracic

10 Abdominal

Does your program have learner policies in place [13]?

 

Yes

No

Yes

No (in process)

No

  1. CTU clinical teaching unit, PGY post-graduate year, IJ internal jugular, IVC inferior vena cava, MSK musculoskeletal
  2. 1If Canadian POCUS exam candidate, then also 50 cardiac exams