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Introducing point-of-care ultrasound in Danish general practice-elucidating the use through a medical audit.

Authors :
Andersen, Camilla Aakjær
Frandsen, Annika Kamp
Valentiner-Branth, Christian
Lykkegaard, Jesper
Løkkegaard, Thomas
Thomsen, Janus Laust
Jensen, Martin Bach
Hansen, Malene Plejdrup
Source :
Family Practice. Apr2021, Vol. 38 Issue 2, p80-87. 8p.
Publication Year :
2021

Abstract

<bold>Background: </bold>Point-of-care ultrasonography (PoCUS) is increasingly used across the medical field. PoCUS is also being implemented in general practice despite a lack of clinical guidelines and training programs for general practitioners (GPs).<bold>Objectives: </bold>This study aimed to elucidate the employment of PoCUS by Danish GPs following a short training program.<bold>Methods: </bold>Thirty GPs were enrolled in a short ultrasound training program and taught how to perform 22 selected scanning modalities. In the following 3 months, the GPs registered all performed PoCUS examinations according to the Audit Project Odense method. After 5 months, the GPs were invited to participate in an evaluation seminar, where questionnaires were distributed.<bold>Results: </bold>During the registration period, 1598 patients were examined with PoCUS. A total of 1948 scanning modalities were registered, including 207 examinations outside the taught curriculum. The majority of the ultrasound examinations were performed within 10 minutes (89%), most were considered to be conclusive (87%) and/or to increase diagnostic certainty (67%), whereas one in four examinations entailed a change in patient management. Most GPs attending the evaluation seminar continued to use PoCUS and found the scanning modalities included in the course curriculum relevant in their daily work.<bold>Conclusion: </bold>The GPs found several indications for performing PoCUS following the attendance of a 2-day basic training program. The majority of examinations were registered to be conclusive and/or increase diagnostic certainty. However, few GPs used PoCUS on a daily basis and not all examinations were registered to have an impact on patient care. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
02632136
Volume :
38
Issue :
2
Database :
Academic Search Index
Journal :
Family Practice
Publication Type :
Academic Journal
Accession number :
149628652
Full Text :
https://doi.org/10.1093/fampra/cmaa080