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Not Just a Bunch of Hocus PoCUS (1090-002283) (Developmental Research Projects: Procedure (By Invitation Only))
Start time: Tuesday, February 2, 2021, 3:00 PM End time: Tuesday, February 2, 2021, 4:00 PM Session Type: Research Study Development and Presentation Program Abstracts Cost: $0.00
Content Category: Researcher
Hypothesis:
Point-of-care ultrasound (PoCUS) is the use of ultrasound imaging by a provider at the bedside to gain clinical information to guide in therapeutic intervention. Since its adoption, PoCUS application has experienced exponential growth, especially in the field of internal medicine, becoming an integral component of a growing number of residency programs’ curricula (1). While myriad benefits are attributed to PoCUS use, there remain a number of perceived barriers by both the educational leadership and practicing physicians – including residents (2,3,4). Among internists, the infrequency of widespread PoCUS use is most often attributed to a paucity of training (3,5). Therefore, our study aims to investigate the impact of focused, high-fidelity PoCUS didactic sessions integrated within the Massachusetts General Hospital (MGH) Internal Medicine Residency Program’s simulation-based learning curricula on utilization of and comfortability with PoCUS for clinical diagnostic use.
Methods:
We will conduct a prospective, randomized cohort study including residents in the MGH Internal Medicine Residency Program, a quaternary care center in Boston, MA. Subjects will be randomized to the “test” or “control” groups and all will complete a baseline Likert-scale survey to evaluate comfort level and experience with PoCUS. In addition to the routine simulation curriculum, the test group will complete two, one-hour high-fidelity PoCUS sessions, leveraging faculty experts as primary facilitators, during the first quarter of the academic year. Sessions will cultivate high-utility diagnostic PoCUS exams, specifically identifying: pulmonary pathology and volume assessment via inferior vena cava measurement (4). The control group will participate in the routine simulation learning center curriculum only. Follow-up surveys will be administered after 3-, 6-, and 12- months to assess comfort with and frequency of diagnostic PoCUS utilization during the academic year.
Anticipated Results:
We plan to enroll approximately 40 residents, randomized evenly between the test and control groups. Baseline resident self-reported experience with PoCUS as well as comfortability the five aforementioned diagnostic studies is expected to be equivalent between the two groups. However, we anticipate that subsequent surveys will demonstrate the test group report a significant increase in both comfort level with and overall frequency of use of PoCUS for these specific diagnostic indications in the clinical setting when compared to the control group.