Bedside ultrasound is emerging as a necessary skill in modern medicine. Our Internal Medicine residents receive ultrasound training to prepare them for success in their future careers. Point-of-care ultrasound (POCUS) is embedded within the educational curriculum throughout Internal Medicine residency training at Wake Forest. Our residents develop skills to perform and interpret bedside ultrasound exams and learn to incorporate POCUS findings into their clinical reasoning.

 

Graphic illustration point-of-care ultrasound curriculum for internal medicine residents

Multimodal Approach IM Residency POCUS

Residents receive ultrasound training through a multimodal educational approach involving hands-on workshops, lectures, POCUS Focus Noon Report case conferences, educational gel rounds on hospitalized patients, and encouraged use of POCUS in the clinical setting. New interns go through an Intern POCUS Boot Camp within the first two months of starting residency, where they learn fundamental ultrasound concepts and scanning technique. The supportive nature of the program fosters a mentorship-like mentality that enables residents to enhance their ultrasound skills while simultaneously taking excellent care of their patients. At the end of each academic year, interested residents can apply to the POCUS Champion Pathway. Our upper-level POCUS Champions undergo additional, more rigorous ultrasound training to become POCUS instructors for interns and medical students during workshops, on the wards, and in clinic.

We have top of the line ultrasound equipment located throughout our clinical workspaces, including both handheld and cart-based machines. Additionally, our residency program has a strong partnership with the Center for Experiential and Applied Learning (CEAL), which gives us access to an ultrasound training lab, simulated patients, task trainer models to practice ultrasound-guided procedures, and a Vimedix ultrasound simulator on which residents can fine-tune their POCUS skills and learn to recognize pathology in a stress free educational environment.

POCUS Champion Pathway

All Wake Forest Internal Medicine residents receive POCUS training through our innovative POCUS Curriculum. The POCUS Champion pathway is an additional training pathway within the residency program for upper-level Internal Medicine residents who want to develop their bedside ultrasound knowledge and skills beyond that of the average resident. Residents in this training pathway undergo more rigorous POCUS training to enhance their clinical reasoning and improve their diagnostic skills, medical management and procedural capabilities. In addition to developing their own skills with ultrasound, they learn to teach POCUS in the clinical setting, during workshops and in the classroom during POCUS Focus Noon Report case presentations and POCUS Champion Pathway conferences. Residents who are part of this pathway develop into POCUS mentors for their peers. They become leaders for the Wake Forest Internal Medicine resident POCUS curriculum and help contribute to the POCUS curriculum within the Wake Forest University School of Medicine. Furthermore, resident POCUS Champions are encouraged to get involved in POCUS-related research and scholarly activity.

Rising  upper-level residents are eligible to apply for this pathway each spring. If accepted, they go through a 4-month training period between  May – August. During this training period, residents work closely with POCUS trained faculty. They complete training requirements designed with a multimodal approach to POCUS education, including online learning assignments (modules, videos, etc.) housed on a POCUS Champion canvas site, written assessments, supervised scanning of hospitalized patients, focused small group teaching sessions on our Vimedix simulated ultrasound, and an upper level POCUS/procedures academic half day workshop. After completing their POCUS Champion training, residents in the POCUS Champion pathway are encouraged to utilize POCUS in the clinical setting. They play a vital role in the POCUS education of interns and medical students on their inpatient teams and contribute to the further development of the program wide POCUS curriculum.  


POCUS Champion Scholarly Activity

Resident  POCUS Champions are encouraged to contribute to the future of medicine by taking part in POCUS related projects that demonstrate the widespread utility of POCUS within the field of Internal Medicine. POCUS Champions are encouraged to write-up their interesting POCUS cases as clinical vignettes for presentations at regional and national meetings. They have the opportunity to write POCUS case reports and review articles for publication in peer-reviewed journals. They can get involved with clinical, medical education, and quality improvement POCUS research projects. Below is some of the POCUS related scholarly activity accomplished by members of the residency and POCUS Champion Pathway in recent years.

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POCUS Bowl

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