Subscribe to RSS
DOI: 10.1055/a-2055-6554
ACTIONCARDS – one-page instructions framing POCUS use for family medicine physicians
![](https://www.thieme-connect.de/media/ultraschall/202303/lookinside/thumbnails/uim-20556554_10-1055-a-2055-6554-1.jpg)
Point-of-care ultrasound (POCUS) is widely used in many clinical specialties including family medicine [1]. The potential use in family medicine includes a great variety of clinical situations and related scanning modalities [2] [3]. However, for many scanning projections the frequency with which the scan is performed is low [4] [5] [6] making it difficult to develop routine and maintain scanning competence. Furthermore, the low pre-test probability of disease and less severe cases seen in patients in primary care may challenge the ability to recognize pathology on images. In addition, the working conditions in office-based family medicine leave little room for practice due to the timeframe of the consultation [7] and the lack of opportunities for collegial back-and-forth discussion and proctored scans.
Publication History
Article published online:
06 June 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Andersen CA, Holden S, Vela J. et al. Point-of-Care Ultrasound in General Practice: A Systematic Review. Ann Fam Med 2019; 17 (01) 61-69 DOI: 10.1370/afm.2330.
- 2 Andersen CA, Guetterman TC, Fetters MD. et al. General Practitioners' Perspectives on Appropriate Use of Ultrasonography in Primary Care in Denmark: A Multistage Mixed Methods Study. Ann Fam Med 2022; 20 (03) 211-219
- 3 American Academy of Family Physicians (AAFP). AAFP recommended curriculum guidelines for family medicine residents point of care ultrasound. 2016 Available from (Accessed 2 Feb 2019): https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint290D_POCUS.pdf
- 4 Andersen CA, Brodersen J, Davidsen AS. et al. The use and impact of point-of-care ultrasonography in general practice: a prospective observational study. BMJ Open 2020; 10 (09) e037664 DOI: 10.1136/bmjopen-2020-037664.
- 5 Andersen CA, Frandsen AK, Valentiner-Branth C. et al. Introducing point-of-care ultrasound in Danish general practice – elucidating the use through a medical audit. Fam Pract 2020; cmaa080 DOI: 10.1093/fampra/cmaa080.
- 6 Myklestul HC, Skonnord T, Brekke M. Point-of-care ultrasound (POCUS) in Norwegian general practice. Scand J Prim Health Care 2020; 38 (02) 219-225
- 7 Irving G, Neves AL, Dambha-Miller H. et al. International variations in primary care physician consultation time: A systematic review of 67 countries. BMJ Open 2017; 7 (10) e017902 DOI: 10.1136/bmjopen-2017-017902.
- 8 Andersen CA, Hedegård HS, Løkkegaard T. et al. Education of general practitioners in the use of point-of-care ultrasonography: a systematic review. Fam Pract 2020; cmaa140 DOI: 10.1093/fampra/cmaa140.
- 9 Andersen CA, Espersen M, Brodersen J. et al. Learning strategies of general practitioners striving to achieve point-of-care ultrasound competence: a qualitative study. Scand J Prim Health Care 2022; 40 (01) 67-77
- 10 Løkkegaard T, Todsen T, Nayahangan LJ. et al. Point-of-care ultrasound for general practitioners: a systematic needs assessment. Scand J Prim Health Care 2020; 38 (01) 3-11 DOI: 10.1080/02813432.2020.1711572.
- 11 Benner P. Using the Dreyfus Model of Skill Acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education. The Bulletin of Science, Technology and Society Special Issue: Human Expertise in the Age of the Computer 2004; 24 (03) 188-199
- 12 Savery JR. Overview of Problem-based Learning: Definisions and Destictions. Interdisciplinary Journal of Problem-Based learning 2006; 1 (01) DOI: 10.7771/1541-5015.1002.
- 13 Archer AL, Hughes CA. Explicit Instruction: Effective and Efficient Teaching. The Guilford Press. 2011
- 14 Evaluation of 1-page instructionenss as support tool for users of ultrasound in general practice. A qualitative study. Master thesis by medical student Michael Bjerring Kristensen, Main counselor Martin Bach Jensen Project counselor Camilla Aakjær Andersen. Aalborg University 2021 (in Danish).