Assessing primary care veterinarians' use of and confidence in performing point-of-care ultrasound

McDonald, C; Barfield, D; Cole, L

Abstract

BackgroundPoint-of-care ultrasound (POCUS) is gaining popularity in the veterinary field, but there is little information on operator confidence. MethodsA survey was distributed to primary care veterinarians (PCVs) via social media between May and July 2020. Details of participants' training in and use of POCUS were recorded. Participants' confidence in using thoracic and abdominal POCUS was also assessed using a five-point Likert scale. ResultsTwo hundred and one PCVs used POCUS, of which 32% reported using a non-standardised protocol. Fifty percent of PCVs were self-taught and 17.4% had attended a specific practical course. The median confidence score was 4 out of 5 (interquartile range [IQR] 2-5) for identifying abdominal abnormalities, irrespective of the training method. The median confidence score for thoracic abnormalities was 3 out of 5 (IQR 1-4) for those taught by a colleague or who were self-taught using journal articles or videos. LimitationsThe survey-based nature of the study relies on self-reporting and is therefore liable to recall bias. ConclusionsPCVs' confidence in using POCUS is lacking, particularly with thoracic POCUS. Standardised practical training for PCVs, particularly in thoracic POCUS, would be beneficial. Future studies should explore how best to deliver this training.

Citation

McDonald, C., Barfield, D., & Cole, L. (2023). Assessing primary care veterinarians' use of and confidence in performing point-of-care ultrasound. Veterinary Record, https://doi.org/10.1002/vetr.3174

• Journal Article Type: Article
• Acceptance Date: Jun 8, 2023
• Publication Date: Jul 16, 2023
• Deposit Date: Aug 1, 2023
• Publicly Available Date: Aug 1, 2023
• Print ISSN: 0042-4900
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1002/vetr.3174
• Keywords: FOCUSED ASSESSMENT; LUNG ULTRASOUND; ABDOMINAL FLUID; DOGS; SONOGRAPHY; TRAUMA; EMERGENCY; PROTOCOL; POCUS; CATS