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Computer-Based Competency Assessment in Point-Of-Care Ultrasound: A Systematic Review.

Lao-Tzu Allan-Blitz1,2, Madeline Schwid3, Nicole M Duggan2

  • 1Division of Global Health Equity, Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA.

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|June 27, 2025
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Summary
This summary is machine-generated.

Computer-based methods offer objective assessment of point of care ultrasound (POCUS) competency. These approaches, including hand and eye tracking, show promise in distinguishing skill levels for POCUS proficiency.

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Area of Science:

  • Medical Education Technology
  • Ultrasound Imaging
  • Competency Assessment

Background:

  • Point of care ultrasound (POCUS) is a vital skill across medical specialties.
  • Significant variability exists in current POCUS competency assessment methods.
  • Computer-based approaches may provide more objective and reliable POCUS skill evaluation.

Purpose of the Study:

  • To systematically review and synthesize literature on computer-based methods for assessing POCUS competency.
  • To identify and evaluate the effectiveness of various computer-based POCUS assessment tools.
  • To summarize findings on the reliability and objectivity of these digital assessment strategies.

Main Methods:

  • Systematic literature search across six major online databases.
  • Inclusion of original peer-reviewed studies assessing computer-based POCUS metrics.
  • Data extraction on participant specialty, POCUS experience, modality, and assessment results.
  • Qualitative synthesis of findings by at least two independent reviewers.

Main Results:

  • Twenty-eight studies were included, analyzing computer-based metrics for knowledge, skills, and cognitive load.
  • Hand tracking, eye tracking, image analysis, and simulation scores were employed.
  • Hand tracking revealed experts had shorter probe paths and less movement.
  • Eye tracking indicated longer dwell times correlated with successful POCUS procedures and image interpretation accuracy.

Conclusions:

  • Four distinct computer-based metrics for POCUS competence assessment were identified.
  • Many of these metrics demonstrated consistent ability to differentiate POCUS skill levels.
  • Further research is necessary to standardize and validate these emerging assessment approaches.