Implementation of point-of-care ultrasound examination in primary care in the Czech Republic


Authors: D. Halata 1,2;  D. Zhoř 1;  B. Seifert 3;  R. Škulec 4
Authors‘ workplace: Společnost všeobecného praktického lékařství, Pracovní skupina pro ultrazvuk v primární péči, Předseda: doc. MUDr. Svatopluk Býma, CSc. 1;  Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, Ústav preventivního lékařství, Přednostka: prof. MUDr. Lenka Borská, Ph. D. 2;  Univerzita Karlova v Praze, 1. lékařská fakulta, Ústav všeobecného lékařství, Přednosta: doc. MUDr. Bohumil Seifert, PhD. 3;  Institut postgraduálního vzdělávání ve zdravotnictví, Praha, Výukové pracoviště pro ultrazvukové metody v anesteziologii, intenzivní a urgentní medicíně, Vedoucí: doc. MUDr. Roman Škulec, Ph. D. 4
Published in: Prakt. Lék. 2021; 101(4): 202-205
Category: In diferent

Overview

Resources. Point-of-Care ultrasonography (POCUS) is a method defined as a targeted ultrasound examination of patients with acute symptoms or syndromes that can be diagnosed by a healthcare worker at a site. The aim is to answer a specific diagnostic or therapeutic question or to ease the therapeutic procedure. Recently in Europe, there has been an increase in implementing POCUS in many medical fields including primary health care. The Czech Society of General Practice (SVL ČLS JEP) has for several years been watching the use of POCUS in primary care in many European countries.

Aims and methods. In August 2020, the committee of the Czech Society of General Practice charged the Working Group for ultrasound in primary care to start a project POCUS iGP – POCUS Implementation in General Practice aiming for the implemetation of POCUS into daily practice in general medicine. An ultrasound device is required, as well as setting up the education and training courses with follow up courses and a consensual curriculum of skills, securing quality control mechanisms, proving with scientific evidence the reliability of POCUS when provided by GPs and setting up the final rules of competency and payment for performance. The department for ultrasound methods in anaesthetics, intensive and urgent medicine within the Institute of Postgraduate Education in Medicine has become an educational partner. There are 3 parts to the clinical studies – 1. POCUS iGP 1: Reliability of Point-of-Care ultrasound examination in primary care provided by a GP, 2. Clinical study POCUS iGP, 3: Patient satisfaction with Point-of-Care ultrasound examination in primary care provided by a GP 3. POCUS iGP4: Use of Point-of-Care ultrasound examination in primary care.

Conclusion. The current international trend of patient centred care in primary health settings and increasing competencies of GPs emphasises a need to implement new point of care diagnostic methods. One of which is point of care ultrasonography. Scientific outcomes and published data from primary care and other fields of medicine show that even doctors who do not work in radiology departments are after a relatively short course able to independently provide POCUS examinations with high reliability.

Keywords:

Primary care – general practitioner – ultrasonography – POCUS – Point-of-Care


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