Extract:
“Although they care for many hospitalized patients with difficult venous access (DVA), internal medicine (IM) residents do not routinely receive formal training in ultrasound-guided peripheral intravenous catheter (USG-PIV) placement [1]. USG-PIV is an effective method to establish vascular access and reduces the utilization of advanced catheter use among DVA patients [2]. Feasible strategies to train IM residents in USG-PIV placement are needed.
In a 2013 survey of IM residency program leadership, the point-of-care ultrasound (POCUS) applications identified to be most useful were procedurally based; however, only 25% of respondents reported offering formal POCUS curricula to their residents [3]. The lack of IM resident training in procedural POCUS applications, such as USG-PIV, was further illustrated in a 2019 systematic review of published USG-PIV training curricula. While 16 of the 23 studies described training of emergency medicine (EM) physicians and other emergency department (ED) staff, none described the training of IM physicians.”
Reference:Dhanani M, Pfeiffer KV, Rogers J, Leo MM, Sheng AY, Jung CF. Outcomes of a resident-led ultrasound-guided peripheral intravenous catheter placement training program and validation of a procedural training checklist. Intern Emerg Med. 2022 Jul 7:1–5. doi: 10.1007/s11739-022-03031-8. Epub ahead of print. PMID: 35796866; PMCID: PMC9261234.