Saint Joseph Hospital’s Internal Medicine program strives to keep its residents at the forefront of clinical medicine. The propagation of Point of Care Ultrasound (POCUS) in the field of internal medicine has increased exponentially. Residency programs across the country are trying to keep pace with this evolving technology, especially as evidence continues to accumulate in favor of its clinical utility. A successful POCUS program requires access to handheld ultrasound devices, qualified POCUS instructors and a robust quality assessment process. Saint Joe’s is one of a handful of programs that offers EACH RESIDENT THEIR OWN HANDHELD BUTTERFLY IQ+ system! These state-of-the-art ultrasound devices utilize microchip technology that creates a range of frequencies allowing for a wide array of imaging modalities including cardiovascular, pulmonary, abdominal, renal etc. These include advanced techniques like pulse wave and color flow Doppler, as well as M Mode. These devices also excel at procedural ultrasonography with the latest in biplane technology for vascular access. * For more information regarding the butterfly IQ+ system please visit: https://www.butterflynetwork.com/.
*Saint Joseph has no conflicts of interest to disclose regarding this product and has no direct financial ties with the Butterfly company.
Given the broad scope of POCUS applications, Saint Joe’s has implemented a multifaceted longitudinal curriculum, including ultrasound electives that combine traditional didactic teaching with extensive hands-on training. Residents have frequent opportunities for supervised scanning with POCUS faculty, while also having their own Butterfly handheld ultrasound device to assess patients and practice independently. To further encourage utilizing POCUS techniques, we have introduced game theory into POCUS education, creating an engaging team and individual learning environment. All residents have a dedicated video portfolio where their best images will be stored along with feedback for EACH image. The portfolio will mimic the requirements needed to complete the POCUS certification for the American College of Physicians, as well as the Society of Hospital Medicine. In addition, our POCUS program uses a novel tool called Probe Watch that records a trainee’s probe movement to give individualized recommendations regarding their probe motions.
Finally, Resident initiated POCUS research is strongly encouraged and supported. Current research projects include the identification of intercostal arteries for thoracentesis using POCUS and the ability of internal medicine residents to adequately categorize ejection fraction.