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Revista Uruguaya de Medicina Interna

On-line version ISSN 2393-6797

Abstract

MINACAPILLI, Mauricio et al. Implementation of Point of Care UltraSonography (PoCUS) training in the Internal Medicine specialty (PoCUSMI). Rev. Urug. Med. Int. [online]. 2024, vol.9, e310.  Epub Dec 01, 2024. ISSN 2393-6797.  https://doi.org/10.26445/09.01.20.

Introduction:

The use of point-of-care ultrasound (PoCUS) has gained relevance in medical practice, improving diagnostic capacity and patient safety. However, in Uruguay, PoCUS training for internal medicine physicians is limited. The objective is to achieve the implementation of PoCUS training in Internal Medicine postgraduate courses.

Methodology:

A course-workshop was created divided into modules by clinical systems and protocols. Bibliography and audiovisual material were provided to participants. Wireless portable ultrasound machines and voluntary models were used. Diagnostic knowledge tests, structured objective clinical evaluations, and satisfaction surveys were conducted.

Results:

30 of the 32 participants completed and passed the course. The satisfaction survey showed a high evaluation of the course objectives, logistics, and instructors. There was a statistically significant improvement in PoCUS knowledge between the pre and post test (54.72% vs. 82.5%). The final assessment had an average passing rate of 92%, with only one exception requiring retake.

Discussion:

PoCUS training in Internal Medicine is perceived as valuable, but its development is limited in Uruguay. The implementation of a structured course demonstrated improvements in knowledge and high levels of satisfaction. It was compared with other clinical skills courses with similar results. The learning curve for different organs varies, highlighting the need for continued monitoring.

Conclusions:

High levels of satisfaction were obtained from participants with positive knowledge and skills results. We believe that it is important to continue investigating the learning curve after the course.

Keywords : Internal medicine; medical education; Pocus.

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