Professional Standards in Medical Ultrasound – EFSUMB Position Paper (Long Version) – General Aspects

Wüstner, M.; Radziņa, Maija; Calliada, Fabrizio; Cantisani, Vito; Havre, Roald Flesland; Jenderka, Klaus-Vitold; Kabaalioğlu, Adnan; Kocian, Milan; Kollmann, Christian; Künzel, Julian; Lim, Adrian; Maconi, Giovanni; Mitkov, V. V.; Popescu, Alina; Săftoiu, Adrian; Sidhu, Paul S.; Jenssen, Christian

doi:10.1055/a-1857-4435

Cited by 9 publications

(14 citation statements)

References 51 publications

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“…The most crucial and lengthy part of education and training is individualized supervision at the patient's bedside, i. e. proctored examinations of trainees in the usual clinical environment on their patients [35]. A proctor guides trainees through the entire examination, possibly using the four-step concept [16,36]. In view of the often frenetic and pressured environment trainees and proctors face, supervision from the beginning to the end of the examination is not always possible.…”

Section: Skill Acquisitionmentioning

confidence: 99%

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Emergency Point-of-Care Ultrasound Stewardship – A Joint Position Paper by EuSEM and EFSUMB and Endorsed by IFEM and WFUMB

et al. 2023

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Emergency Medicine Point-of-Care Ultrasound (EMPoCUS) is a convincing concept. It has spread rapidly because of its intuitive, simple applicability and low equipment costs. The speed of its emerging growth frequently outpaces the development of quality assurance and education. Indeed, education standards vary worldwide, and in some cases seem to neglect the principles of modern competence-based education. Additional challenges are encountered such as remote or low resource medical practice. Here, EMPoCUS might be the only ad-hoc imaging modality available. Once mastery of EMPoCUS is achieved, emergency physicians should be able to independently and efficiently care for their patients using a variety of PoCUS skills. However, most curricula only define these tasks as non-binding and in general terms or use outdated measures, such as length of training and self-reporting of achieved examinations with variable oversight, or administrative measures to create educational milestones. This threatens to take quality assurance down the wrong path. It created a scenario in which concrete EMPoCUS skill outcome measures that would realistically reflect the training objectives and simultaneously would be easily observable and verifiable are lacking. In view of the dangers of poorly controlled EMPoCUS dissemination and the current lack of European guidelines, we would like to set central standards for European EMPoCUS stewardship based on a critical review of the current situation. This position paper, which was jointly developed by EuSEM and EFSUMB and endorsed by IFEM and WFUMB, is also intended to accompany the EFSUMB/EuSEM guidelines on PoCUS currently being prepared for publication.

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Section: Skill Acquisitionmentioning

confidence: 99%

“…This supervision is best accomplished in two stages: 1. At the beginning, sound basic training could be realized most easily in a controlled standard diagnostic ultrasound setting, where the trainees are under the supervision of experienced physicians [16]. Applying key concepts for designing training programs in emergency ultrasound…”

Section: Introductionmentioning

confidence: 99%

Emergency Point-of-Care Ultrasound Stewardship – A Joint Position Paper by EuSEM and EFSUMB and Endorsed by IFEM and WFUMB

et al. 2023

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“…Adequate documentation of ultrasound examinations is required by the EFSUMB as a quality requirement [68] and is legally mandatory in several European countries. However, HH-POCUS performed by the PCT at the patient's bedside at home challenges traditional ways of storing ultrasound images and reporting results.…”

Section: Documentation and Data Securitymentioning

confidence: 99%

Handheld Ultrasound (HHUS): Potential for Home Palliative Care

Eder

Boten

et al. 2022

Ultrasound Int Open

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Due to the severity of their disease, palliative care patients often present complex clinical symptoms and complaints like pain, shortness of breath, nausea, loss of appetite, and fatigue. Solely relying on the information available from the history and physical examination often causes uncertainty among palliative care physicians regarding treatment decisions during home visits, potentially leading to unnecessary hospitalizations or transfer to cross-sectional imaging in radiological practices. A rational approach is essential to avoid diagnostic aggressiveness while still providing the imaging information required for optimal palliative care. Bedside use of handheld ultrasound (HHUS) has the potential to expand the diagnostic and therapeutic spectrum in the case of symptom exacerbation but is still underutilized. In this review, we evaluate the potential uses of HHUS in home care settings to provide a more accurate diagnosis of the most common symptoms in palliative patients and to guide bedside interventions such as bladder catheterization, thoracentesis, paracentesis, venous access, and regional anesthesia. Specific training programs for ultrasound in palliative care are currently not available. Adequate documentation is warranted but fraught with technological and privacy issues. Expert supervision and quality assurance are necessary. Despite its limitation and challenges, we suggest that HHUS leads to improved clinical decision-making, expedited symptom relief, and reduced complications without burdening of the patient and costly transfer to hospital or specialty consultations.

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“…The increased use of ultrasound in the head and neck has the potential to improve patient care by allowing the physician responsible for treatment to use a diagnostic modality as an extension of the clinical examination [10,11]. However, ultrasound is a complex skill, and an adequate degree of competency is required to carry out diagnostic ultrasound and ultrasound-guided interventions safely and effectively [12][13][14][15]. A systematic examination approach, good ultrasound technique, and focused reporting are preconditions for a high-quality head and neck ultrasound examination, and therefore should be included in the training [16][17][18][19].…”

Section: Introduction To Efsumb Training Levelsmentioning

confidence: 99%

“…A good ultrasound scanning technique is a complex procedure, in which anatomical, clinical, and technical knowledge, proprioceptive skills, a systematic examination approach, accurate image interpretation, and documentation are needed to scan competently [15,23,24]. Training should, therefore, consist of theoretical teaching and practical modules [13,26].…”

Section: Introduction To Efsumb Training Levelsmentioning

confidence: 99%

Head and Neck Ultrasound – EFSUMB Training Recommendations for the Practice of Medical Ultrasound in Europe

Todsen

Ewertsen

Jenssen

et al. 2022

Ultrasound Int Open

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Different surgical and medical specialists increasingly use head and neck ultrasound and ultrasound-guided interventions as part of their clinical practice. We need to ensure high quality and standardized practice across specialties, and this position paper of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) describes the training requirements for head and neck ultrasound. Traditionally, a minimum number of ultrasound examinations indicates competence, but this is unreliable, and a general shift towards competence-based training is ongoing. For each EFSUMB level, we will outline the theoretical knowledge and skills needed for clinical practice. The recommendations follow the three EFSUMB competency levels for medical ultrasound practice. Level 1 describes the skills required to perform essential head and neck ultrasound examinations independently, level 2 includes ultrasound-guided interventions, while level 3 involves the practice of high-level neck ultrasound and use of advanced technologies. Our goal is to ensure high quality and standardized head and neck ultrasound practice performed by different clinical specialists with these recommendations.

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Professional Standards in Medical Ultrasound – EFSUMB Position Paper (Long Version) – General Aspects

Cited by 9 publications

References 51 publications

Emergency Point-of-Care Ultrasound Stewardship – A Joint Position Paper by EuSEM and EFSUMB and Endorsed by IFEM and WFUMB

Emergency Point-of-Care Ultrasound Stewardship – A Joint Position Paper by EuSEM and EFSUMB and Endorsed by IFEM and WFUMB

Handheld Ultrasound (HHUS): Potential for Home Palliative Care

Head and Neck Ultrasound – EFSUMB Training Recommendations for the Practice of Medical Ultrasound in Europe

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