Table 2 Barriers and enablers, in the descending order of agreement

I am interested in learning more about point-of-care ultrasound (POCUS)

POCUS is a useful adjunct to the traditional physical examination

I think every internist caring for hospitalized patients should use POCUS

POCUS provides me with a higher level of confidence in my management plans

POCUS often provides additional information I need to make clinical decisions

I worry about losing my reputation as a clinician/teacher when learners are better than me at POCUS

I worry about losing my reputation as a clinician/teacher when other faculties are better than me at POCUS

In general I worry that POCUS use by internists will harm medical patients

I think POCUS is IRRELEVANT to MY specific clinical practice

I think POCUS is a fad that will pass with time

In general, I think POCUS is IRRELEVANT to the practice of internal medicine

I would use POCUS more if I had more training

I would use POCUS more if I had direct supervision as I apply it to my patient care

I worry about the implications of false-positive or false-negative POCUS findings

The amount of time required to become proficient at POCUS is too long

I worry that MY limitations in POCUS may harm my patients

I am concerned about the potential for litigation if I use POCUS incorrectly

I would use POCUS more if there was more evidence to support its use in Internal Medicine

I worry that I may feel obligated to act on certain POCUS findings contrary to my clinical judgement

I worry I will lose my physical examination skills if I use POCUS

Other internists at my institution are supportive of the use of POCUS in clinical practice

There are POCUS experts at my institution who can provide POCUS training

My institution supports and encourages the use of POCUS

Our institution has a POCUS director who builds POCUS curriculum and training for Internal medicine faculty and trainees

Other traditional imaging specialities (i.e. Cardiology, radiology) are supportive of the use of POCUS at my institution

I would use POCUS more if I could bill for it

I believe my future career opportunities will depend on whether I am knowledgeable in POCUS

My institution provides funding for POCUS training

I would use POCUS more if I had more time to perform it during rounds

I would use POCUS more if my images could be archived and reviewed later by a qualified expert

I do not need to use POCUS because I have easy access to other imaging modalities (i.e. Chest X-rays, diagnostic ultrasound, CT, MRI, echocardiography, etc.) at my institution

At my institution, I have access to ultrasound machines for my use

My institution has locations to safely store ultrasound machines

The ultrasound machines at my institution are stored in a convenient location

I would use POCUS more if I was provided with a handheld ultrasound

My institution cannot afford to buy ultrasound machines

I think POCUS should be the standard of care for future internists

I would use POCUS more if I could get certified in its use

I do not need to know POCUS because it is not a ABIM/FRCPC requirement