The implementation of POCUS and POCUS training for residents: the Rijnstate approach

Area of Science:

• Critical Care Medicine
• Medical Education
• Diagnostic Imaging

Background:

• Point-of-care ultrasound (POCUS) is increasingly recognized in intensive care medicine.
• Existing literature lacks detailed guidance on POCUS implementation and staff training strategies.
• Effective training is crucial for integrating POCUS into critical care practice.

Purpose of the Study:

• To describe the implementation process of POCUS in an intensive care unit.
• To present a structured POCUS training program for residents before their intensive care rotation.
• To share practical experiences to aid other institutions in POCUS adoption.

Main Methods:

• A four-day basic POCUS course was developed for residents.
• The course included theoretical tutorials and extensive hands-on practice sessions.
• Learning retention was assessed using theoretical and practical tests at multiple time points (immediately, 3 months).

Main Results:

• The training program was successfully implemented in a Dutch teaching hospital's intensive care unit.
• Assessment showed knowledge and skill retention over a three-month period.
• The structured approach facilitated practical POCUS application for residents.

Conclusions:

• The described POCUS training program provides a feasible model for intensive care units.
• Effective implementation and training are key to leveraging POCUS benefits in critical care.
• This experience can guide other institutions aiming to integrate POCUS into their practice.