Point-of-care ultrasound: Is it time to include it in the paediatric specialist training programme?

Mayordomo-Colunga, Juan; Cortés, Rafael González; Bravo, María Carmen; Mas, Roser Martínez; Martínez, José Luis; Valdovinos, Luís Renter; Conlon, Thomas; Nishisaki, Akira; Cabañas, Fernando; Sustacha, José Ángel Bilbao; Erroz, Ignacio Oulego

doi:10.1016/j.anpede.2019.06.004

Cited by 10 publications

(17 citation statements)

References 35 publications

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“…Supporting this notion, family medicine is also heavily outpatient and clinical practice overlaps with pediatrics, yet other studies have found that graduates from family medicine programs where POCUS is taught continue to use POCUS in their clinical practice (31). Prior review articles on pediatric POCUS have focused on the role of POCUS in the practice of the pediatric hospitalist (1,11,(15)(16)(17)32). However, the majority of pediatric residents in our study were interested in POCUS, and over half of them planned to practice outpatient general pediatrics.…”

Section: Discussionmentioning

confidence: 98%

“…An electronic survey was distributed via email, social media, and iers with a quick response (QR) code that linked to the survey. The survey was created in Qualtrics (Qualtrics, Provo, UT) based on prior needs assessments designed for family medicine and internal medicine(18-21) Speci c pediatric POCUS applications were selected based on published reviews describing the scans most pertinent to pediatric POCUS (1,11,15) and based on input from 2 of the authors (AS, MLM), who are experts in pediatric POCUS. The survey was then reviewed by medial education experts from a variety of specialties for clarity and breadth.…”

Section: Survey and Data Collectionmentioning

confidence: 99%

“…At the pediatric fellowship level, POCUS has become a standard part of pediatric emergency medicine training (8,9). POCUS is also becoming increasingly utilized in pediatric critical care (10,11) and neonatology (12,13) fellowships. Compared to pediatric subspecialty and adult counterparts, POCUS remains underutilized in general pediatric training.…”

Section: Introductionmentioning

confidence: 99%

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The Unmet Demand for Point-of-Care Ultrasound Among General Pediatricians: A Needs Assessment

McGinness

Lin‐Martore

Addo

et al. 2021

Preprint

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Background: Point-of-care ultrasound (POCUS) is a noninvasive bedside tool with many pediatric applications but is not currently a formal part of pediatric training and practice. Formal needs assessments of general pediatricians regarding POCUS training are lacking. We aimed to quantify the baseline ultrasound experience and training needs of general pediatricians and pediatric residents across different practice settings.Methods: In 2020, we sent an online survey to 485 current faculty, residents, and graduates from an urban pediatric academic medical center in Northern California. Pediatric subspecialists were excluded. Survey questions about baseline experience, comfort, and perceived usefulness of 20 common POCUS applications were developed by two POCUS experts using existing literature. Chi-squared analysis was used to compare residents versus attendings and to compare attendings practicing in inpatient versus outpatient versus mixed settings. Results: Response rate was 20% (98/485). Compared to attendings (n=73), residents (n=25) endorsed more exposure to POCUS in medical school (32% vs 5%, p=0.003) and residency (12% vs 5%, p=0.003). Respondents endorsed low comfort with POCUS (mean 1.3 out of 5 on Likert scale). Of 20 procedural and diagnostic applications, respondents identified abscess drainage, bladder catheterization, soft tissue, neck, advanced abdominal, and constipation as most useful. Overall, 50% of pediatricians (and 70% of pediatric residents) responded that there were opportunities to use POCUS multiple times a week or more in their clinical practice. Conclusions: There is an unmet demand for POCUS training among general pediatricians and trainees in our study. Our results could guide design of ultrasound curricula for general pediatricians.

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Section: Discussionmentioning

confidence: 98%

Section: Survey and Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Unmet Demand for Point-of-Care Ultrasound Among General Pediatricians: A Needs Assessment

McGinness

Lin‐Martore

Addo

et al. 2021

Preprint

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“…We may expect a stronger need for training of ultrasonography in paediatrics in years to come as in international proposals. 30 The combination of CAMES NAF score and a threeround Delphi not only identified but also prioritised the technical procedures for simulation-based training. CAMES NAF score prioritises procedures if they are frequent, performed by many physicians, potentially harmful to patients if performed by a non-competent physician, and very feasible to train simulation based.…”

Section: Discussionmentioning

confidence: 99%

“…We may expect a stronger need for training of ultrasonography in paediatrics in years to come as in international proposals. 30 …”

Section: Discussionmentioning

confidence: 99%

Identifying and prioritising technical procedures for simulation-based curriculum in paediatrics: a Delphi-based general needs assessment

Thim

Nayahangan

Paltved

et al. 2020

bmjpo

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ObjectivesTo identify and prioritise technical procedures that should be integrated in a curriculum of simulation-based procedural training in paediatrics using the Delphi method.Study designNational general needs assessment using a Delphi process was completed among 93 key opinion leaders in paediatrics in Denmark. Delphi round 1 identified technical procedures. Round 2 explored frequency of procedures, number of paediatricians performing the procedures, risks and/or discomfort for patients and feasibility for simulation-based training. Round 3 included final elimination and reprioritisation.ResultsResponse rates in the Delphi rounds were 73%, 71% and 72%. We identified 37 procedures in Delphi round 1, preprioritised in round 2, resulting in a final list of 19 procedures in round 3. Strong correlation between the prioritisation from the second and third Delphi rounds was identified, Spearman’s r of 0.94 (p<0.0001). Top five on the final list were acute neonatal airway management, acute non-neonatal airway management, non-neonatal peripheral intravenous and intraosseous access, neonatal vascular access and advanced heart lung resuscitation.ConclusionWe identified and prioritised 19 technical procedures in paediatrics that are suitable for simulation and may be used as a guide for the development of simulation-based curriculum in paediatrics.

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Pediatric lung ultrasound: reply to Corsini et al.

Lovrenski

2020

Pediatr Radiol

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Point-of-care ultrasound: Is it time to include it in the paediatric specialist training programme?

Cited by 10 publications

References 35 publications

The Unmet Demand for Point-of-Care Ultrasound Among General Pediatricians: A Needs Assessment

The Unmet Demand for Point-of-Care Ultrasound Among General Pediatricians: A Needs Assessment

Identifying and prioritising technical procedures for simulation-based curriculum in paediatrics: a Delphi-based general needs assessment

Pediatric lung ultrasound: reply to Corsini et al.

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