Point-of-Care Ultrasound training in undergraduate education in the European Union: current situation and perspectives

Florence Dupriez; Audrey Hall; Toumane Diop; Alix Collard; Bastian Rodrigues de Castro; Françoise Smets; Andrea Penaloza; Dominique Vanpee

doi:10.1186/s13089-024-00361-w

Point-of-Care Ultrasound training in undergraduate education in the European Union: current situation and perspectives

Ultrasound J. 2024 Feb 13;16(1):9. doi: 10.1186/s13089-024-00361-w.

Authors

Florence Dupriez¹, Audrey Hall², Toumane Diop², Alix Collard³, Bastian Rodrigues de Castro², Françoise Smets⁴, Andrea Penaloza⁴, Dominique Vanpee⁵

Affiliations

¹ Emergency Department, Cliniques Universitaires Saint Luc, Avenue Hippocrate, 10, 1200, Brussels, Belgium. Florence.dupriez@uclouvain.be.
² Emergency Department, Cliniques Universitaires Saint Luc, Avenue Hippocrate, 10, 1200, Brussels, Belgium.
³ Statistical Support Unit, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
⁴ Faculty of Medicine and Dental Medicine, Cliniques Universitaires Saint-Luc, UCLouvain, Brussels, Belgium.
⁵ Institute of Health and Society and CHU UCL Namur, UCLOUVAIN, Brussels, Belgium.

Abstract

Background: Given the widespread use of Point-of-Care UltraSound (PoCUS) in clinical practice, with ultrasound machines becoming more portable and affordable, recommendations and position statements from ultrasound societies now promote teaching PoCUS in the undergraduate curriculum. Nevertheless, surveys about PoCUS teaching in European medical schools are lacking. This survey aims to overview the current and future undergraduate PoCUS courses in the European Union (EU).

Results: A questionnaire was sent to medical schools in 26 of the 27 countries of the EU; Luxembourg is the only country without a medical school. The survey was completed by the dean or a member of the medical school with knowledge of the medical curriculum. Of the 58 medical schools from 19 countries that responded to the survey, 18 (31.0%) from 13 (68.4%) EU countries reported the existence of an undergraduate PoCUS curriculum and a further 16 (27.6%) from 12 (41.4%) EU countries intended to offer it in the future. No significant difference was observed between the current and future PoCUS curricula regarding its content and purpose. Less than 40 h of theoretical teaching is provided in all the medical schools and less than 40 h of practical training is provided in 12 (75%) of the 16 medical schools which answered this specific question. Of the 40 (69%) surveyed medical schools that do not currently teach PoCUS, 20 (50%) intend to offer PoCUS courses in the future.

Conclusion: Although the lack of teaching hours in curricula suggests that most PoCUS courses are introductory in nature and that medical students are possibly not trained to become autonomous in clinical practice, evaluating the feasibility and impact of PoCUS teaching on clinical practice should be promoted. The medical schools that intend to develop this curriculum should be encouraged to implement validated tools to objectively assess their programs and students' performances.

Keywords: Curriculum; Medical school; Point-of-care ultrasound; Undergraduate.