SHM Converge Scientific Abstract ePoster Gallery-Evaluating Clinical Integration of Point-of-Care Ultrasound Skills

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This study evaluated whether internal medicine PGY-2 residents could clinically integrate point-of-care ultrasound (POCUS) skills after completing a formal curriculum. While many existing assessments focus only on image acquisition and interpretation, the authors designed an objective structured clinical examination (OSCE) to test three abilities: choosing the correct ultrasound exam for a clinical scenario, obtaining adequate images on a standardized patient, and interpreting findings to guide diagnosis and management.<br /><br />Thirty-seven residents completed the OSCE 9–12 months after their initial POCUS training. The exam included three cases: pulmonary edema with B-lines, shock due to cardiac tamponade, and acute kidney injury due to hydronephrosis. Residents selected the appropriate scan, obtained images, then interpreted abnormal images and proposed differential diagnoses and treatment plans.<br /><br />Results showed strong performance in selecting the correct imaging study: 92% chose the right lung ultrasound for pulmonary edema, 100% chose cardiac ultrasound for tamponade, and 97% chose renal ultrasound for hydronephrosis. Image acquisition was more variable. Residents performed best on abdominal views, with nearly all obtaining adequate kidney images, but did less well on lung and some cardiac views. Interpretation was strongest in the cardiac and abdominal cases: all residents identified tamponade and hydronephrosis-related bladder distention and chose appropriate management. However, in the lung case, although everyone recognized B-lines, only 51% generated a complete differential diagnosis.<br /><br />Overall, the OSCE demonstrated that residents could learn POCUS and apply it clinically, but also highlighted the need for more longitudinal training, especially in image acquisition, differential diagnosis, and clinical integration.

Asset Subtitle

Nalinee Srisarajivakul-Klein

Meta Tag

Author List Anne Dembitzer, Aron Mednick, Harald Sauthoff, Michael Janjigian, Nalinee Srisarajivakul-Klein

Category Innovations

Concept Point-of-Care Ultrasound

Concept Pulmonary Ultrasound

Concept Echocardiography

Concept Renal Ultrasound

Concept Pericardial Effusion

Distinguished Non-Finalist

Presenter Organization NYU Grossman School of Medicine

Presenting Author Nalinee Srisarajivakul-Klein

Track Education

Keywords

point-of-care ultrasound

POCUS

internal medicine residents

OSCE

clinical integration

image acquisition

ultrasound interpretation

pulmonary edema

cardiac tamponade

hydronephrosis

Point-of-Care Ultrasound

Pulmonary Ultrasound

Echocardiography

Renal Ultrasound

Pericardial Effusion