Continuing professional development for primary care physicians: a pre-post analysis of a focused abdominal point-of-care ultrasound pilot training

Introduction: Abdominal pain is a leading cause of primary care visits and emergency department admissions. The recent surge in the implementation of point-of-care ultrasound into primary care underscores the necessity for specialized training to enhance the expertise of primary care physicians and foster a positive attitude toward its routine use in clinical activities. Methods: This prospective cohort study, conducted between March and August 2023 at Ben Gurion University, introduced an integrative abdominal ultrasound program for 48 participating primary care physicians with no prior formal experience in abdominal ultrasound. Physicians' knowledge, practical skills, and attitudes towards abdominal ultrasound integration were evaluated using a pre/post-course clips-based pathology test, a hands-on exam immediately following the course, and a survey conducted ten weeks later. Results: Post-course evaluations showed an improvement in primary care physicians' proficiency with hands-on skills, increasing from 26 to 69% (p < 0.001), with increased comfort using abdominal ultrasound (from 0 to 42%, p < 0.001) and enhanced understanding of its capabilities and limitations (from 0 to 58%, p < 0.001). Pattern recognition skills, assessed through clips, presented a notable rise from an average of 26% to 69% (p < 0.001). Ten weeks following the training, an increase in its utilization was observed; weekly usage rose from zero to 44%, and the proportion not using it declined from 94 to 19% (p < 0.001, p < 0.001, respectively). Conclusions: An integrative two-day training program increases the application of abdominal bedside ultrasound in clinical settings, demonstrating the effectiveness of combining practical training with flexible, theoretical learning.