title: Quality of Widely Available Video Instructional Materials for Point-of-Care Ultrasound-Guided Procedure Training in Internal Medicine.
abstract: OBJECTIVE
  Many instructional materials for point-of-care ultrasound (US)-guided procedures exist; however, their quality is unknown. This study assessed widely available educational videos for point-of-care US-guided procedures relevant to internal medicine: central venous catheterization, thoracentesis, and paracentesis.
  
  
  METHODS
  We searched Ovid MEDLINE, YouTube, and Google to identify videos for point-of-care US-guided paracentesis, thoracentesis, and central venous catheterization. Videos were evaluated with a 5-point scale assessing the global educational value and a checklist based on consensus guidelines for competencies in point-of-care US-guided procedures.
  
  
  RESULTS
  For point-of-care US-guided central venous catheterization, 12 videos were found, with an average global educational value score ± SD of 4.5 ± 0.7. Indications to abort the procedure were discussed in only 3 videos. Five videos described the indications and contraindications for performing central venous catheterization. For point-of-care US-guided thoracentesis, 8 videos were identified, with an average global educational value score of 4.0 ± 0.9. Only one video discussed indications to abort the procedure, and 3 videos discussed sterile technique. For point-of-care US-guided paracentesis, 7 videos were included, with an average global educational value score of 4.1 ± 0.9. Only 1 video discussed indications to abort the procedure, and 2 described the location of the inferior epigastric artery.
  
  
  CONCLUSIONS
  The 27 videos reviewed contained good-quality general instruction. However, we noted a lack of safety-related information in most of the available videos. Further development of resources is required to teach internal medicine trainees skills that focus on the safety of point-of-care US guidance.
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Aditi
authors.initials: A
authors.lastname: Khandelwal
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario, Canada.|Division of General Internal Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Luke A
authors.initials: LA
authors.lastname: Devine
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario, Canada.|Division of General Internal Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Mirek
authors.initials: M
authors.lastname: Otremba
mesh_terms: D018961:Educational Technology / Q000706:statistics & numerical data*; D007388:Internal Medicine / Q000193:education*; D038622:Internationality; D019095:Point-of-Care Systems / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care; D011871:Radiology / Q000193:education*; D018084:Ultrasonography, Interventional / Q000706:statistics & numerical data*; D014741:Video Recording / Q000706:statistics & numerical data*
keywords: YouTube; central venous catheterization; paracentesis; point-of-care ultrasound; thoracentesis; videos