Category Archives: Education

POCUS World Conference: Keynote Spotlight



About Our Guest

Larry Istrail, MD, is a hospitalist physician, entrepreneur, and author of The POCUS Manifesto. He has been covered by NPR and the Washington Post for various medical startups he has founded. He is the creator of the online POCUS educational site POCUSMedEd.com, and is certified in point-of-care ultrasound by the Society of Hospital Medicine and the American College of CHEST Physicians.


POCUS in Medical Education



About Our Guest

Kate Deiling has been the Ultrasound Instructor at Rowan University School of Osteopathic Medicine in Stratford, NJ, since the inception of point-of-care ultrasound (POCUS) in the pre-clerkship medical curriculum in 2019. As part of the school’s simulation center, she teaches first and second-year medical students all modules of POCUS that include online education, a manikin-based high-fidelity simulator, and live hands-on training sessions utilizing 10 ultrasound machines. Together, these sessions help to facilitate the learning and development of essential psychomotor and cognitive skills for ultrasound probe handling, image interpretation, diagnoses, and clinical decision-making. In addition, a 2-week comprehensive POCUS elective is offered to fourth-year students with POCUS sessions for residents and faculty being developed.

Kate graduated from Thomas Jefferson University and has been practicing ultrasound for over 30 years in various capacities. Most recently, she worked extensively as a staff sonographer and was designated as the ultrasound education coordinator for a large multi-office radiology center. Early in her career, Kate worked exclusively in pediatrics at the Children’s Hospital of Philadelphia and then moved on to a position as a clinical consultant for a major manufacturer. Following her work as an applications specialist, she went to work in perinatology at several antenatal testing units in both academic institutions and private settings. Her husband is also a graduate ultrasonographer from Thomas Jefferson University. For many years, Kate and her husband operated as independent contractors providing ultrasound services to radiology centers and several private offices. They have 3 adult children, including their oldest, who is a physician specializing in regional anesthesia at the University of Virginia and uses POCUS daily. Kate very much enjoys outdoor activities and traveling with family and friends, especially to US National Parks.


Minisode: Virtual Education Comes to POCUS World



 

Heesun Choi, DO, is an emergency medicine physician at the Department of Emergency Medicine Kingman Regional Medical Center where she serves as the Director of Emergency Ultrasound and the Director of EM Ultrasound Clerkship. Dr Choi is also an adjunct clinical assistant professor in the emergency medicine department at Medicine Midwestern University’s Arizona College of Osteopathic Medicine (AZCOM), an adjunct faculty instructor of ultrasound education at Touro University Nevada College of Osteopathic Medicine, and an assistant clinical professor in the University of California Irvine (UCI) Medical Center’s Department of Emergency Medicine.


A Lifetime of POCUS Learning



Arun Nagdev, M.D., is Exo’s Senior Director of Clinical Education. Separate from his capacity with Exo, he also serves as the Director of Emergency Ultrasound at Highland General Hospital as well as a Clinical Associate Professor of Emergency Medicine at University of California, San Francisco (UCSF). In his previous academic position, Dr. Nagdev started the point-of-care ultrasound (POCUS) program and fellowship at Brown University. Dr. Nagdev is a highly respected international POCUS researcher and educator. He has been a thought leader throughout his career, publishing more than 90 peer-reviewed papers on various aspects of POCUS including pain management, cardiac arrest and volume resuscitation. His work led to recognition and national awards at both the American College of Emergency Medicine (ACEP) and Society for Academic Emergency Medicine (SAEM). His desire to increase clinical POCUS education for residents and medical students has garnered him numerous teaching awards at Brown University, Highland Hospital and UCSF. Over the course of his career, he has been an invited lecturer for POCUS education at numerous national emergency medicine conferences (ACEP, SAEM, AAEM, etc). He currently serves as president of the American Institute of Ultrasound in Medicine (AIUM) POCUS section and is the incoming president for ACEP Ultrasound section.


Keep exploring point-of-care ultrasound at POCUS.org.


Physician Assistants Pursue POCUS Training



Nicole Reichhart, PA-C, is Assistant Professor and didactic faculty for the California State University, Monterey Bay Master of Science Physician Assistant program. She earned a Master of Science in Physician Assistant Studies from Albany Medical College in 2012 and completed an Emergency Medicine fellowship at Eastern Virginia Medical School in 2013. She has piloted a point-of-care ultrasound curriculum throughout the didactic phase of the MSPA program, preparing the students to enter their clinical year with a vast POCUS skillset. Nicole embeds POCUS into both the anatomy and physiology and clinical skills courses. She is passionate about implementing point-of-care ultrasound in physician assistant school curriculum and providing her students with opportunities to collaborate in the shared mission of improving global health and setting standards for excellence in POCUS. She has nine years of clinical experience as a PA, much of which has been in caring for patients in underserved communities. Nicole is a military spouse, mother of three children under 5, and enjoys a good brunch.


Overcoming POCUS Plateaus



Andre Kumar, MD, MEd, is a clinical assistant professor of internal medicine at Stanford University. He is the director for the Stanford Medicine Procedure Service, President of the Society of Hospital Medicine Bay Area, and an instructor for the Society of Hospital Medicine POCUS Certification Program. Dr. Kumar is passionate about researching POCUS for patient care and guiding future accreditation. He is currently the lead investigator for a multi-institutional study involving the use of POCUS for COVID-19, and he recently published two randomized trials investigating how to optimally train resident physicians with POCUS.

Resources

This study found that while a 2-day hands-on ultrasound course provides internal medicine physicians with an initial understanding of POCUS, there are barriers in transferring these abilities to clinical practice.

Find out how an interprofessional, near-peer workshop can help internal medicine residents develop POCUS skills, especially in programs where faculty expertise is limited.

Learn what will help residents overcome the barrier of unfamiliarity with documenting ultrasounds for diagnostic decision-making.

Discover how a phased implementation of POCUS curriculums has proven successful and could inform future educational programs.

Visit us at POCUS.org.


Paving the Way for POCUS



Becca Davis, MD, is an Internal Medicine physician at Thomas Jefferson University Hospital and an assistant professor at Sidney Kimmel Medical College. She completed her medical school training and internal medicine residency at the University of Pennsylvania where she went on to be chief resident before making the move to Jefferson. She is currently an assistant program director for the Internal Medicine/Primary Care Residency and associate program director for the Internal Medicine POCUS Fellowship, which just started this year at Jefferson. While she was lucky enough to get some exposure to ultrasound in residency, she really developed her POCUS skill set two years ago when she became an attending. She works closely with the EM and critical care teams to help spread her passion for POCUS across the department and participates in the institutional Point of Care Ultrasound Committee. Primarily, Becca is working to create a formalized POCUS curriculum and electives for the residency and develop a clinical pathway for hospitalists to gain POCUS skills in addition to her fellowship and clinical responsibilities.


What Medical Schools Should Consider When Developing A Sustainable POCUS Program



Karthik Vadamalai, MD, received his medical degree at Kilpauk Medical College located in Tamilnadu, India. Driven to practice evidence-based medicine, he pursued his internal medicine residency at Rochester General Hospital, New York, and a critical care medicine fellowship at the University of Pittsburgh Medical Center (UPMC). Dr. Vadamalai also completed a master’s degree in medical education at the University of Pittsburgh. With support from the UPMC internal medicine team and his critical care medicine mentors, Dr. Vadamalai built a sustainable POCUS curriculum for medical residents. Presently, he is a full-time faculty member at Mercy Hospital in Springfield, MO, where he serves as an assistant professor of clinical medicine at the University of Missouri, Springfield Campus.

 


Improving Global Health Through POCUS25



Dr. Victor Rao is a radiologist and POCUS pioneer who first introduced POCUS to future medical professionals at the University of South Carolina School of Medicine (USCSOM). Here, he developed the POCUS curriculum, and the POCUS learning and eLearning content geared towards medical and physician assistant students. Dr. Rao went on to present POCUS to the Arusha Lutheran Medical Center in Tanzania and the University of Santo Thomas in Manila, Philippines. His passions are ultrasound and point-of-care ultrasound.


How Technology is Changing POCUS



Thomas Baribeault is the founder of the Society for Opioid-Free Anesthesia (SOFA) and is currently serving as President. SOFA is a non-profit organization dedicated to education and research on opioid-free anesthesia and post-operative pain management. Thomas currently practices in Atlanta, Georgia and is responsible for implementing opioid free anesthesia and post-operative pain protocols. He received a bachelor’s degree in nursing from the Ohio State University, a Master of Science in nursing and anesthesia residency from Case Western Reserve University and a doctorate in nursing practice and pain management fellowship from the University of South Florida.

 

Additional Resources

  1. Don’t miss our blog on how the evolution of POCUS technology continues to advance perioperative care. (need link to blog)
  2. Read the American Society of Regional Anesthesia and Pain Medicine’s (ASRA) statement on why POCUS technology continues to be an innovative tool.
  3. Learn about the Top 10 Perioperative Applications of Point-of-Care Ultrasound for Anesthesiologists.
  4. Here are recommendations for Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists.
  5. Take a reflective look back at how far we’ve come in POCUS for Perioperative Point-of-Care Ultrasonography.