Internal Medicine Residents’ Perceptions of Point-of-Care Ultrasound in Residency Program: Highlighting the Unmet Needs

Martha Rosana, Oke Dimas Asmara, Rabbinu Rangga Pribadi, Kemal Fariz Kalista, Kuntjoro Harimurti

Abstract


Background: Point-of-care ultrasound (POCUS) is increasingly used in internal medicine   field. Ultrasound training has been part of the training provided in the Internal Medicine Residency Program (IMRP). The aim of this study is to examine the residents’ needs and perceptions regarding their competency and needs of POCUS. Methods: We conducted a cross-sectional descriptive study using secondary data from a survey  among internal medicine residents at the Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National General Hospital. The survey was conducted to evaluate and improve the curriculum in IMRP. Results: A total of 175 out of 197 residents (88.8%) completed the questionnaire. Almost all the residents (99.4%) agreed that POCUS is a beneficial must-have skill during residency. Nevertheless, only 40% of residents identified themselves as competent in POCUS. Sixty-two percent residents reckoned that the training received during the residency program is insufficient. They indicated that the most useful skills are US of hepatobiliary, lungs, heart, kidneys, and US-guided procedures. Conclusion: This study confirms that there is a need for POCUS training for   IM residents, as the majority perceived themselves as unable to perform US. It is necessary to optimize the training provided to ensure proficiency.

Keywords


internal medicine; Internship; residency; ultrasonography

References


Arienti V, Camaggi V. Clinical applications of bedside ultrasonography in internal and emergency medicine. Intern Emerg Med. 2011;6(3):195–201.

Olgers TJ, Ter Maaten JC. Point-of-care ultrasound curriculum for internal medicine residents: What do you desire? A national survey. BMC Med Educ. 2020;20(1).

Schnobrich DJ, Gladding S, Olson APJ, Duran-Nelson A. Point-of-care ultrasound in internal medicine: A national survey of educational leadership. J Grad Med Educ. 2013;5(3):498–502.

Kessler C, Bhandarkar S. Ultrasound training for medical students and internal medicine residents A needs assessment. J Clin Ultrasound. 2010;38(8):401–8.

Peh WM, Kang ML. A pilot survey on an understanding of point of care bedside ultrasound (POCUS) among medical doctors in internal medicine: Exposure, perceptions, interest and barriers to training. Proceedings of Singapore Healthcare. 2018;27(2):85–95.

Elhassan M, Gandhi KD, Sandhu C, Hashmi M, Bahl S. Internal medicine residents’ point-of-care ultrasound skills and need assessment and the role of medical school training. Adv Med Educ Pract. 2019;10:379–86.

Ma IWY, Arishenkoff S, Wiseman J, et al. Internal medicine point-of-care ultrasound curriculum: Consensus recommendations from the Canadian Internal Medicine Ultrasound (CIMUS) Group. J Gen Intern Med. 2017;32(9):1052–7.

Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): Unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018;18(3):219–24.

Kolegium Ilmu Penyakit Dalam. Daftar Kompetensi Dokter Spesialis Penyakit Dalam dan Dokter Spesialis Penyakit Dalam Subspesialis. Jakarta: Kolegium Ilmu Penyakit Dalam; 2018.

Olgers T.J, Azizi N, Blans M.J, et al. Point-of-care ultrasound (PoCUS) for the internist in acute medicine: a uniform curriculum. Neth J Med. 2019;77(5):168–76.

Torres-Macho J, Aro T, Bruckner I, et al. Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine. Eur J Intern Med. 2020;73:67–71


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