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From Pilot to Practice: A Checklist Approach to POCUS Training in Family Medicine
Patty Tran1, Kana Maeji Carter1, Leimomi Kanagusuku1
1Department of Family Medicine and Community Health, University of Hawai'i John A. Burns School of Medicine, Aiea, HI.
Family Medicine
|August 3, 2026
Summary
New checklists for point-of-care ultrasound (POCUS) training in family medicine residencies are feasible and well-received. These tools enhance direct observation and feedback for obstetric and musculoskeletal POCUS skills.
Area of Science:
- Medical Education
- Diagnostic Imaging
- Primary Care Medicine
Background:
- Point-of-care ultrasound (POCUS) is a growing skill in primary care.
- It is a required competency for family medicine residents.
- Standardized POCUS teaching and assessment methods are lacking.
Purpose of the Study:
- To develop and evaluate direct-observation checklists for obstetric (OB) and musculoskeletal (MSK) POCUS.
- To assess the usability and educational impact of these checklists in family medicine residency training.
Main Methods:
- Developed OB and MSK POCUS checklists based on existing tools.
- Utilized Plan-Do-Study-Act cycles for refinement.
- Assessed checklist usability and impact via faculty and resident surveys.
Main Results:
- 39 checklists and 60 surveys were collected.
- Checklist completion and feedback took under 5 minutes for most faculty.
- High perceived utility reported by faculty (76% OB, 88% MSK) and residents (95% OB, 100% MSK).
- Implementation challenges included time constraints and indirect observation.
Conclusions:
- Structured POCUS teaching checklists are practical for family medicine residency.
- These checklists facilitate direct observation and feedback.
- They help standardize POCUS skill expectations during training.
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