Removing the HOCUS from POCUS: The use of point‐of‐care ultrasound in the emergency department

Cobbett, Joanne; Carlin, Emma; Forbes, Jessica

doi:10.1111/1742-6723.13458

Cited by 6 publications

(7 citation statements)

References 10 publications

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“…While ACEM is not a credentialing body, it recommends what constitutes a credentialing programme 6 . These recommendations are closely aligned with the requirements of the ASUM CCPU 9 . Following an introductory course, trainees seeking CCPU certification (or departmental credentialing via the ACEM pathway) are expected to enter into the experiential learning phase.…”

Section: Discussionmentioning

confidence: 96%

“…Training and credentialing have been called the ‘most contentious issue’ facing PoCUS in the ED 8 . There is an implicit expectation that ACEM trainees have access to expert instruction that facilitates PoCUS credentialing 9 . However, it is unlikely that currently available PoCUS training programmes can accommodate the credentialing needs of the majority of ACEM members 10 .…”

Section: Discussionmentioning

confidence: 99%

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Credentialing of emergency medicine trainees in point‐of‐care ultrasound: An effective, efficient and enjoyable model

Toffoli

Hartnett

Mattick

et al. 2020

Emerg Medicine Australasia

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Objective The Australasian College for Emergency Medicine Curriculum Framework contains numerous mentions of point‐of‐care ultrasound (PoCUS). However, obtaining formal PoCUS credentials is often problematic. The Fiona Stanley Hospital ED PoCUS training programme was devised to assist emergency medicine trainees to meet the credentialing requirements of the Australasian College for Emergency Medicine and the Australasian Society for Ultrasound in Medicine. Methods Six emergency medicine registrars are selected for each 6‐month semester. Successful applicants nominate two modules of Australasian Society for Ultrasound in Medicine's Certificate in Clinician Performed Ultrasound and receive dedicated non‐clinical time. For 3 h a week, an emergency physician holding formal PoCUS credentials supervises a pair of trainees while they perform scans on ED patients. During these sessions, trainee logbooks can be reviewed and assessments occur as required by the module. Results Over an 18‐month period, 18 emergency registrars were involved, averaging eight 3‐h sessions each. All selected the Extended Focused Abdominal Scan for Trauma module, 14 chose Abdominal Aortic Aneurysm and eight chose Basic Echo in Life Support. Overall, 30 (75%) of 40 modules were completed within the trainees' 6‐month semester. Just under half of logged scans were obtained during the supervised sessions. Overall, the average number of scans performed exceeded each module's logbook requirements. Trainees perceived that involvement in the programme benefited their ability to manage patients. There was overwhelming support for the structure of the programme. Conclusions The Fiona Stanley Hospital ED model is effective in assisting emergency medicine trainees to gain formal PoCUS credentials. As it requires relatively little organisation, time and staffing, it could be adopted in many EDs around Australia and New Zealand.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Credentialing of emergency medicine trainees in point‐of‐care ultrasound: An effective, efficient and enjoyable model

Toffoli

Hartnett

Mattick

et al. 2020

Emerg Medicine Australasia

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“…This highlights the current dilemma with ACEM recommending competence via credentialing, but trainees nevertheless continue to utilise POCUS in their clinical decisionmaking where patient safety takes precedence. 12 Cobbett et al 15 recently discussed this tension between formal training and the need for timely access to results, particularly in the context of overnight coverage by trainees who may not be fully credentialed. However, despite the ACEM recommendation, lack of credentialing does not necessarily equate to not being competent in POCUS, but it provides an objective benchmark.…”

Section: Discussionmentioning

confidence: 99%

Emergency medicine trainees' perceived barriers to training and credentialing in point‐of‐care ultrasound: A cross‐sectional study

Elsayed

Snelling

Stirling

et al. 2022

Australas J Ultrason Med

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Introduction Point‐of‐care ultrasound (POCUS) is an important tool in emergency medicine (EM), with the Australasian College for Emergency Medicine (ACEM) recommending core modalities as part of fellowship training. In Australia, acquisition of these skills is certified via credentialing but is currently poorly undertaken by EM trainees. Methods We performed a cross‐sectional survey of EM trainees across two academic teaching hospitals in Gold Coast, Queensland, between December 2018 and January 2019, to determine the current state of training and perceived barriers to credentialing in POCUS. Results Fifty‐two (59%) eligible EM trainees participated. Although credentialing rates (15%) were low amongst respondents, the majority agreed that it was necessary (69%) and should form part of ACEM training (88%). Amongst these trainees, we identified the desire for increased POCUS training and several barriers including time constraints and the credentialing process itself. Conclusion Although there is general agreement amongst EM trainees for POCUS credentialing, barriers such as time limitations and technical difficulties were prohibitive for many. We propose the development of an internal structured POCUS training programme within mandatory training time to address these issues.

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“…It would seem prudent that these courses focus on instructing on a one of five US competency emphasised by ACEM: AAA, extended focused assessment with sonography for trauma (EFAST), procedural guidance, lung and echo in life support (BELS) 1–5 . The emphasis should be on the practical acquisition of skills, with the majority of time devoted to practice scanning.…”

Section: A Modest Pocus Training Proposalmentioning

confidence: 99%

“…We recently read a group of five articles published in the February 2020 issue of Emergency Medicine Australasia , which addressed various issues in point‐of‐care ultrasound (PoCUS) training and credentialing in emergency medicine 1–5 . Collectively they did an excellent job of examining the various dimensions of these issues and the divergence of opinion on a number of matters.…”

mentioning

confidence: 99%

Continuing the ultrasound credentialing conversation

Pankevich

Manton

2020

Emerg Medicine Australasia

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While the Australasian College for Emergency Medicine (ACEM) encourages all emergency physicians to be competent in at least the five core areas of emergency ultrasound (US), departmental training in most hospitals does woefully little to prepare most ACEM members to attain these competencies. While full day courses are a common method of mandatory and discretionary in-service training, that method has not been adopted for US training. We propose the development of full day courses for each of the five core competencies, taught by accredited US instructors and with emphasis on hands-on training. These courses alone will not produce fully competent US users but will provide a solid foundation for further training.

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Removing the HOCUS from POCUS: The use of point‐of‐care ultrasound in the emergency department

Cited by 6 publications

References 10 publications

Credentialing of emergency medicine trainees in point‐of‐care ultrasound: An effective, efficient and enjoyable model

Credentialing of emergency medicine trainees in point‐of‐care ultrasound: An effective, efficient and enjoyable model

Emergency medicine trainees' perceived barriers to training and credentialing in point‐of‐care ultrasound: A cross‐sectional study

Continuing the ultrasound credentialing conversation

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