Background: Point-of-care ultrasound (POCUS) of the inferior vena cava (IVC) can help to noninvasively predict the effectiveness of treatment for volume-sensitive conditions, such as acute heart failure and shock. Recently POCUS-IVC has also been used to iteratively tailor fluid treatment to patient-specific targets. In real-world clinical settings, such iterative assessments are necessarily obtained by multiple [...]

Background: Point-of-care ultrasound (POCUS) of the inferior vena cava (IVC) can help to noninvasively predict the effectiveness of treatment for volume-sensitive conditions, such as acute heart failure and shock. Recently POCUS-IVC has also been used to iteratively tailor fluid treatment to patient-specific targets. In real-world clinical settings, such iterative assessments are necessarily obtained by multiple [...]

Background: Point of Care Ultrasound (POCUS) is a goal-directed, bedside ultrasound examination performed by a healthcare provider to answer a specific diagnostic question or guide performance of an invasive procedure at the bedside. More hospitalists have begun to use POCUS, but little is known about current POCUS usage by hospitalists. We conducted a national survey [...]

Background: Recently coined the “fifth pillar to the bedside physical exam” in a 2018 JAMA article, a growing number of physicians have started incorporating point-of-care ultrasound (POCUS) into their clinical assessments. Many medical schools have already started to integrate POCUS into their educational curriculum. With the emergence of more affordable handheld solutions, practicing physicians and [...]

Background: Point-of-care ultrasound (POCUS) has become a ubiquitous tool in clinical care. However, the optimal timing and methods of POCUS integration into medical education remains unknown. We aim to identify and evaluate the baseline competency, improvement and feedback from trainees after participating the POCUS curriculum. Methods: In 2017, National Taiwan University hospitalists established a standardized [...]

Background: The accelerating integration of point of care ultrasound (POCUS) training into UME and GME curricula puts academic faculty untrained in POCUS at a disadvantage. Educating providers in POCUS during the clinical day is challenging. A faculty development program that creates a safe learning space for providers with variable schedules and unpredictable clinical responsibilities would [...]

Background: Point-of-care ultrasound (POCUS) is nothing less than a paradigm shift in patient care. The technology has advanced rapidly and the competence in performing, interpreting and utilizing POCUS is extremely variable. There is often an inversion in competence with medical students and residents, in general, having more competence in this modality than many of their [...]

Case Presentation: A 91 year-old woman with congestive heart failure (CHF), chronic kidney disease, and morbid obesity was admitted with subacute shortness of breath. The patient’s CHF history was significant for no prior emergency department visits or hospitalizations attributed to CHF exacerbation. A recent transthoracic echocardiogram demonstrated moderate concentric left ventricular hypertrophy with a normal [...]