ORCID (Optional)


Document Type

Original Report


Adult and Continuing Education | Educational Methods | Higher Education | Interprofessional Education | Medicine and Health Sciences


Background: Peripheral intravenous catheter (PIVC) failure and difficult intravenous access (DIVA) are pervasive issues causing patient suffering and increased costs. Despite their prevalence, there is a gap in internal medicine and pediatric resident training to manage these challenges effectively.

Objective: This study aimed to assess the value of ultrasound-guided-PIVC (USGPIVC) education for internal medicine and pediatric residents and the impact of a 1-hour multidisciplinary workshop on their knowledge and confidence.

Methods: A cross-sectional survey study was conducted at an academic medical center in 2022 to assess residents’ perceptions of USG-PIVC education. This was followed by a USG-PIVC simulation-based workshop with limited enrollment (11-slots). Pre- and postworkshop assessments were used to evaluate changes in knowledge and confidence. Data were analyzed using descriptive statistics.

Results: Of the 136 residents surveyed, 68 (50%) responded. Most respondents (78%) reported encountering situations where no one could obtain DIVA. While 71% (n=48) of residents considered USG-PIVC placement a useful skill, only 13% (n=9) had prior experience.

Following the workshop, the 11 participants had improvement in both confidence (mean pre-assessment score of 38.2 ±8.3 increased to 56.6 ±6.4, p

Conclusions: Most internal medicine and pediatric residents at an academic medical center lack experience with USG-PIVC insertion and express interest in acquiring this skill. A one-hour multidisciplinary workshop may be an effective strategy to increase their knowledge and confidence, making it a promising avenue for enhancing residency curricula.




Medical Education, Simulation Training, Ultrasound, Catheterization, Difficult Intravenous Access, Multidisciplinary Workshop

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Table 1.pdf (103 kB)
Perception Survey Responses Reported as Number (%)

Table 2.pdf (108 kB)
Pre- and Post-workshop Confidence Assessment of USG-PIVC Placement Micro-skills. Frequency of “agree and strongly agree” Responses (N=11), Reported as Number (%)

Table 3.pdf (113 kB)
Pre- and Post-Workshop Knowledge Quiz Correct Response Frequency (N=11), Reported as Number (%)

Figure 1.pdf (71 kB)
Distribution of Perception Survey Respondents Across Residency Programs

Figure 2.pdf (67 kB)
Workshop Participants by Training Specialty

supplement 1 - perception survey.docx (16 kB)
Perception survey

Supplement 2 - videos.docx (12 kB)
Educational videos

supplement 3.docx (25 kB)
Pre and post confidence assessment and quiz



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.