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Table 2 Course topics, learning objectives, and faculty characteristics

From: Development of a hybrid point-of-care ultrasound curriculum for first year medical students in a rural medical education program: a pilot study

POCUS Topic

POCUS Learning objective:

Following the completion of this session, successful students will be able to:

Introduction to Ultrasound:

1. Describe the basic physics of image transduction in B-Mode sonography including definitions of ultrasound specific terms such as echogenicity and attenuation.

2. Differentiate various tissue types in the neck based on their echotexture.

3. Correlate sonographic images with probe placement, surface, gross, and cross-sectional anatomy, to identify various anatomical structures and landmarks.

4. Practice probe handling techniques to thoroughly examine structures in long and short axis.

5. Define linear, curvilinear, and phased array probe types in terms of their operating frequency, imaging characteristics, and suitable applications.

6. Recognize and describe the physical mechanisms of common imaging artifacts, including reverberation artifact, attenuation artifacts, edge artifact, and scatter artifact.

7. Demonstrate understanding of color doppler by employing it to differentiating neurovascular structures.

8. Identify the leading-edge, receding edge, near field, and far field of sonograms, and orient the anatomical directions (e.g., anterior, posterior, superficial, deep, superior, inferior) of an image based on the orientation of the probe and probe marker.

9. Capture and submit an image clip to show proficiency in use of the Butterfly ultrasound technology.

Common to all other topics:

1. List the common clinical indications for performing POCUS studies in this system/organ/region.

2. Execute the appropriate procedures for image acquisition, including equipment/preset selection, probe orientation, patient position, image optimization, and navigating relevant pearls and pitfalls.

3. Recognize the sonographic features of normal anatomy in this system/organ/region.

4. Describe the sonographic findings associated with common pathological or abnormal findings underlying common clinical indications relevant to the organ system or region of interest.

 

Faculty Characteristics

Specialty

Credential

POCUS Training

Location

1. Intro to ultrasound

Emergency Medicine

DO

Fellowship

Remote, UWSOM

2. Cardiac POCUS

Emergency Medicine

MD

Residency

Remote, Extramural

3. Lung POCUS

Internal Medicine

MD, FACP, RDMS

RDMS

Local, Extramural

4. Aorta and IVC

Emergency Medicine

DO

Fellowship

Remote, UWSOM

5. POCUS-Guided Vascular access

Emergency Medicine

MD

Residency

Local, Intramural (part-time)

6. Renal/Urinary system

Anatomist

MS

Faculty Development

Local, Intramural

7. Obstetrics

Internal Medicine

MD, FACP, RDMS

RDMS

Local, Extramural

8. eFAST

Family Medicine

MD

Residency

Remotea, Extramural

  1. A summary of learning objectives for the course, formulated along the International Training and Education Center for Health (I-TECH) guidelines for writing good objectives [44]. Faculty Characteristics describes the session leader for each topic, responsible for delivering didactic content
  2. Acronyms: POCUS Point-of-care ultrasound, IVC Inferior vena cava, eFAST: Extended focused assessment with sonography in trauma, MD Medical Doctor, DO Doctor of Osteopathy, MS Master of Science, FACP Fellow of the American College of Physicians, RDMS Registered diagnostic medical sonographer, UWSOM University of Washington School of Medicine
  3. aThis provider was remote but elected to travel from a neighboring community to teach in person