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We continue our series of debate-style editorials with the topic of point-of-care ultrasound (PoCUS). The debate series provides CJEM readers with the opportunity to hear differing perspectives on topics pertinent to the practice of emergency medicine. The debaters have been allocated opposing arguments on topics where there is some controversy or perhaps scientific equipoise. “Ultrasound is the new stethoscope,” we hear from those who promote the use of PoCUS at the bedside. The use of PoCUS is increasing in many medical specialties, including emergency medicine. But does it benefit patient care? Does it improve outcomes? Or is PoCUS simply another tool in the increasingly complex path to diagnosis faced by patients and physicians? Should today’s medical students consign their stethoscopes to the archive of historical artefacts, replacing them with handheld ultrasound devices? Or is PoCUS just a passing fad, where new technology promises much but fails to deliver any measurable benefit? Have we reached the point where all physicians practicing modern emergency medicine must demonstrate competency in PoCUS? Or should it remain an optional adjunct for those interested in what it adds to their clinical practice? Drs. Paul Olszynski and Jordan Chenkin make the argument that PoCUS should now be considered a core competency expectation for all physicians practicing emergency medicine; with Drs. Daniel J. Kim and Greg Hall, responding to warn us that the evidence and infrastructure supporting PoCUS have not yet reached that tipping point. Readers can follow the debate on Twitter and vote for either perspective, by going to @CJEMonline or by searching #CJEMdebate.

CJEM Debate Series: #PoCUS–All physicians practicing emergency medicine should be competent in the use of point-of-care ultrasound