A Call for Point-of-Care Ultrasound Fellowship Training Programs for General Internal Medicine in Canada

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Katie Wiskar
Irene W. Y. Ma
Shane Arishenkoff
Robert Arntfield

Point-of-Care Ultrasound


Point-of-care ultrasound (POCUS) offers numerous benefits and is recognized as an important competency within Internal Medicine (IM). Despite this, a significant educational gap exists, owing in large part to a lack of expertly trained faculty and structured training opportunities. A robust POCUS training program requires not only technical excellence among faculty but also leadership with expertise in program creation and administration, quality assurance, medical education, and research. A dedicated 6- to 12-month POCUS fellowship model in programs with well-established infrastructure allows for the development of these competencies and the establishment of a network of key POCUS contacts, and prepares trainees to create or expand POCUS programs at their centers. We propose that the expansion of dedicated General IM POCUS fellowships in Canada is imperative to addressing this educational bottleneck and shaping the future leaders of Canadian IM POCUS.

L’échographie au point d’intervention (POCUS) offre de nombreux avantages et est considérée comme une compétence importante en médecine interne. Pourtant, il existe une lacune importante au chapitre de la formation, attribuable en grande partie au manque d’enseignants qualifiés et d’occasions de formation structurée. Un programme de formation solide sur la POCUS exige non seulement une excellence technique parmi le corps professoral, mais aussi un leadership démontrant une expertise dans la création et l’administration de programmes, l’assurance de la qualité, l’éducation médicale et la recherche. Un modèle de formation complémentaire de 6 à 12 mois consacrée à la POCUS dans des programmes dont l’infrastructure est bien établie permet d’acquérir ces compétences et d’établir un réseau de personnes-ressources clés sur la POCUS, et prépare les personnes en cours de formation à créer ou à élargir des programmes sur la POCUS dans leur centre. Nous proposons qu’il soit impératif d’élargir les formations complémentaires sur la POCUS en médecine interne générale au Canada pour remédier à ce goulot d’étranglement en matière de formation et façonner les futurs chefs de file de la POCUS en médecine interne au Canada.

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