Point-of-Care Ultrasound in Nephrology: Enthusiasm Alone Won’t Suffice; Training Is Key

Abstract

Point-of-care ultrasonography (POCUS) allows for real-time bedside imaging and interpretation, enhancing clinical decision making by addressing focused clinical questions. Historically confined to procedural guidance in nephrology, POCUS is gaining traction for broader diagnostic applications, including comprehensive hemodynamic assessment. This narrative review examines the expanding role of POCUS in nephrology, highlighting its potential to improve patient care and streamline diagnostics while acknowledging the associated risks. Improper or untrained use of POCUS can result in patient harm and diagnostic errors, underscoring the need for rigorous training and standardized competency requirements akin to board certification. We advocate for collaboration among nephrology societies to establish universal training frameworks and certification processes. Key elements for successful POCUS integration include learner motivation, structured longitudinal programs, and expert oversight. Additionally, proper understanding and investigator proficiency in POCUS enhance the quality of research output, further advancing the field. By fostering these principles, the nephrology community can maximize POCUS utility, ensuring its safe and effective application in clinical practice while addressing patient care gaps.