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Table 3 Outline of POCUS program components at 4 institutions

From: A road map for point-of-care ultrasound training in internal medicine residency

Timeline of curriculum PGY-1: 2 half day mixed didactic and hands-on sessions
Implemented 2013
PGY-2/3: optional 2-week elective (30 h/week)
Implemented 2015
ALL: interspersed hour long didactics throughout the 3 years of training (based on faculty availability)
Implemented 2015
PGY-1: 25 h of training during intern orientation (all interns)
Implemented 2012
PGY-2/3: optional 40 h “advanced course”
Implemented 2014
Procedural service also available as a 2-week elective
Implemented 2016
PGY-1: 3 half day mixed didactic and hands-on sessions
Implemented 2014
PGY-2/3: optional 2 to 3-week elective (30 h/week)
Implemented 2014
PGY 1: ultrasound-guided procedural training during orientation (8 h) plus several sessions throughout the year (6 h) + OSCE
Implemented 2012
PGY-2/3: optional 1 week elective (36 h)
Implemented 2014
Procedural service which relies heavily on ultrasound also available as elective (40 h/week)
Implemented 2007
Primary educational methods Combination of didactics with supervised scanning using task trainers, ultrasound simulators and live ultrasound models
For optional advanced elective, direct scanning of hospitalized patients
Intro course: largely web-based video didactics with quizzes, extensively uses of scanning of models, use of ultrasound simulators, and procedural task trainers
Advanced course uses similar techniques, with addition of 25 h of scanning patients on wards
Didactic lectures alternating with hands-on scanning practice. Uses ultrasound simulators, and procedural task trainers Didactic lectures followed by task trainers for procedures. Practice scanning on learners and ultrasound simulator followed by bedside patient scanning
Equipment Multiple dedicated laptop and hand-held machines on wards and in simulation center available for resident use (hospital funded) Multiple dedicated laptop machines on wards (hospital funded) and in simulation center (university funded) Multiple dedicated laptop machines on wards (some hospital, some university funded) and simulation center (university funded). Have not yet received requested funding for hand-held units Multiple laptop and larger machines based in ICU with loans to floor, and simulation center (all hospital funded)
Image management Images uploaded to a dedicated network drive Residents may keep portfolios and submit interpretations submitted manually starting with advanced course
Process to use PACS and EMR in development
Middleware (see resources paragraph) Locally stored on machines
Residents may keep portfolios and submit manually as part of 1 week ultrasound elective
Quality assurance Resident image review occurs from faculty supervision at the time of image acquisition No formal system specific to residents. Exists in many clinical departments that residents rotate through Weekly image review sessions for residents on elective, clinical image QA varies by department No formal system. Confirmatory studies highly encouraged/stressed during didactics
Primary faculty involved Hospitalists Hospitalists, critical care Hospitalists, emergency medicine, anesthesia Critical care, cardiology, ER staff (case review during elective), internists at early stages
  1. CWRU Case Western Reserve University, UMN University of Minnesota, OHSU Oregon Health & Science University, BU Boston University