scholarly journals Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice

CJEM ◽  
2015 ◽  
Vol 17 (1) ◽  
pp. 74-88 ◽  
Author(s):  
Lisa M. Fischer ◽  
Michael Y. Woo ◽  
A. Curtis Lee ◽  
Ray Wiss ◽  
Steve Socransky ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Needs Assessment ◽  
Point Of Care ◽  
Core Competency ◽  
Fellowship Training ◽  
Essential Elements ◽  
Fellowship Programs ◽  
Point Of Care Ultrasonography ◽  
Residency Program Directors ◽  
Expert Practice

AbstractIntroductionEmergency medicine point-of-care ultrasonography (EM-PoCUS) is a core competency for residents in the Royal College of Physicians and Surgeons of Canada and College of Family Physicians of Canada emergency medicine (EM) training programs. Although EM-PoCUS fellowships are currently offered in Canada, there is little consensus regarding what training should be included in a Canadian EM-PoCUS fellowship curriculum or how this contrasts with the training received in an EM residency.ObjectivesTo conduct a systematic needs assessment of major stakeholders to define the essential elements necessary for a Canadian EM-PoCUS fellowship training curriculum.MethodsWe carried out a national survey of experts in EM-PoCUS, EM residency program directors, and EM residents. Respondents were asked to identify competencies deemed either nonessential to EM practice, essential for general EM practice, essential for advanced EM practice, or essential for EM-PoCUS fellowship trained (‘‘expert’’) practice.ResultsThe response rate was 81% (351 of 435). PoCUS was deemed essential to general EM practice for basic cardiac, aortic, trauma, and procedural imaging. PoCUS was deemed essential to advanced EM practice in undifferentiated symptomatology, advanced chest pathologies, and advanced procedural applications. Expert-level PoCUS competencies were identified for administrative, pediatric, and advanced gynecologic applications. Eighty-seven percent of respondents indicated that there was a need for EM-PoCUS fellowships, with an ideal length of 6 months.ConclusionThis is the first needs assessment of major stakeholders in Canada to identify competencies for expert training in EM-PoCUS. The competencies should form the basis for EM-PoCUS fellowship programs in Canada.

scholarly journals Towards developing a consensus assessment framework for global emergency medicine fellowships

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haiko Kurt Jahn ◽  
James Kwan ◽  
Gerard O’Reilly ◽  
Heike Geduld ◽  
Katherine Douglass ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Working Group ◽  
Field Work ◽  
Fellowship Training ◽  
Assessment Tools ◽  
Standardized Assessments ◽  
Main Body ◽  
Validity And Reliability ◽  
Fellowship Programs ◽  
Future Work

Abstract Background The number of Global Emergency Medicine (GEM) Fellowship training programs are increasing worldwide. Despite the increasing number of GEM fellowships, there is not an agreed upon approach for assessment of GEM trainees. Main body In order to study the lack of standardized assessment in GEM fellowship training, a working group was established between the International EM Fellowship Consortium (IEMFC) and the International Federation for Emergency Medicine (IFEM). A needs assessment survey of IEMFC members and a review were undertaken to identify assessment tools currently in use by GEM fellowship programs; what relevant frameworks exist; and common elements used by programs with a wide diversity of emphases. A consensus framework was developed through iterative working group discussions. Thirty-two of 40 GEM fellowships responded (80% response). There is variability in the use and format of formal assessment between programs. Thirty programs reported training GEM fellows in the last 3 years (94%). Eighteen (56%) reported only informal assessments of trainees. Twenty-seven (84%) reported regular meetings for assessment of trainees. Eleven (34%) reported use of a structured assessment of any sort for GEM fellows and, of these, only 2 (18%) used validated instruments modified from general EM residency assessment tools. Only 3 (27%) programs reported incorporation of formal written feedback from partners in other countries. Using these results along with a review of the available assessment tools in GEM the working group developed a set of principles to guide GEM fellowship assessments along with a sample assessment for use by GEM fellowship programs seeking to create their own customized assessments. Conclusion There are currently no widely used assessment frameworks for GEM fellowship training. The working group made recommendations for developing standardized assessments aligned with competencies defined by the programs, that characterize goals and objectives of training, and document progress of trainees towards achieving those goals. Frameworks used should include perspectives of multiple stakeholders including partners in other countries where trainees conduct field work. Future work may evaluate the usability, validity and reliability of assessment frameworks in GEM fellowship training.

344 Point of Care Ultrasonography Training in Bogotá Emergency Medicine Residencies: The Unmet Need

2012 ◽  
Vol 60 (4) ◽  
pp. S122-S123
Author(s):  
P.C. Henwood ◽  
B.R. Norwood ◽  
A.A. Genthon ◽  
D. Silva ◽  
Y.B. Martinez ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Point Of Care ◽  
Unmet Need ◽  
Point Of Care Ultrasonography

Critical Care Ultrasound (DRAFT)

2018 ◽  
Author(s):  
Christopher K. Schott
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Critically Ill Patients ◽  
Patient Management ◽  
Point Of Care ◽  
Rapid Response Team ◽  
Response To Treatment ◽  
Response Team ◽  
Critical Care Ultrasound ◽  
Point Of Care Ultrasonography

Point of care ultrasonography (POCUS) is a tool that can be used at the bedside to aid in the diagnosis and treatment of critically ill patients. The ability to directly visualize physiology, pathology, and response to treatment can add valuable information in patient management particularly in time sensitive situations with acutely decompensated patients as may occur in the context of rapid response team (RRT) events. Although most of the data on POCUS to guide resuscitations has been published through emergency medicine (EM) and pre-hospital studies, the same approach can be easily adapted for in-hospital RRT events. This chapter reviews validated POCUS protocols for the assessment of hypotensive, hypoxic, or arresting patients and the ways it can be incorporated into in-hospital RRTs.

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