Thread by @iamritu

Curious about how #POCUS is taught? This #Tweetorial is for U
#Preview for #ASEchoJC 🔜9/4 8pm EST

Point-of-Care Cardiac Ultrasound POCUS: State-of-the-Art in Medical School Education bit.ly/2wxD4PZ by @amerjohri

#POCUS not 🐇🎩, not short #TTE

2/ Current #goals #Cardiac #POCUS #MedEd

(1) introduce concepts of ultrasound- common imaging views, correlate with anatomy, & physical examination skills

(2) develop scanning techniques➡️ basic competence

(3) recognize & differentiate b/w normal anatomy & basic pathology

3/ When Do We Start? Prerequisite knowledge for #POCUS teaching

"priming effect" of preclinical education

Big machine 1st over handheld Martinez et al bit.ly/2wzCcJB @UMMC

Start 1st year @Hoppmann et al bit.ly/2Q4ECsO @UofSCSOM

4/ How much training is required? Curriculum duration

no clear consensus

published accounts 2-25 hrs

financial/resource commitments

rigid scheduling

HHU simple interface BUT

poorer image resolution, processing power

Greater difficulty for novices not as easy as it looks

5/ How is Cardiac Ultrasound taught in Medical Schools? Methods

didactic education
hands-on training
image interpretation

@IcahnMountSinai bit.ly/2om3XSh all 4yrs

@amerjohri 🇨🇦 👑 bit.ly/2LSR4Zq all 4 yrs

@ThorEdvardsen bit.ly/2om3XSh 🇳🇴 4 h

6/Methods con't

online modules as effective as in-person didactic lectures

@OhioStateMed #ultrasound curriculum “push technology" @dpbahner

#FOAMed #FOAMus @POCUSJournal #FITSurvivalGuide

@ASE360 #POCUS online modular curriculum to be unveiled @WorldCongressUE 9/16

7/Hands-On Practice & Simulation for Developing Image Acquisition Skills

hands-on practice- live patients, students practice on one another before actual patients

Simulation
standardized student assessment
pathology variety

emerging techniques Augmented reality,Gamification

8/Competency evaluation

#POCUS = teaching tool &clinical skill
quality & performance of imaging studies operator dependent

reliable assessments of competence
task-specific checklists & global rating scale to assess good clinical practice

9/ What Are the Limitations Faced by Medical Schools for Teaching #POCUS?

Diagnostic- lack of published accounts regarding the diagnostic accuracy of #POCUS use by medical students

Personnel Resources Limitation

Little published evidence on #legal aspects of #cardiac #POCUS

10/ Want to ask ? #Joinus #ASEchoJC 9/4 8-9 pm

Are all cardiac POCUS scans part of the PE, or are some considered diagnostic testing?

Time to add a 5th pillar to bedside PE? Inspection Palpation Percussion, Auscultation & Insonation doi: 10.1001/jamacardio.2018.0001 @luppdup