Point of Care Ultrasound (PoCUS)

The Virginia Commonwealth University Department of Anesthesiology Residency Program Perioperative Point-of-Care Ultrasound course is a 3-4 year longitudinal curriculum aimed at creating physician anesthesiologist competent in using ultrasound for vascular access, regional anesthesia, and bedside monitoring (including hypotension, respiratory distress, and gastric monitoring). The curriculum features a combination of task training methods and standardized patients in intervals designed to build and maintain skills.

The contains elements of the following:

· Physics and machine use
· Vascular access
· Focused TTE
· Lung ultrasound
· Abdominal ultrasound
· Gastric ultrasound
· Resuscitation and shock management

For categorical residents, the curriculum begins during the intern year with an introductory bootcamp. Education continues throughout the intern year through ultrasound-integrated rotations. The curriculum continues during CA-1 to CA-3 years, with further rotation-integration and introduction of dedicated didactics throughout the year. Internationally known USabcd modules are utilized during the course to provide the background for learning. Each academic year concluded with an OSCE designed to measure growth and identify areas of focus.

During the course, residents form a portfolio of images that are reviewed by faculty. These images can be utilized for obtaining the certificate of PoCUS through the ASA. Several faculty members are able to serve as local mentors to facility acquisition of the certificate.