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Published in: Current Cardiovascular Imaging Reports 11/2018

01-11-2018 | Echocardiography (F Asch and S Costa, Section Editors)

A Review of Echocardiography Training for Internal Medicine Residents: Proposed Goals, Methods, and Metrics

Authors: Jennifer Frampton, DO, MPH, Brenton Nash, MD, Salvatore Costa, MD

Published in: Current Cardiovascular Imaging Reports | Issue 11/2018

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Abstract

Purpose of the review

Focused cardiac ultrasound (FCU) is a useful bedside tool that is often utilized by internal medicine residents. Multiple studies have shown that FCU adds valuable information beyond the history and physical. No formal recommendations exist regarding which physiologic parameters should be included in FCU, how those parameters should be assessed, or how to adequately train residents in its use. This review highlights the available literature on FCU training for medicine residents and provides in-depth analysis of the existing programs.

Recent findings

There is significant variability among FCU training of internal medicine residents.

Summary

A standard FCU training protocol should be considered to incorporate this powerful modality throughout the American Post-Graduate Medical Education System. This review offers recommendations for standard training.
Literature
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go back to reference • Razi R, Estrada JR, Doll J, Spencer KT. Bedside hand-carried ultrasound by internal medicine residents versus traditional clinical assessment for the identification of systolic dysfunction in patients admitted with decompensated heart failure. J Am Soc Echocardiogr. 2011;24(12):1319–24. https://doi.org/10.1016/j.echo.2011.07.013 This study detailed a relatively simplistic intervention -- dichotomous systolic function determination -- with the rational that such a determination early in a patient's course would greatly impact care. CrossRefPubMed • Razi R, Estrada JR, Doll J, Spencer KT. Bedside hand-carried ultrasound by internal medicine residents versus traditional clinical assessment for the identification of systolic dysfunction in patients admitted with decompensated heart failure. J Am Soc Echocardiogr. 2011;24(12):1319–24. https://​doi.​org/​10.​1016/​j.​echo.​2011.​07.​013 This study detailed a relatively simplistic intervention -- dichotomous systolic function determination -- with the rational that such a determination early in a patient's course would greatly impact care. CrossRefPubMed
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go back to reference Internal Medicine Certification Policies_ABIM. Internal Medicine Certification Policies_ABIM.
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go back to reference • Mjølstad OC, Andersen GN, Dalen H, et al. Feasibility and reliability of point-of-care pocket-size echocardiography performed by medical residents. Eur Heart J Cardiovasc Imaging. 2013;14(12):1195–202. https://doi.org/10.1093/ehjci/jet062 This paper was able to provide a sensitivity, specificity, postivie predictive value, and negative predictive value for resident interpretation of multiple echocardiographic parameters. CrossRefPubMedPubMedCentral • Mjølstad OC, Andersen GN, Dalen H, et al. Feasibility and reliability of point-of-care pocket-size echocardiography performed by medical residents. Eur Heart J Cardiovasc Imaging. 2013;14(12):1195–202. https://​doi.​org/​10.​1093/​ehjci/​jet062 This paper was able to provide a sensitivity, specificity, postivie predictive value, and negative predictive value for resident interpretation of multiple echocardiographic parameters. CrossRefPubMedPubMedCentral
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go back to reference • Kimura BJ, Amundson SA, Phan JN, Agan DL, Shaw DJ. Observations during development of an internal medicine residency training program in cardiovascular limited ultrasound examination. J Hosp Med. 2012;7(7):537–42. https://doi.org/10.1002/jhm.1944 This paper details longitudinal training that has been institutied by one particular program. The program also teaches one of the most study FCU protocols -- CLUE. CrossRefPubMed • Kimura BJ, Amundson SA, Phan JN, Agan DL, Shaw DJ. Observations during development of an internal medicine residency training program in cardiovascular limited ultrasound examination. J Hosp Med. 2012;7(7):537–42. https://​doi.​org/​10.​1002/​jhm.​1944 This paper details longitudinal training that has been institutied by one particular program. The program also teaches one of the most study FCU protocols -- CLUE. CrossRefPubMed
Metadata
Title
A Review of Echocardiography Training for Internal Medicine Residents: Proposed Goals, Methods, and Metrics
Authors
Jennifer Frampton, DO, MPH
Brenton Nash, MD
Salvatore Costa, MD
Publication date
01-11-2018
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 11/2018
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-018-9468-y

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