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Article CommentaryCommentary

Beyond the Stethoscope: Point-of-Care Ultrasound (POCUS) as the New Norm in Family Medicine

Ryan Paulus, Ben Clements, Nicoll Capizzano, Puja Dalal, Nicole Yedlinsky, Ryan Trantham, Brandon Williamson, Joy Shen-Wagner, Varshaben Songara, Natalie Nguyen and Hiten Patel
The Journal of the American Board of Family Medicine November 2025, 38 (6) 962-966; DOI: https://doi.org/10.3122/jabfm.2025.250090R2
Ryan Paulus
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
DO
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Ben Clements
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
MD
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Nicoll Capizzano
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
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Puja Dalal
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
MD
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Nicole Yedlinsky
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
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Ryan Trantham
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
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Brandon Williamson
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
MD
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Joy Shen-Wagner
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
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Varshaben Songara
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
MD
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Natalie Nguyen
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
DO
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Hiten Patel
From the University of North Carolina at Chapel Hill (RP); University of Vermont (BC); University of Michigan (NC); Novant Health (PD); University of Kansas Medical Center (NY); Waco Family Medicine (RT); Texas A&M (BW); Prisma Health (JSW); Cape Fear Vally Health (VS); Kaiser Permanente (NN); Ohio State University (HP).
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Article Figures & Data

Figures

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    Figure 1.

    Normal distal abdominal aorta measurement in short and long axis. Photo Credit: Ryan Paulus, DO.

  • Figure 2.
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    Figure 2.

    Blood clot in the popliteal vein. Point-of-care ultrasound (POCUS) uses compression ultrasound to visualize complete collapse of the vein (signaling no clot), but sometimes, if the clot is old enough you can see a hyperechoic clot. Photo Credit: Ben Clements, MD.

  • Figure 3.
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    Figure 3.

    Soft tissue abscess with mixed echogenicity within the abscess and posterior acoustic enhancement due to an abscess being filled with fluid. Photo Credit: Ben Clements, MD.

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The Journal of the American Board of Family     Medicine: 38 (6)
The Journal of the American Board of Family Medicine
Vol. 38, Issue 6
November-December 2025
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Beyond the Stethoscope: Point-of-Care Ultrasound (POCUS) as the New Norm in Family Medicine
Ryan Paulus, Ben Clements, Nicoll Capizzano, Puja Dalal, Nicole Yedlinsky, Ryan Trantham, Brandon Williamson, Joy Shen-Wagner, Varshaben Songara, Natalie Nguyen, Hiten Patel
The Journal of the American Board of Family Medicine Nov 2025, 38 (6) 962-966; DOI: 10.3122/jabfm.2025.250090R2

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Beyond the Stethoscope: Point-of-Care Ultrasound (POCUS) as the New Norm in Family Medicine
Ryan Paulus, Ben Clements, Nicoll Capizzano, Puja Dalal, Nicole Yedlinsky, Ryan Trantham, Brandon Williamson, Joy Shen-Wagner, Varshaben Songara, Natalie Nguyen, Hiten Patel
The Journal of the American Board of Family Medicine Nov 2025, 38 (6) 962-966; DOI: 10.3122/jabfm.2025.250090R2
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  • Article
    • Abstract
    • Case 1: Increase Access - The Abdominal Aortic Aneurysm (AAA) Screening
    • Case 2: Reduce Emergency Department (ED) Visits - The Swollen Lower Extremity
    • Case 3: Quicker Diagnosis – The Soft Tissue Infection
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  • Medical Aid in Dying State Laws: A Thirty Year Evolution
  • Reimbursement and Policy Considerations of Point-of-Care Ultrasound (POCUS) in Rural Family Medicine
  • The Differing Career Choice Paths of MD and DO Family Medicine Residents: A Call to Action
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Keywords

  • Family Medicine
  • POCUS
  • Point-of-Care Systems
  • Standard of Care
  • Technology
  • Ultrasonography

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