Point-of-care ultrasound: The new district focus

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Point-of-care ultrasound: The new district focus
 
Creator Fourie, Louw Pather, Michael K. Hendricks, Gavin
 
Subject Family Medicine, Primary Health Care, Rural Medicine point-of-care ultrasound; district hospitals; under-resourced settings; curriculum; West Coast District.
Description Background: Point-of-care ultrasound (POCUS) improves patient outcomes. The current POCUS curriculum of the Emergency Medicine Society of South Africa is based on guidelines from the United Kingdom with a different burden of disease (BoD) and available resources than encountered locally.Aim: To determine which modules of the POCUS curriculum should be implemented to better equip doctors working at a district hospital in the West Coast District (WCD), South Africa.Setting: Six district hospitals within the WCD.Methods: A descriptive cross-sectional survey with questionnaires for medical managers (MMs) and medical practitioners (MPs).Results: A response rate of 78.9% for MPs and 100% for MMs was obtained. MPs rated the following modules of POCUS most relevant to their daily practice: (1) first trimester pregnancy; (2) deep vein thrombosis; (3) extended focused assessment with sonography in trauma; (4) central vascular access; and (5) focused assessment with sonography for human immunodeficiency virus (HIV) and tuberculosis (TB) (FASH).Conclusion: There is a need for a POCUS curriculum informed by the local pattern of disease. Priority modules were identified based on the local BoD and reported relevance to practice. Despite the availability of ultrasound machines within the WCD, few MPs were accredited and able to perform POCUS independently. There is a need to implement training programmes for medical interns, MPs, family medicine registrars and family physicians working in district hospitals. A relevant curriculum for POCUS training based on the local needs within communities has to be developed.Contribution: This study emphasises the need for a locally informed POCUS curriculum and training programmes.
 
Publisher AOSIS
 
Contributor
Date 2023-06-14
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Descriptive Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v15i1.3576
 
Source African Journal of Primary Health Care & Family Medicine; Vol 15, No 1 (2023); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3576/6303 https://phcfm.org/index.php/phcfm/article/view/3576/6304 https://phcfm.org/index.php/phcfm/article/view/3576/6305 https://phcfm.org/index.php/phcfm/article/view/3576/6306
 
Coverage South Africa 2020-2021 —
Rights Copyright (c) 2023 Louw Fourie, Michael K. Pather, Gavin Hendricks https://creativecommons.org/licenses/by/4.0
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