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There is insufficient knowledge about how personal access to handheld ultrasound devices (HUDs) improves trainee learning with point-of-care ultrasound (POCUS). To assess whether HUDs, alongside a yearlong lecture series, improved trainee POCUS usage and ability to acquire images. Internal medicine intern physicians (n = 47) at a single institution from 2017 to 2018 were randomized 11 to receive personal HUDs (n = 24) for patient care/self-directed learning vs no-HUDs (n = 23). All interns received a repeated lecture series on cardiac,