{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:07:53Z","timestamp":1792786073843,"version":"4.5.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Alberta Children\u2019s Hospital Small Grant Funding Competition","id":[{"id":"https:\/\/ror.org\/00sx29x36","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Point-of-care ultrasound (POCUS) is increasingly used in many disciplines, but its role in paediatric hospital medicine (PHM) remains less well defined. There is growing interest in POCUS integration into PHM practice; however, there are limited data on current practices in Canada. This study aimed to assess the current landscape of POCUS use in PHM across Canada and inform curriculum development by identifying clinical applications of interest, barriers to implementation and training needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional national survey of Canadian paediatricians practicing in inpatient settings. The survey was adapted from existing needs assessments and distributed electronically via the Canadian Paediatric Society Section on Hospital Paediatrics and through section chiefs of PHM at Canadian children's hospitals. Descriptive statistics were used to analyze responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 59 responses were received. Only 19% of respondents reported prior POCUS training, and 8% reported using POCUS in their current clinical practice, with 44% expressing interest in additional POCUS training. The applications of POCUS perceived as most useful in PHM included lumbar puncture guidance (63%), pleural effusion assessment (49%) and peripheral IV insertion (41%). Key reported barriers included limited training opportunities (49%), lack of equipment (42%) and absence of quality assurance processes (34%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Canadian PHM physicians report limited current use of POCUS but demonstrate interest in training, particularly with procedural guidance. Addressing educational and system-level barriers may support broader POCUS integration into inpatient paediatric care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pch\/pxag035","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:45:26Z","timestamp":1775735126000},"page":"632-638","source":"Crossref","is-referenced-by-count":0,"title":["Point-of-care ultrasound (POCUS) use in paediatric hospital medicine: a national needs assessment survey"],"prefix":"10.1093","volume":"31","author":[{"given":"Hannah","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Calgary, Calgary, AB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Calgary, Calgary, AB ,","place":["Canada"]},{"name":"Alberta Childrens Hospital, Section of Pediatric Hospital Medicine, Calgary, AB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Calgary, Calgary, AB ,","place":["Canada"]},{"name":"Alberta Childrens Hospital, Section of Pediatric Hospital Medicine, Calgary, AB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene W Y","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Calgary, Calgary, AB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Weinberger","sequence":"additional","affiliation":[{"name":"Prisma Health Children's Hospital, Division of General and Hospital Pediatrics and University of South Carolina School of Medicine, Columbia, SC ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Matho","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles and Keck School of Medicine of USC, Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Novak","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Calgary, Calgary, AB ,","place":["Canada"]},{"name":"Alberta Childrens Hospital, Section of Pediatric Hospital Medicine, Calgary, AB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"issue":"8","key":"2026091612563797000_pxag035-B1","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1056\/NEJMra0909487","article-title":"Point-of-care ultrasonography","volume":"364","author":"Moore","year":"2011","journal-title":"N Engl J Med"},{"issue":"17","key":"2026091612563797000_pxag035-B2","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1056\/NEJMra1916062","article-title":"Point-of-care ultrasonography","volume":"385","author":"D\u00edaz-G\u00f3mez","year":"2021","journal-title":"N Engl J Med"},{"key":"2026091612563797000_pxag035-B3","author":"American Academy of Family Physicians"},{"issue":"11","key":"2026091612563797000_pxag035-B4","doi-asserted-by":"publisher","first-page":"1356","DOI":"10.1016\/j.amjmed.2019.07.019","article-title":"Point-of-care ultrasound for internal medicine residency training: A position statement from the alliance of academic internal medicine","volume":"132","author":"LoPresti","year":"2019","journal-title":"Am J Med"},{"issue":"5","key":"2026091612563797000_pxag035-B5","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.1016\/j.annemergmed.2016.08.457","article-title":"Ultrasound guidelines: Emergency, point-of-care and clinical ultrasound guidelines in medicine","volume":"69","author":"American College of Emergency Physicians","year":"2017","journal-title":"Ann Emerg Med"},{"key":"2026091612563797000_pxag035-B6","author":"American College of Physicians"},{"issue":"5","key":"2026091612563797000_pxag035-B7","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1093\/pch\/pxaf106","article-title":"Applications of point-of-care ultrasonography in the NICU: A Canadian perspective","volume":"31","author":"Narvey","year":"2026","journal-title":"Paediatr Child Health"},{"issue":"1","key":"2026091612563797000_pxag035-B8","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.12788\/jhm.3079","article-title":"Point-of-care ultrasound for hospitalists: A position statement of the Society of Hospital Medicine","volume":"14","author":"Soni","year":"2019","journal-title":"J Hosp Med"},{"issue":"3","key":"2026091612563797000_pxag035-B9","doi-asserted-by":"publisher","first-page":"e149","DOI":"10.1542\/hpeds.2025-008579","article-title":"Impact of point-of-care ultrasonography on the management of hospitalized pediatric patients","volume":"16","author":"Fennell","year":"2025","journal-title":"Hosp Pediatr"},{"issue":"3","key":"2026091612563797000_pxag035-B10","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1001\/jamapediatrics.2024.5581","article-title":"First-attempt success in ultrasound-guided vs standard peripheral intravenous catheter insertion: The EPIC superiority randomized clinical trial","volume":"179","author":"Kleidon","year":"2025","journal-title":"JAMA Pediatr"},{"issue":"3","key":"2026091612563797000_pxag035-B11","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1542\/hpeds.2023-007480","article-title":"Ultrasound-assisted lumbar punctures in children: An updated systematic review with meta-analysis","volume":"14","author":"\u0106wiek","year":"2024","journal-title":"Hosp Pediatr"},{"issue":"1","key":"2026091612563797000_pxag035-B12","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/j.jemermed.2017.09.017","article-title":"Point-of-care ultrasound is associated with decreased length of stay in children presenting to the emergency department with soft tissue infection","volume":"54","author":"Lin","year":"2018","journal-title":"J Emerg Med"},{"issue":"4","key":"2026091612563797000_pxag035-B13","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1001\/archinternmed.2009.548","article-title":"Pneumothorax following thoracentesis: A systematic review and meta-analysis","volume":"170","author":"Gordon","year":"2010","journal-title":"Arch Intern Med"},{"issue":"2","key":"2026091612563797000_pxag035-B14","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1378\/chest.12-0447","article-title":"Ultrasound guidance decreases complications and improves the cost of care among patients undergoing thoracentesis and paracentesis","volume":"143","author":"Mercaldi","year":"2013","journal-title":"Chest"},{"issue":"3","key":"2026091612563797000_pxag035-B15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0122181","article-title":"The use of a pocket-sized ultrasound device improves physical examination: Results of an in- and outpatient cohort study","volume":"10","author":"Colli","year":"2015","journal-title":"PLoS One"},{"issue":"1","key":"2026091612563797000_pxag035-B16","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.jemermed.2013.05.044","article-title":"Bedside ultrasound maximizes patient satisfaction","volume":"46","author":"Howard","year":"2014","journal-title":"J Emerg Med"},{"issue":"1","key":"2026091612563797000_pxag035-B17","first-page":"18","article-title":"ECRI top 10 health technology hazards for 2020","volume":"39","author":"Castro","year":"2020","journal-title":"J Radiol Nurs"},{"issue":"3","key":"2026091612563797000_pxag035-B18","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/j.carj.2019.06.001","article-title":"Canadian Association of Radiologists position statement on point-of-care ultrasound","volume":"70","author":"Chawla","year":"2019","journal-title":"Can Assoc Radiol J"},{"issue":"1","key":"2026091612563797000_pxag035-B19","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1186\/s13054-020-2787-9","article-title":"International evidence-based guidelines on point of care ultrasound (POCUS) for critically ill neonates and children issued by the POCUS working group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)","volume":"24","author":"Singh","year":"2020","journal-title":"Crit Care"},{"issue":"4","key":"2026091612563797000_pxag035-B20","doi-asserted-by":"publisher","first-page":"e1097","DOI":"10.1542\/peds.2015-0342","article-title":"Point-of-care ultrasonography by pediatric emergency medicine physicians","volume":"135","author":"American Academy Of Pediatrics","year":"2015","journal-title":"Pediatrics"},{"issue":"11","key":"2026091612563797000_pxag035-B21","doi-asserted-by":"publisher","first-page":"1246","DOI":"10.1542\/hpeds.2021-006060","article-title":"Point-of-care ultrasound training in pediatric residency: A national needs assessment","volume":"11","author":"Good","year":"2021","journal-title":"Hosp Pediatr"},{"issue":"7","key":"2026091612563797000_pxag035-B22","doi-asserted-by":"publisher","first-page":"424","DOI":"10.12788\/jhm.3381","article-title":"The history of pediatric hospital medicine in the United States, 1996-2019","volume":"15","author":"Roberts","year":"2020","journal-title":"J Hosp Med"},{"issue":"9","key":"2026091612563797000_pxag035-B23","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1542\/hpeds.2018-0118","article-title":"Point-of-care ultrasound for the pediatric Hospitalist's practice","volume":"9","author":"Hopkins","year":"2019","journal-title":"Hosp Pediatr"},{"issue":"3","key":"2026091612563797000_pxag035-B24","doi-asserted-by":"publisher","first-page":"170","DOI":"10.12788\/jhm.3325","article-title":"Clinical progress note: Point-of-care ultrasound for the pediatric hospitalist","volume":"15","author":"Kinnear","year":"2020","journal-title":"J Hosp Med"},{"issue":"8","key":"2026091612563797000_pxag035-B25","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1542\/hpeds.2024-008287","article-title":"Point-of-care ultrasound in pediatric hospital medicine: A national survey","volume":"15","author":"Weinberger","year":"2025","journal-title":"Hosp Pediatr"},{"issue":"2","key":"2026091612563797000_pxag035-B26","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1542\/hpeds.2025-008464","article-title":"The state of point-of-care ultrasonography training in pediatric hospital medicine fellowship","volume":"16","author":"Egan","year":"2026","journal-title":"Hosp Pediatr"},{"key":"2026091612563797000_pxag035-B27","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1353\/book.44600","volume-title":"Curriculum Development for Medical Education: A six-Step Approach","author":"Thomas","year":"2016","edition":"3rd edition"},{"issue":"3","key":"2026091612563797000_pxag035-B28","doi-asserted-by":"publisher","first-page":"353","DOI":"10.4300\/JGME-D-13-00154.1","article-title":"What do our respondents think we\u2019re asking? Using cognitive interviewing to improve medical education surveys","volume":"5","author":"Willis","year":"2013","journal-title":"J Grad Med Educ"},{"issue":"10","key":"2026091612563797000_pxag035-B29","doi-asserted-by":"publisher","first-page":"3179","DOI":"10.1007\/s11606-021-06737-1","article-title":"A consensus-based checklist for reporting of survey studies (CROSS)","volume":"36","author":"Sharma","year":"2021","journal-title":"J Gen Intern Med"},{"issue":"3","key":"2026091612563797000_pxag035-B30","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1097\/PEC.0b013e31819a8946","article-title":"Randomized controlled trial of ultrasound-guided peripheral intravenous catheter placement versus traditional techniques in difficult-access pediatric patients","volume":"25","author":"Doniger","year":"2009","journal-title":"Pediatr Emerg Care"},{"issue":"4","key":"2026091612563797000_pxag035-B31","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1016\/j.annemergmed.2012.11.014","article-title":"Ultrasonographically guided peripheral intravenous cannulation of children and adults: A systematic review and meta-analysis","volume":"61","author":"Heinrichs","year":"2013","journal-title":"Ann Emerg Med"},{"issue":"4","key":"2026091612563797000_pxag035-B32","doi-asserted-by":"publisher","first-page":"e921","DOI":"10.1542\/peds.2010-2511","article-title":"Needle-entry angle for lumbar puncture in children as determined by using ultrasonography","volume":"127","author":"Bruccoleri","year":"2011","journal-title":"Pediatrics"},{"issue":"1","key":"2026091612563797000_pxag035-B33","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s13089-021-00241-7","article-title":"Comparing accuracy of bedside ultrasound examination with physical examination for detection of pleural effusion","volume":"13","author":"Walsh","year":"2021","journal-title":"Ultrasound J"},{"issue":"1","key":"2026091612563797000_pxag035-B34","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s13089-023-00356-z","article-title":"Advancement in pleura effusion diagnosis: A systematic review and meta-analysis of point-of-care ultrasound versus radiographic thoracic imaging","volume":"16","author":"Zaki","year":"2024","journal-title":"Ultrasound J"}],"container-title":["Paediatrics &amp; Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pch\/article-pdf\/31\/6\/632\/70530857\/pxag035.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pch\/article-pdf\/31\/6\/632\/70530857\/pxag035.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:56:45Z","timestamp":1789577805000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pch\/article\/31\/6\/632\/8754101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":34,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,8,7]]},"published-print":{"date-parts":[[2026,9,16]]}},"URL":"https:\/\/doi.org\/10.1093\/pch\/pxag035","relation":{},"ISSN":["1205-7088","1918-1485"],"issn-type":[{"value":"1205-7088","type":"print"},{"value":"1918-1485","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,7]]}}}