Keywords: POCUS, primary care, rural practice, implementation, ultrasound education, rural research

Background:

Point-of-Care Ultrasound (POCUS) is a rapidly growing diagnostic tool across Europe. In general practice—particularly in rural areas with limited access to imaging—POCUS provides immediate, bedside diagnostic support. The Czech Society of General Practice (CSGP) launched a national initiative to implement POCUS in daily GP practice, with rural practices playing a key role.

Aim of the case report:

The aim was to create a national framework for the safe, effective, and evidence-based use of POCUS in Czech general practice. Key questions included: How can POCUS be integrated into routine GP care? What training, equipment, and quality assurance are needed? Can rural GPs act as early adopters and leaders in implementation?

Case report:

In 2020, the CSGP launched the POCUS iGP (Implementation in General Practice) project. Seventeen GPs—mostly from rural areas—formed a pilot group and completed structured theoretical and hands-on training. Three clinical studies were initiated, focusing on diagnostic accuracy, patient satisfaction, and patterns of POCUS use. A national educational curriculum and dedicated POCUS training school were established.

Conclusions:

To date, over 500 GPs have received POCUS training. Early findings from the pilot group show high diagnostic reliability in lung, abdominal, and vascular assessments. Rural GPs demonstrated strong engagement and often became regional pioneers. POCUS integration was feasible within standard consultation times and positively received by patients.
Rural Czech GPs have successfully integrated POCUS into everyday practice, leading national implementation efforts. Their experience exemplifies the potential of rural practice in the 21st century and offers an inspiring, scalable model for other countries aiming to strengthen diagnostics in primary care, especially in underserved regions.