Point-of-Care Ultrasound Training and Credentialing for mid-late Career Emergency Physicians: Is it worth it?

Smalley, Courtney M.; Simon, Erin L.; Muir, McKinsey R.; Delgado, Fernando; Fertel, Baruch S.

doi:10.24908/pocus.v6i2.14891

Cited by 2 publications

(3 citation statements)

References 3 publications

(3 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…While there is sparse data linking EM residency graduation with the utilization of POCUS in practice, there are smaller studies that demonstrate POCUS training during residency positively impacts clinical utilization within one year after a dedicated course. 13,14 Our study attempted to examine all community EPs in our healthcare system and their POCUS utilization. Objective study numbers performed per 100 patients suggest a trend toward an overall decrease in POCUS utilization with greater number of years from residency graduation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Real-World Experience: Retrospective Review of Point-of-Care Ultrasound Utilization and Quality in Community Emergency Departments

Smalley¹,

Simon²,

Muir³

et al. 2023

WestJEM

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Introduction Point-of-care ultrasound (POCUS) is commonly used in the emergency department (ED) as a rapid diagnostic tool. Emergency medicine (EM) has been an early adopter of POCUS with indications expanding over the last 10 years. While the literature describes widespread use among academic sites, there is little data on clinical POCUS utilization at non-academic EDs. We sought to describe community emergency physician (EP) use of POCUS by quantifying the number and type of studies performed, characteristics of the performing physician, and quality metrics. Methods Prior to the study period, all EPs underwent a standardized training and credentialing program. A retrospective review of all POCUS studies across 11 non-academic EDs from October 1, 2018–September 30, 2020 was performed by fellowship-trained physicians, who identified physician, exam type, and residency graduation year. The studies were then cross-referenced with quality review reports that assessed image acquisition, image interpretation, and image labeling. We performed descriptive statistics. Results During the study period, 5,099 POCUS studies were performed by 170 EPs. Exams most frequently performed were cardiac (24%), focused assessment of sonography in trauma (21.7%), and pregnancy (16.2%). Recent EM residency graduates (<10 years) were higher utilizers of POCUS with a group mean of 1.3 exams per 100 patients. Of the studies done, 86% had no quality issues. Conclusion Community POCUS demonstrates a heavy focus on core exams performed by recent EM residency graduates with minimal quality issues after a standardized training program. This study is the first to quantify actual community POCUS use in multiple EDs and may impact credentialing and skills maintenance requirements.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Real-World Experience: Retrospective Review of Point-of-Care Ultrasound Utilization and Quality in Community Emergency Departments

Smalley¹,

Simon²,

Muir³

et al. 2023

WestJEM

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“…Mid-to-late career faculty, herein defined as faculty with at least 5 years of practice since completing training, represent a unique population from a pedagogical standpoint and one for which there is sparse educational guidance in the literature. The data available for POCUS education in this population within the internal and emergency medicine literature would suggest that these learners are able to learn POCUS at similar rates to trainees 5 but may ultimately not incorporate it into their clinical practice 6 . In many ways, they are the standard adult learner: self-motivated and ready to learn if the subject matter is relevant to their goals.…”

Section: Challenges In Teaching Senior Facultymentioning

confidence: 97%

“Teaching old dogs new tricks” – POCUS Education for Senior Faculty

Restrepo¹,

Heyne²,

Schutzer³

et al. 2023

pocus

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Point of care Ultrasound (POCUS) is a growing diagnostic modality across a variety of specialties and is increasingly being taught in undergraduate medical education. Uptake within internal medicine has been slow but is becoming more commonplace. Training of extant hospital medicine faculty, including senior members, in POCUS is an unmet need in graduate medical education with significant pedagogical and patient safety implications. With this in mind, we created a training program for the core teaching faculty at our academic internal medicine residency program. The experiential, hands-on curriculum explored the reasoning behind concepts and emphasized psychological safety for senior faculty learners and was successful and well-received. In our piece, we aim to explore the existing literature around training this unique population in POCUS and report on our single-center experience. We also provide a framework for how our program succeeded, collate tips derived from the expert ultrasound teachers and list pearls learned while teaching these experienced educators. Although this worthwhile effort requires planning and support, it was appreciated even by senior faculty.

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Point-of-Care Ultrasound Training and Credentialing for mid-late Career Emergency Physicians: Is it worth it?

Cited by 2 publications

References 3 publications

A Real-World Experience: Retrospective Review of Point-of-Care Ultrasound Utilization and Quality in Community Emergency Departments

A Real-World Experience: Retrospective Review of Point-of-Care Ultrasound Utilization and Quality in Community Emergency Departments

“Teaching old dogs new tricks” – POCUS Education for Senior Faculty

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