Heart and lung point-of-care ultrasonography tutoring in internal medicine: a randomized controlled trial

Article Article scientifique Article Heart and lung point-of-care ultrasonography tutoring in internal medicine: a randomized controlled trial eng 2024-12-03 2025-03 author Leidi Antonio Siro Gabriele 0000-0002-3934-0104 Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. Antonio.Leidi@hug.ch.,Division of Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland. Antonio.Leidi@hug.ch. 910614 author Krauer Juliette Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. 752636 author Soret Guillaume Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.,Division of Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland. 669645 author Parent Thibault Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. 928048 author Marti Christophe Alberic Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. 97449 Département de médecine (DEMED) author Meyer Philippe 0000-0002-2430-8953 Division of Cardiology, Geneva University Hospitals, Geneva, Switzerland. 48187 Département de médecine (DEMED) author Juillerat André Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. 671488 author Bex Stijn Frans D Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. 848655 Stijn Bex author Suh Noémie Division of Intensive Care, Geneva University Hospitals, Geneva, Switzerland. 990493 author Rouyer Frédéric Division of Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland. 885902 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) author Siegenthaler Nils Division of Intensive Care, La Tour Hospital, Geneva, Switzerland. 89602 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) author Grosgurin Olivier Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.,Division of Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland. 503200 Département de médecine (DEMED) 1-9 10.1007/s40477-024-00968-8 39625592 1876-7931 PMC11947348 https://link.springer.com/10.1007/s40477-024-00968-8 Purpose: In recent years, point-of-care ultrasonography (POCUS) has been integrated into internal medicine practice with most curricula composed of a single course. Despite competency acquisition during the course, a significant decline in proficiency occurs in the subsequent weeks due to a lack of regular practice and training. This study aims to evaluate the impact of a structured POCUS tutoring, on POCUS use and skills retention at 6 months. Methods: In this randomized controlled trial, internal medicine residents were enrolled after completing a practical course focused on heart and lung ultrasonography. Residents assigned to the intervention group were paired with a tutor, and time slots were scheduled for bedside direct supervision over the following 6 months. The primary outcome was the proportion of residents who successfully completed at least 25 POCUS examinations six months after inclusion. Secondary outcomes included self- and blinded-expert-assessed POCUS competency skills. Results: Between January and May 2022, 23 residents were included in the study. The intervention significantly increased the proportion of participants reaching the primary outcome (70% versus 0%; p < 0.001) with a median of 27 (interquartile range, IQR, 6 to 44) supervised examinations performed versus 0 (IQR 0 to 0) in intervention and control arm respectively; p < 0.001. After 6 months, proficiency was higher for most heart imaging but not for lung imaging, as assessed through self-assessment by participants or independently by blinded experts. Conclusion: Structured POCUS supervision significantly enhances the number of POCUS examinations and proficiency at 6-months, particularly in applications requiring greater visuospatial skills. Internal medicine POCUS Proficiency Skill retention Tutoring Ultrasound Adult Clinical Competence / statistics & numerical data Curriculum Female Heart / diagnostic imaging Humans Internal Medicine / education Internship and Residency Lung / diagnostic imaging Male Point-of-Care Systems Ultrasonography / methods Dewey 616 Dewey 617 Sennart Foundation 56 Département de médecine 221 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false Journal of ultrasound 28 1 e0b82803-915d-4784-8259-99cd1f1044dc Article (Published version) Public Article_scientifique_from_unpaywall.pdf 1778887 application/pdf CC BY 99119fe31468bf5287bf7f775dc7c2389df07eac1bd76aa6064533f5316eba64 133bde0c-532f-44e3-ae16-42c4f200842a Appendix Public 40477_2024_968_MOESM1_ESM.docx 103304 application/vnd.openxmlformats-officedocument.wordprocessingml.document 912f44debcb82dbd360a2d4191db245d45bfd63ab68876620975e0ba622ca26d openAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

Title	Published in	Year	Views	Downloads

Programme de tutorat en échographie ciblée en médecine interne		2026	40	57
Heart and lung point-of-care ultrasonography tutoring in internal medicine: a randomized controlled trial	Journal of ultrasound	2025	35	185

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