Intraoperative FoCUS: Training Practices and Views on Feasibility.

Area of Science:

• Anesthesiology
• Medical Education
• Point-of-Care Ultrasound

Background:

• Intraoperative focused cardiac ultrasonography (FoCUS) is a valuable tool for anesthesiologists.
• Current resident training practices and perceptions of FoCUS feasibility require investigation.

Purpose of the Study:

• To assess anesthesiology residents' perceptions of intraoperative FoCUS feasibility.
• To evaluate resident self-reported confidence in performing intraoperative FoCUS.
• To examine current resident ultrasound training practices in the United States.

Main Methods:

• A cross-sectional survey was distributed to anesthesiology residents in US programs.
• The survey collected data on FoCUS training, faculty usage, and resident confidence.
• Feasibility perceptions were assessed across different surgical settings.

Main Results:

• 87.3% of residents reported formal FoCUS training, often limited in duration.
• Most residents (82%) observed rare faculty use of bedside FoCUS.
• A majority (78.6%) lacked confidence in performing FoCUS independently, with varied feasibility perceptions by surgery type.

Conclusions:

• A prevalent misconception exists regarding intraoperative FoCUS infeasibility.
• Low resident confidence highlights a need for improved training and faculty engagement.
• Enhancing FoCUS curricula and increasing bedside ultrasonography use can improve resident competency.