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A Blueprint for an Integrated Point-of-Care Ultrasound Curriculum for Nephrology Trainees. Kidney360 2021 10 28;2(10):1669-1676

Date

04/05/2022

Pubmed ID

35372975

Pubmed Central ID

PMC8785780

DOI

10.34067/KID.0005082021

Abstract

Point-of-care ultrasonography (POCUS) is a limited ultrasound study performed by the clinician at the bedside as a component or an adjunct to physical examination. POCUS has multiple applications in nephrology practice, including evaluation of obstructive uropathy, objective assessment of volume status, arteriovenous access assessment, and procedural guidance. However, unlike specialties such as emergency medicine, POCUS training is not yet integrated into most nephrology fellowship curricula, and the sonographic applications taught vary widely among fellowship programs. In this article, we have used our institutional experience to provide a roadmap or blueprint for nephrology programs looking to create a POCUS program. We provide an overview of the curriculum, including the basic organization, applications taught, online resources, milestone development, and quality assessment. We also discuss the nuances of POCUS workflow and perspectives on billing for these limited studies. In addition, we share the evaluation forms and sample documentation we use in our program. Future support, in the form of endorsed nephrology society guidelines, is needed before POCUS training is universally incorporated across nephrology fellowship programs.

Author List

Koratala A, Olaoye OA, Bhasin-Chhabra B, Kazory A

Author

Abhilash Koratala MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Curriculum
Nephrology
Point-of-Care Systems
Point-of-Care Testing
Ultrasonography