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Bridging the Gap: Structured Simulation-Based Pulmonary Ultrasound Training for Internal Medicine Residents.

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Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|February 23, 2026
PubMed
Summary

Structured point-of-care ultrasound (POCUS) training significantly improved internal medicine residents' skills and knowledge. This pulmonary POCUS course enhanced diagnostic capabilities, highlighting the need for POCUS in residency curricula.

Keywords:
Medical educationlungsimulation trainingultrasonography

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Area of Science:

  • Medical Education
  • Point-of-Care Ultrasound (POCUS)
  • Internal Medicine Training

Background:

  • Point-of-care ultrasound (POCUS) is crucial for internal medicine (IM) bedside diagnosis and management.
  • A significant gap exists in structured POCUS training for IM specialists.
  • Effective POCUS utilization requires dedicated educational interventions.

Purpose of the Study:

  • To evaluate the impact of a theoretical-practical pulmonary POCUS course on first-year IM residents.
  • To compare the POCUS skills of trained first-year residents with untrained third-year residents.
  • To assess the effectiveness of structured POCUS training within IM residency programs.

Main Methods:

  • A quasi-experimental, nonequivalent control group study design was employed.
  • First-year IM residents underwent a pulmonary POCUS course with online theory and practical sessions.
  • Performance was measured using pre- and post-course theoretical and practical assessments.

Main Results:

  • First-year residents showed a significant improvement in POCUS skills and knowledge, increasing overall performance from 43% to 86%.
  • Untrained third-year residents performed similarly to first-year residents pre-training, underscoring the need for structured curricula.
  • Residents reported enhanced self-perceived skills and a greater appreciation for lung ultrasound (LUS) utility post-training.

Conclusions:

  • Structured POCUS training is highly effective in improving residents' skills and knowledge.
  • The study provides a model for integrating POCUS education into IM residency programs.
  • Implementing POCUS training is essential for enhancing diagnostic capabilities in internal medicine.