Browsing by Author "Lam, Ada W."
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- ItemOpen AccessAn overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada(2022-09-02) Gaudreau-Simard, Mathilde; Wiskar, Katie; Kilabuk, Elaine; Walsh, Michael H.; Sattin, Michael; Wong, Jonathan; Burhani, Zain; Arishenkoff, Shane; Yu, Jeffrey; Lam, Ada W.; Ma, Irene W. Y.Abstract Background Point-of-care ultrasound (POCUS) is a growing part of internal medicine training programs. Dedicated POCUS rotations are emerging as a particularly effective tool in POCUS training, allowing for longitudinal learning and emphasizing both psychomotor skills and the nuances of clinical integration. In this descriptive paper, we set out to review the state of POCUS rotations in Canadian Internal Medicine training programs. Results We identify five programs currently offering a POCUS rotation. These rotations are offered over two to thirteen blocks each year, run over one to four weeks and support one to four learners. Across all programs, these rotations are set up as a consultative service that offers POCUS consultation to general internal medicine inpatients, with some extension of scope to the hospitalist service or surgical subspecialties. The funding model for the preceptors of these rotations is predominantly fee-for-service using consultation codes, in addition to concomitant clinical work to supplement income. All but one program has access to hospital-based archiving of POCUS exams. Preceptors dedicate ten to fifty hours to the rotation each week and ensure that all trainee exams are reviewed and documented in the patient’s medical records in the form of a consultation note. Two of the five programs also support a POCUS fellowship. Only two out of five programs have established learner policies. All programs rely on In-Training Evaluation Reports to provide trainee feedback on their performance during the rotation. Conclusions We describe the different elements of the POCUS rotations currently offered in Canadian Internal Medicine training programs. We share some lessons learned around the elements necessary for a sustainable rotation that meets high educational standards. We also identify areas for future growth, which include the expansion of learner policies, as well as the evolution of trainee assessment in the era of competency-based medical education. Our results will help educators that are endeavoring setting up POCUS rotations achieve success.
- ItemOpen AccessCorrection: An overview of internal medicine point-of-care ultrasound rotations in Canada(2022-09-14) Gaudreau-Simard, Mathilde; Wiskar, Katie; Kilabuk, Elaine; Walsh, Michael H.; Sattin, Michael; Wong, Jonathan; Burhani, Zain; Arishenkof, Shane; Yu, Jefrey; Lam, Ada W.; Ma, Irene W. Y.
- ItemOpen AccessFirst year internal medicine residents’ self-report point-of-care ultrasound knowledge and skills: what (Little) difference three years make(2021-09-07) Chahley, Tanner; Lam, Ada W.; Halman, Samantha; Watson, Kathryn; Ma, Irene W.Abstract Background With increasing availability of point-of-care ultrasound (POCUS) education in medical schools, it is unclear whether or not learning needs of junior medical residents have evolved over time. Methods We invited all postgraduate year (PGY)-1 residents at three Canadian internal medicine residency training programs in 2019 to complete a survey previously completed by 47 Canadian Internal Medicine PGY-1 s in 2016. Using a five-point Likert scale, participants rated perceived applicability of POCUS to the practice of internal medicine and self-reported skills in 15 diagnostic POCUS applications and 9 procedures. Results Of the 97 invited residents, 58 (60 %) completed the survey in 2019. Participants reported high applicability but low skills across all POCUS applications and procedures. The 2019 cohort reported higher skills in assessing pulmonary B lines than the 2016 cohort (2.3 ± SD 1.0 vs. 1.5 ± SD 0.7, adjusted p-value = 0.01). No other differences were noted. Conclusions POCUS educational needs continue to be high in Canadian internal medicine learners. The results of this needs assessment study support ongoing inclusion of basic POCUS elements in the current internal medicine residency curriculum.