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Rural Canadian emergency physician experiences using point-of-care ultrasound.

Rafiq Andani¹, Queen Jacques², Yanqing Yi³

¹Department of Family Medicine, University of Manitoba, Winnipeg, MB, Canada. rafiq.andani@umanitoba.ca.

|January 8, 2025

Summary

This summary is machine-generated.

Point-of-care ultrasound (POCUS) is widely used by rural Canadian emergency physicians, yet significant barriers hinder training and utilization. Improving access to POCUS training is crucial for enhancing patient care in remote areas.

Keywords:

Education Emergency Point-of-care ultrasound Rural

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Area of Science:

Emergency Medicine
Medical Imaging
Rural Health

Background:

Point-of-care ultrasound (POCUS) offers significant potential for improving patient care in rural and under-resourced Canadian environments.
A national assessment of POCUS training and utilization is essential to identify barriers for rural emergency physicians.

Purpose of the Study:

To determine the current level of POCUS training among rural Canadian emergency physicians.
To identify the types of POCUS utilization in rural emergency medicine.
To describe the barriers affecting POCUS training and use in these settings.

Main Methods:

An online survey was distributed to rural emergency physicians across Canada.
The survey, available in English and French, covered POCUS education, training, and utilization.
Distribution occurred via listservs of major Canadian physician organizations.

Main Results:

A 10% response rate yielded 168 physician responses, predominantly family physicians in small rural communities.
94% of respondents utilized POCUS, commonly for abdominal aortic aneurysm, cardiac, and obstetrical exams.
Key barriers included cost (62%), distance (48%), time off work (43%), and administrative support (21%).

Conclusions:

POCUS is integral to daily patient care in rural Canadian emergency departments.
Despite widespread device availability, rural emergency physicians encounter substantial obstacles in POCUS training and implementation.
There is strong agreement on POCUS's value in remote areas and the need for institutional funding for training.