Browsing by Author "Kilabuk, Elaine"

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    An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada
    (2022-09-02) Gaudreau-Simard, Mathilde; Wiskar, Katie; Kilabuk, Elaine; Walsh, Michael H.; Sattin, Michael; Wong, Jonathan; Burhani, Zain; Arishenkoff, Shane; Yu, Jeffrey; Lam, Ada W.; Ma, Irene W. Y.
    Abstract Background Point-of-care ultrasound (POCUS) is a growing part of internal medicine training programs. Dedicated POCUS rotations are emerging as a particularly effective tool in POCUS training, allowing for longitudinal learning and emphasizing both psychomotor skills and the nuances of clinical integration. In this descriptive paper, we set out to review the state of POCUS rotations in Canadian Internal Medicine training programs. Results We identify five programs currently offering a POCUS rotation. These rotations are offered over two to thirteen blocks each year, run over one to four weeks and support one to four learners. Across all programs, these rotations are set up as a consultative service that offers POCUS consultation to general internal medicine inpatients, with some extension of scope to the hospitalist service or surgical subspecialties. The funding model for the preceptors of these rotations is predominantly fee-for-service using consultation codes, in addition to concomitant clinical work to supplement income. All but one program has access to hospital-based archiving of POCUS exams. Preceptors dedicate ten to fifty hours to the rotation each week and ensure that all trainee exams are reviewed and documented in the patient’s medical records in the form of a consultation note. Two of the five programs also support a POCUS fellowship. Only two out of five programs have established learner policies. All programs rely on In-Training Evaluation Reports to provide trainee feedback on their performance during the rotation. Conclusions We describe the different elements of the POCUS rotations currently offered in Canadian Internal Medicine training programs. We share some lessons learned around the elements necessary for a sustainable rotation that meets high educational standards. We also identify areas for future growth, which include the expansion of learner policies, as well as the evolution of trainee assessment in the era of competency-based medical education. Our results will help educators that are endeavoring setting up POCUS rotations achieve success.
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    Correction: An overview of internal medicine point-of-care ultrasound rotations in Canada
    (2022-09-14) Gaudreau-Simard, Mathilde; Wiskar, Katie; Kilabuk, Elaine; Walsh, Michael H.; Sattin, Michael; Wong, Jonathan; Burhani, Zain; Arishenkof, Shane; Yu, Jefrey; Lam, Ada W.; Ma, Irene W. Y.
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    Start spreading the news: a deliberate approach to POCUS program development and implementation
    (2023-03-09) Gaudreau-Simard, Mathilde; Kilabuk, Elaine; Halman, Samantha; Wooller, Krista; Woo, Michael Y.; Arntfield, Robert; Ma, Irene; Forster, Alan J.
    Abstract While there is an expanding body of literature on Point-of-Care Ultrasound (POCUS) pedagogy, administrative elements that are necessary for the widespread adoption of POCUS in the clinical environment have received little attention. In this short communication, we seek to address this gap by sharing our institutional experience with POCUS program development and implementation. The five pillars of our program, selected to tackle local barriers to POCUS uptake, are education, workflow, patient safety, research, and sustainability. Our program logic model outlines the inputs, activities, and outputs of our program. Finally, key indicators for the monitoring of program implementation efforts are presented. Though designed for our local context, this approach may readily be adapted toward other clinical environments. We encourage others leading the integration of POCUS at their centers to adopt this approach not only to achieve sustainable change but also to ensure that quality safeguards are in place.