Defining Competencies for Ultrasound‐Guided Bedside Procedures

Brown, Glenn; Otremba, Mirek; Devine, Luke; Gray, Catherine; Millington, Scott J.

doi:10.7863/ultra.15.01063

Cited by 26 publications

(19 citation statements)

References 21 publications

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“…In summary, we have described the inadequate state of education and training in point-of-care US for general surgery residents 28 and the need for increased standardization and assessment of point-of-care US competency. 38 Consequently, we propose an additional milestone in point-of-care US for general surgery and describe the effective integration of US training into our general surgery residency.…”

Section: Discussionmentioning

confidence: 99%

Point‐of‐Care Ultrasound in General Surgery Residency Training: A Proposal for Milestones in Graduate Medical Education Ultrasound

Beal

Sigmond

Sage-Silski

et al. 2017

J of Ultrasound Medicine

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The use of point-of-care ultrasound (US) in the clinical setting has undergone massive growth, although its incorporation into training and practice is variable. Surgeons are interested in using point-of-care US and can incorporate it effectively into clinical practice. However, the current state of point-of-care US training in general surgery is inadequate. The Accreditation Council for Graduate Medical Education introduced the Milestones Project to evaluate resident and fellow performance. Emergency medicine is the only specialty with a point-of-care US milestone. We have successfully implemented a US training program into our general surgery residency curriculum and now propose milestones in point-of-care US for all general surgery residents.

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Section: Discussionmentioning

confidence: 99%

Point‐of‐Care Ultrasound in General Surgery Residency Training: A Proposal for Milestones in Graduate Medical Education Ultrasound

Beal

Sigmond

Sage-Silski

et al. 2017

J of Ultrasound Medicine

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“…For procedures, incision and drainage was removed as the skills involved were felt to be redundant with the skills involved in abscess aspiration. Lastly, many of the 80 items on POCUS knowledge [ 26 ] were felt to be too specific, resulting in a survey that was unacceptably long. Ultimately, knowledge items were grouped into broader categories.…”

Section: Methodsmentioning

confidence: 99%

“…For curriculum development, performing a needs assessment is one of the key recommended first steps [ 24 ]. From a curriculum development standpoint, consensus was recently established regarding what POCUS elements should be included in a Canadian internal medicine training curriculum [ 25 , 26 ]. However, this work stemmed from the viewpoint of the educator.…”

Section: Introductionmentioning

confidence: 99%

Point of care ultrasound training for internal medicine: a Canadian multi-centre learner needs assessment study

et al. 2018

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BackgroundSignificant gaps currently exist in the Canadian internal medicine point-of-care ultrasound (POCUS) curriculum. From a learner’s perspective, it remains unknown what key POCUS skills should be prioritized. This needs assessment study seeks to establish educational priorities for POCUS for internal medicine residents at five Canadian residency training programs.MethodsAll internal medicine trainees [postgraduate year (PGY) 1–5] from five internal medicine residency training programs in Canada (n = 598) were invited to complete an online survey on 15 diagnostic POCUS applications, 9 bedside procedures, and 18 POCUS knowledge items. For POCUS applications and procedures, participants were asked how applicable they are to patient care in internal medicine and the participants’ reported skills in those domains. Self-reported knowledge and skills were rated on a 5-point Likert scale, where 1 = very poor and 5 = very good. Applicability was rated, where 1 = not at all applicable and 5 = very applicable.ResultsA total of 253 of 598 residents (42%) participated in our study. Data from one centre (n = 15) was removed because of low response rate (15%) and significant baseline differences between those trainees and the remaining participants. Of the remaining analyzable data from four training programs (n = 238), participants reported highest applicability to internal medicine for the following applications and procedures: identifying ascites/free fluid [mean applicability score of 4.9 ± standard deviation (SD) 0.4]; gross left ventricular function (mean 4.8 ± SD 0.5) and pericardial effusion (mean 4.7 ± SD 0.5); thoracentesis (mean score 4.9 ± SD 0.3), central line insertion (mean 4.9 ± SD 0.3), and paracentesis (mean 4.9 ± SD 0.3), respectively. Overall reported knowledge/skills was low, with skill gaps being the highest for identifying deep vein thrombosis (mean gap 2.7 ± SD 1.1), right ventricular strain (mean 2.7 ± SD 1.1), and gross left ventricular function (mean 2.7 ± SD 1.0).ConclusionsMany POCUS applications and procedures were felt to be applicable to the practice of internal medicine. Significant skill gaps exist in the four Canadian training programs included in the study. POCUS curriculum development efforts should target training based on these perceived skill gaps.Electronic supplementary materialThe online version of this article (10.1186/s12909-018-1326-8) contains supplementary material, which is available to authorized users.

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“…While Saudi Arabia does not have any curricula for POCUS training as yet, several national and international bodies have developed specialty-specific POCUS curricula [12,[16][17][18][19][20][21]. Since POCUS is applicable in many different medical areas, learning POCUS is likely to be relevant to the medical interns.…”

Section: Introductionmentioning

confidence: 99%

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Jarwan¹,

Alshamrani²,

Alghamdi³

et al. 2020

Cureus

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Background and objective The use of point-of-care ultrasound (POCUS) is generally on the rise worldwide. However, as the epidemiology of diseases and the approach to their management vary internationally, POCUS may not be universally applicable. The resources available for medical education are generally limited. Thus, when considering the development of a training program during the internship year, we sought to determine interns' perceptions of the applicability of POCUS to clinical practice, the current skill gaps, and barriers to training. Methods A validated questionnaire was distributed to the interns of the College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh to determine their proficiency in POCUS, and their opinions on its applicability on a 5-point Likert scale. Each skill gap was calculated by subtracting selfreported proficiency in POCUS from its perceived applicability. Results Of the 300 total interns (male: 200, female: 100), 229 participated [response rate: 76%; male: 136 (68%), female: 93 (93%)]. The use of POCUS to detect abdominal free fluid was perceived to be the most applicable use (mean: 3.9 ±1.1); scanning for consolidation was the least applicable (mean: 3.0 ±1.2). Knowledge and proficiency among the sample were generally poor. The skill gap was greatest for the assessment of inferior vena cava collapsibility (mean: 1.4 ±1.3) and least for the identification of pneumothorax (mean: 0.5 ±1.5). Although three-quarters of the participants (170) agreed that POCUS was an essential skill, 36 (16%) stated that they had no interest in it, and nearly half (101) believed that they did not have time to learn POCUS. Conclusions While POCUS is applicable to medical interns in Saudi Arabia, significant skill gaps exist. However, our sample's perception of the applicability of POCUS was less favorable than that of internal medicine (IM) residents in Canada. Thus, initiating POCUS training during the internship year may yield suboptimal results. Interns must prioritize medical licensing examinations and applications for residency training. Indeed, many interns believe that they do not have enough time to learn POCUS. Thus, prioritizing the training of residents in POCUS may be a more effective use of the finite resources available for medical education.

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Defining Competencies for Ultrasound‐Guided Bedside Procedures

Abstract: Our study presents expert consensus-derived ultrasound competencies that should be considered during the design and implementation of procedural skills training for learners.

Cited by 26 publications

References 21 publications

Point‐of‐Care Ultrasound in General Surgery Residency Training: A Proposal for Milestones in Graduate Medical Education Ultrasound

Point‐of‐Care Ultrasound in General Surgery Residency Training: A Proposal for Milestones in Graduate Medical Education Ultrasound

Point of care ultrasound training for internal medicine: a Canadian multi-centre learner needs assessment study

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

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