Related Experiment Video
Updated: Jun 9, 2026
Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
Published on: August 9, 2024
Proposing the Learning Ultrasound in Critical Care Framework for a Longitudinal Competence Program for Point-of-Care
Arvind Rajamani1,2, Pranav Arun Bharadwaj3, Sriram Hariharan4
1Nepean Clinical School, University of Sydney Sydney New South Wales Australia.
Introduction:
Point-of-care ultrasound (PoCUS) is a critical diagnostic tool in intensive care, yet training pathways remain fragmented and inconsistently implemented. This study aimed to achieve expert consensus on the design and delivery of a longitudinal PoCUS-competence program for critical care trainees, focusing on the 'basic' level defined by existing guidelines.
Methods:
A modified Delphi process was conducted from April to October 2025, involving critical care stakeholders from India, Sri Lanka, Vietnam and Australia. Participants included trainees, educators, and institutional leaders with PoCUS experience. The web-based questionnaire was developed using Miller's pyramid, Competency-Based Medical Education, and Experiential Learning frameworks. Consensus was defined a priori as ≥ 80% agreement. Items were refined across three rounds, incorporating thematic feedback and controlled response summaries.
Results:
Of 215 invited participants, 59 (27%) completed Round 1, 34 (16%) completed Round 2, and 29 (13%) completed Round 3. Consensus was achieved for 14 of 17 items in Round 1, with the remaining items and new feedback explored in subsequent rounds. Round 2 resolved all outstanding items. Round 3 explored additional themes from Round 2 regarding trainer qualifications and 'train-the-trainer' components. All items reached consensus or were deemed sufficiently addressed.
Discussion:
The final Learning Ultrasound in Critical Care (LUCC) framework integrates modular design, structured mentorship, protected scanning time, and standardised assessments. It reflects broad stakeholder endorsement and aligns with contemporary educational principles.
Conclusion:
The LUCC framework offers a scalable, consensus-based model for longitudinal PoCUS training in critical care. It is adaptable across diverse settings and ready for pilot implementation and validation.
Related Concept Videos
01:20Ultrasound I: Abdominal Ultrasonography
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
01:19Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
01:17Ultrasonography
During an ultrasonography procedure, a handheld device called a...