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

From: Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions

Attitude enablersMean (SD)a
I am interested in learning more about point-of-care ultrasound (POCUS)4.3 (1.0)
POCUS is a useful adjunct to the traditional physical examination4.1. (0.8)
I think every internist caring for hospitalized patients should use POCUS3.7 (1.1)
POCUS provides me with a higher level of confidence in my management plans3.6 (0.9)
POCUS often provides additional information I need to make clinical decisions3.5 (0.9)
Attitude barriers 
I worry about losing my reputation as a clinician/teacher when learners are better than me at POCUS2.6 (1.2)
I worry about losing my reputation as a clinician/teacher when other faculties are better than me at POCUS2.4 (1.2)
In general I worry that POCUS use by internists will harm medical patients1.9 (0.9)
I think POCUS is IRRELEVANT to MY specific clinical practice1.8 (0.9)
I think POCUS is a fad that will pass with time1.8 (0.9)
In general, I think POCUS is IRRELEVANT to the practice of internal medicine1.6 (0.9)
Personal/general skills/knowledge barriers 
I would use POCUS more if I had more training4.1 (0.9)
I would use POCUS more if I had direct supervision as I apply it to my patient care3.7 (1.0)
I worry about the implications of false-positive or false-negative POCUS findings3.2 (1.1)
The amount of time required to become proficient at POCUS is too long3.2 (0.9)
I worry that MY limitations in POCUS may harm my patients3.1 (1.0)
I am concerned about the potential for litigation if I use POCUS incorrectly3.0 (1.0)
I would use POCUS more if there was more evidence to support its use in Internal Medicine2.9 (1.0)
I worry that I may feel obligated to act on certain POCUS findings contrary to my clinical judgement2.3 (1.0)
I worry I will lose my physical examination skills if I use POCUS1.9 (0.9)
Work environment enablers 
Other internists at my institution are supportive of the use of POCUS in clinical practice4.0 (0.7)
There are POCUS experts at my institution who can provide POCUS training4.0 (0.9)
My institution supports and encourages the use of POCUS3.5 (0.9)
Our institution has a POCUS director who builds POCUS curriculum and training for Internal medicine faculty and trainees3.5 (1.2)
Other traditional imaging specialities (i.e. Cardiology, radiology) are supportive of the use of POCUS at my institution3.0 (0.8)
I would use POCUS more if I could bill for it2.8 (1.0)
I believe my future career opportunities will depend on whether I am knowledgeable in POCUS2.7 (1.0)
My institution provides funding for POCUS training2.5 (1.1)
Work environment barriers 
I would use POCUS more if I had more time to perform it during rounds3.6 (1.0)
I would use POCUS more if my images could be archived and reviewed later by a qualified expert3.4 (1.0)
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 institution2.9 (1.2)
Equipment-related enablers 
At my institution, I have access to ultrasound machines for my use4.0 (0.8)
My institution has locations to safely store ultrasound machines3.7 (0.7)
The ultrasound machines at my institution are stored in a convenient location3.3 (1.1)
Equipment-related barriers 
I would use POCUS more if I was provided with a handheld ultrasound4.1 (1.0)
My institution cannot afford to buy ultrasound machines2.6 (1.1)
External organization-related enablers 
I think POCUS should be the standard of care for future internists3.4 (1.1)
External organization-related barriers 
I would use POCUS more if I could get certified in its use3.4 (1.1)
I do not need to know POCUS because it is not a ABIM/FRCPC requirement2.0 (0.9)
  1. aRated on a 5-point Likert scale, where 1 = strongly disagree and 5 = strongly agree
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