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Advocating for an Advanced Cardiac POCUS Curriculum Among Internal Medicine Residents.
J Med Educ Curric Dev
December 2024
Department of Medicine, Boston University Avedisian and Chobanian School of Medicine, Boston, MA, USA.
Advocating for integrating a cardiac point-of-care ultrasound (POCUS) curriculum into Internal Medicine residency, this letter emphasizes the unique advantages of cardiac POCUS, particularly its rapid utility and safety, while highlighting existing knowledge gaps among trainees. This perspective research letter underscores the need for a structured advanced cardiac POCUS elective to address the knowledge and skill gaps among internal medicine trainees who have taken the introductory POCUS elective, providing a career preparatory course for internal medicine residents interested in cardiology, critical care, hospital medicine, primary care, and rural medicine. The perspective research paper also underscores the feasibility and benefits of such training, ultimately supporting the implementation of an advanced cardiac POCUS elective in the United States Internal Medicine residency programs.
View Article and Find Full Text PDFPoint-of-care ultrasound in nephrology: A private practice viewpoint.
World J Methodol
December 2024
Division of Nephrology, Medical College of Wisconsin, Milwaukee, WI 53226, United States.
Point-of-care ultrasound (POCUS) is a limited ultrasound examination performed by the clinician at the bedside, emerging as a complement to physical examination across various medical specialties. In the field of nephrology, its integration has been gradual, primarily limited to guiding procedures like temporary dialysis catheter placement or, in some cases, diagnostic kidney ultrasounds. In reality, the assessment of hemodynamic status at the bedside holds immense value for nephrologists, yet there exists limited awareness among practitioners regarding its implementation.
View Article and Find Full Text PDFSociety of Family Planning Clinical Recommendation: Medication management for early pregnancy loss.
Contraception
December 2024
Planned Parenthood South Atlantic, Raleigh, NC, USA and McLeod Regional Medical Center, Florence, SC, USA; University of Washington Department of Obstetrics and Gynecology, 1959 NE Pacific St, Box 356460, Seattle, WA 98005, USA; Pegasus Health Justice Center, Dallas, TX, 75207, USA; Washington University, St. Louis, MO, USA.
Early pregnancy loss (EPL), also known as miscarriage or spontaneous abortion, makes up 15-20% of all clinically recognized pregnancies. EPL is a broad term that includes intrauterine pregnancies (IUPs) with findings that suggest the pregnancy may not progress or definitely will not progress; pregnancies with a gestational sac (GS) in the lower endometrial cavity or endocervical canal in the process of expulsion; residual pregnancy tissue or persistent GS; and complete passage of the GS without residual tissue. This document addresses medication management of EPL in which the complete passage of the GS has not yet occurred, including pregnancies concerning for and diagnostic of EPL (sometimes called "missed abortion") and EPL in progress.
View Article and Find Full Text PDFInvestigating medical students' perceptions of point-of-care ultrasound integration into preclinical education.
BMC Med Educ
December 2024
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Introduction: Recent international consensus statements advocate for the integration of Point-of-Care Ultrasound (PoCUS) into the global undergraduate medical curriculum. Some medical schools outside Saudi Arabia have already incorporated PoCUS into their undergraduate curricula to enhance anatomy, physiology and pathology instruction. However, there are no data on the potential role of PoCUS in the preclinical training of medical students in Saudi Arabia.
View Article and Find Full Text PDFA mixed-methods study of patient and healthcare professional perceptions of care pathways for knee osteoarthritis.
BMC Prim Care
December 2024
Artros d.o.o, Tehnološki park 19, Ljubljana, 1000, Slovenia.
Background: This study aimed to address research gap concerning the perception of the care pathway for knee osteoarthritis (KOA) patients, focusing on both the patient and health professional perspectives in countries with inefficient health systems, such as Slovenia, by examining patient satisfaction with conservative treatment, assessing the perceptions of both patients and health professionals regarding the latter's involvement, and justifying the chosen KOA treatment approaches.
Methods: A mixed-methods approach was employed, combining quantitative surveys and qualitative interviews with KOA patients (n = 82) and healthcare professionals (n = 68).
Results: The care pathway for conservative KOA treatment in Slovenia begins with general practitioners (GPs), who conduct initial examinations, prescribe analgesics, and refer patients to radiologists and orthopaedic surgeons.
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