{"id":"https://openalex.org/W2019471807","doi":"https://doi.org/10.1053/euje.2002.0617","title":"The Use of Small Personal Ultrasound Devices by Internists Without Formal Training in Echocardiography","display_name":"The Use of Small Personal Ultrasound Devices by Internists Without Formal Training in Echocardiography","publication_year":2003,"publication_date":"2003-05-13","ids":{"openalex":"https://openalex.org/W2019471807","doi":"https://doi.org/10.1053/euje.2002.0617","mag":"2019471807","pmid":"https://pubmed.ncbi.nlm.nih.gov/12749876"},"language":"en","primary_location":{"id":"doi:10.1053/euje.2002.0617","doi":"https://doi.org/10.1053/euje.2002.0617","is_oa":false,"landing_page_url":"https://doi.org/10.1053/euje.2002.0617","pdf_url":null,"source":{"id":"https://openalex.org/S4210172846","display_name":"European Journal of Echocardiography","issn_l":"1525-2167","issn":["1525-2167","1532-2114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Echocardiography","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080700451","display_name":"Jeanne M. DeCara","orcid":"https://orcid.org/0000-0002-8234-3132","observed_orcids":["https://orcid.org/0000-0002-8234-3132"]},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"J.M. DeCara","raw_affiliation_strings":["Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A","institution_ids":["https://openalex.org/I4210087865"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049765310","display_name":"Roberto Miguel Lang","orcid":"https://orcid.org/0000-0003-3723-1577","observed_orcids":["https://orcid.org/0000-0003-3723-1577"]},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R.M. Lang","raw_affiliation_strings":["Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A","institution_ids":["https://openalex.org/I4210087865"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029580734","display_name":"Rick Koch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Koch","raw_affiliation_strings":["Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A","institution_ids":["https://openalex.org/I4210087865"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057814373","display_name":"Ramesh Bala","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Bala","raw_affiliation_strings":["Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A","institution_ids":["https://openalex.org/I4210087865"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002367895","display_name":"J. Penzotti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Penzotti","raw_affiliation_strings":["Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A","institution_ids":["https://openalex.org/I4210087865"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012681318","display_name":"Kirk T. Spencer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K.T. Spencer","raw_affiliation_strings":["Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, 60637, U.S.A","institution_ids":["https://openalex.org/I4210087865"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5080700451"],"corresponding_institution_ids":["https://openalex.org/I4210087865"],"apc_list":null,"apc_paid":null,"fwci":7.8288,"has_fulltext":true,"cited_by_count":149,"citation_normalized_percentile":{"value":0.97805643,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"4","issue":"2","first_page":"141","last_page":"147"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10821","display_name":"Cardiovascular Function and Risk Factors","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/handheld-ultrasound","display_name":"handheld ultrasound","score":0.7990000247955322},{"id":"https://openalex.org/keywords/point-of-care-echocardiography","display_name":"point-of-care echocardiography","score":0.9319999814033508},{"id":"https://openalex.org/keywords/internists","display_name":"internists","score":0.5640000104904175},{"id":"https://openalex.org/keywords/internal-medicine-residents","display_name":"internal medicine residents","score":0.9409999847412109},{"id":"https://openalex.org/keywords/echocardiography-training","display_name":"echocardiography training","score":0.8360000252723694},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.968999981880188},{"id":"https://openalex.org/keywords/cardiac-screening","display_name":"cardiac screening","score":0.5180000066757202},{"id":"https://openalex.org/keywords/regional-wall-motion-abnormalities","display_name":"regional wall motion abnormalities","score":0.7839999794960022},{"id":"https://openalex.org/keywords/right-ventricular-dysfunction","display_name":"right ventricular dysfunction","score":0.9810000061988831},{"id":"https://openalex.org/keywords/pericardial-effusion","display_name":"pericardial effusion","score":0.9929999709129333},{"id":"https://openalex.org/keywords/competency-assessment","display_name":"competency assessment","score":0.5239999890327454}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9057265520095825},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.5699318647384644},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5462431907653809},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.5113815665245056},{"id":"https://openalex.org/C2776127602","wikidata":"https://www.wikidata.org/wiki/Q5038319","display_name":"Cardiac imaging","level":2,"score":0.45256996154785156},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.44643154740333557},{"id":"https://openalex.org/C3019719930","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value","level":2,"score":0.4209914803504944},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.37138932943344116},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3606667220592499}],"mesh":[{"descriptor_ui":"D001024","descriptor_name":"Aortic Valve Stenosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004452","descriptor_name":"Echocardiography","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D006325","descriptor_name":"Heart Atria","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D006325","descriptor_name":"Heart Atria","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D006352","descriptor_name":"Heart Ventricles","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D006352","descriptor_name":"Heart Ventricles","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007318","descriptor_name":"Inservice Training","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017379","descriptor_name":"Hypertrophy, Left Ventricular","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D018376","descriptor_name":"Cardiovascular Abnormalities","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D018497","descriptor_name":"Ventricular Dysfunction, Right","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1053/euje.2002.0617","doi":"https://doi.org/10.1053/euje.2002.0617","is_oa":false,"landing_page_url":"https://doi.org/10.1053/euje.2002.0617","pdf_url":null,"source":{"id":"https://openalex.org/S4210172846","display_name":"European Journal of Echocardiography","issn_l":"1525-2167","issn":["1525-2167","1532-2114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Echocardiography","raw_type":"journal-article"},{"id":"doi:10.1053/euje.4.2.141","doi":"https://doi.org/10.1053/euje.4.2.141","is_oa":false,"landing_page_url":"https://doi.org/10.1053/euje.4.2.141","pdf_url":null,"source":{"id":"https://openalex.org/S64942916","display_name":"European Heart Journal - Cardiovascular Imaging","issn_l":"2047-2404","issn":["2047-2404","2047-2412"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Cardiovascular Imaging","raw_type":"journal-article"},{"id":"pmid:12749876","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12749876","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1966606879","https://openalex.org/W1974883237","https://openalex.org/W1987730721","https://openalex.org/W1990019120","https://openalex.org/W1992390801","https://openalex.org/W2007022384","https://openalex.org/W2019907596","https://openalex.org/W2032388810","https://openalex.org/W2051347442","https://openalex.org/W2063970397","https://openalex.org/W2090081797","https://openalex.org/W2090162356","https://openalex.org/W2107236804","https://openalex.org/W2119665063","https://openalex.org/W2325688043","https://openalex.org/W2417973919","https://openalex.org/W2461947321","https://openalex.org/W2559663103","https://openalex.org/W3150098025","https://openalex.org/W4235572090","https://openalex.org/W4235967917","https://openalex.org/W4241807627","https://openalex.org/W4255013052"],"related_works":["https://openalex.org/W2105062479","https://openalex.org/W2050680893","https://openalex.org/W1990127199","https://openalex.org/W2889157641","https://openalex.org/W2008465156","https://openalex.org/W2939943325","https://openalex.org/W2322249612","https://openalex.org/W1505087336","https://openalex.org/W2067517352","https://openalex.org/W2050564915"],"abstract_inverted_index":{"AIMS:":[0],"Hand-held":[1,166],"ultrasound":[2,25,73,167],"devices":[3,26,168,193],"will":[4],"probably":[5],"be":[6,196],"used":[7,197],"for":[8,82,87,120,139,173,200],"bedside":[9],"cardiac":[10,91,174],"diagnoses":[11],"by":[12,29,149,198],"internists":[13],"without":[14],"formal":[15],"training":[16,38,52],"in":[17,39,49,54],"echocardiography.":[18,40],"We":[19],"compared":[20,94],"the":[21,88,100,121,140],"accuracy":[22],"of":[23,90],"hand-held":[24,72],"studies":[27,86],"performed":[28],"expert":[30],"echocardiographers":[31,66],"vs":[32],"internal":[33,45],"medicine":[34,46],"residents":[35,47,63,150],"with":[36,70],"brief":[37],"METHODS":[41],"AND":[42],"RESULTS:":[43],"Three":[44],"participated":[48],"an":[50],"organized":[51],"program":[53],"echocardiographic":[55],"principles,":[56],"image":[57],"acquisition,":[58],"and":[59,64,78,84,104,111,161,186],"interpretation.":[60],"Subsequently,":[61],"these":[62,192],"three":[65],"imaged":[67],"300":[68],"patients":[69],"a":[71,96,115,180],"device.":[74],"Sensitivity,":[75],"specificity,":[76],"positive":[77,117],"negative":[79],"predictive":[80,118],"values":[81],"internist-":[83],"echocardiographer-performed":[85,105,122,141],"detection":[89],"abnormalities":[92],"were":[93],"using":[95],"full-featured":[97],"exam":[98],"as":[99],"gold":[101],"standard.":[102],"Resident-":[103],"scans":[106],"had":[107],"similar":[108],"overall":[109],"sensitivity":[110,133],"specificity.":[112],"There":[113],"was":[114,134],"higher":[116,138],"value":[119],"scans.":[123,142],"For":[124],"clinically":[125],"important":[126,144],"findings":[127,145],"(likely":[128],"to":[129,195],"affect":[130],"patient":[131],"care),":[132],"slightly":[135],"but":[136,176],"significantly":[137],"Clinically":[143],"most":[146],"often":[147],"missed":[148],"included":[151],"regional":[152],"wall":[153],"motion":[154],"abnormalities,":[155],"intra-cardiac":[156],"thrombus,":[157],"right":[158],"ventricular":[159],"dysfunction":[160],"non-trivial":[162],"pericardial":[163],"effusions.":[164],"CONCLUSION:":[165],"provide":[169],"useful":[170],"screening":[171],"tools":[172],"disease":[175],"should":[177],"not":[178],"replace":[179],"standard":[181],"platform":[182],"study.":[183],"Training":[184],"guidelines":[185],"competency":[187],"evaluation":[188],"are":[189,194],"needed":[190],"if":[191],"non-echocardiographers":[199],"clinical":[201],"decision-making.":[202]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":8},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":10},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":13},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":11}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2016-06-24T00:00:00"}