Vital Times 2017 - 57

license (www.foresightultrasound.com). Additionally,
training workshops on this curriculum are now available
as well at www.pocuseducation.com.
Importantly, this is just one initiative to further the
development of P-POCUS. Others include the Focus
Assessed Transthoracic Echocardiography (FATE)
protocol (http://usabcd.org), which was developed
by an anesthesiologist and is one of the most widely
referenced POCUS examination protocols. Additional
online resources available for education on P-POCUS
include those from the Society of Critical Care
Medicine (http://www.sccm.org/Education Center/
Ultrasound/Pages/default.aspx) and American
Institute of Ultrasound (http://www.aium.org).
Finally, a recent review article highlighted the current
CME training programs available on this topic.5
While these resources serve a key role, the impetus is on
our specialty to develop structured guidelines, endorsed
educational pathways, and certified credentialing
processes to incorporate this new assessment tool into
everyday practice.
In 2016, a multi-subspecialty task force reviewed the
current applications of P-POCUS and its training.5
This group reported a "call to action" on this topic and
emphasized the importance of our specialty's societies to
develop standards of training such that this modality is
widely adopted amongst perioperative providers.5
To drawback to the works of Dr. Laennec, in 1834
(18 years after his innovation), the Times of London
reported that the medical profession was unlikely ever
to start using the stethoscope, "because its beneficial
application requires much time and gives a good bit
of trouble." Clearly, Dr. Laennec efforts, through his
education and texts, have proven this statement to be
false. Now however, we are at the same crossroads with
the stethoscope and point of care ultrasound.

Suggested Reading
Mangione S, Nieman LZ, Gracely E, Kaye D.
The teaching and practice of cardiac auscultation
during internal medicine and cardiology training. A
nationwide survey. Ann Intern Med 1993;119:47-54.
Paauw DS, Wenrich MD, Curtis JR, Carline JD,
Ramsey PG. Ability of primary care physicians to
recognize physical findings associated with HIV
infection. JAMA 1995;274:1380-2.
Kaul S. Is it Time to Replace Physical Examination
with a Hand-Held Ultrasound Device? J Cardiovasc
Echogr 2014;24:97-102.
Arntfield RT, Millington SJ. Point of care cardiac
ultrasound applications in the emergency department
and intensive care unit--a review. Curr Cardiol Rev
2012;8:98-108.
Mahmood F, Matyal R, Skubas N, MontealegreGallegos M, Swaminathan M, Denault A, Sniecinski
R, Mitchell JD, Taylor M, Haskins S, Shahul S,
Oren-Grinberg A, Wouters P, Shook D, Reeves ST.
Perioperative Ultrasound Training in Anesthesiology:
A Call to Action. Anesth Analg 2016;122:1794-804.
Khoche S, Ramsingh D, Maus T. The Year in
Perioperative Echocardiography: Selected
Highlights From 2016. J Cardiothorac Vasc Anesth
2017;31:1554-61.
Deshpande R, Ramsingh D. Perioperative point of
care ultrasound in ambulatory anesthesia: thinking
beyond nerve blocks. Curr Opin Anaesthesiol
2017;30:663-9.
Ramsingh D, Rinehart J, Kain Z, Strom S, Canales C,
Alexander B, Capatina A, Ma M, Le KV, Cannesson
M. Impact assessment of perioperative point-of-care
ultrasound training on anesthesiology residents.
Anesthesiology 2015;123:670-82.

Annual	Publication	2017	|	 	57


http://www.foresightultrasound.com http://www.pocuseducation.com http://www.usabcd.org http://(http://www.sccm.org/Education Center/Ultrasound/Pages/default.aspx http://(http://www.sccm.org/Education Center/Ultrasound/Pages/default.aspx http://www.aium.org

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