Creation of a novel course for the advanced emergency medicine ultrasound focused practice designation examination

Abstract

Introduction The American Board of Emergency Medicine recently established a new certification pathway in advanced emergency medicine ultrasound (AEMUS). Eligible applicants come from a wide range of experience but must pass the same examination to become certified. This study sought to evaluate a novel review course targeting a wide range of learners for a new examination. Methods This was a cross‐sectional study evaluating the outcomes of the American College of Emergency Physicians (ACEP) AEMUS review course. The program evaluation survey was designed to collect outcomes across multiple Kirkpatrick levels, including overall satisfaction, topic‐specific satisfaction, topic‐specific coverage, topic‐specific confidence before and after the course, topic‐specific perceived knowledge before and after the course, and changes in practice. Results Seventy‐four of 79 participants (93.7%) completed the survey. Mean course satisfaction was 4.59/5.00 (95% CI 4.47–4.72). Confidence to pass examination components increased for the following topics: administration, advanced left ventricle (LV), education, head and neck, hepatobiliary, male genitourinary, musculoskeletal, nonobstetric gynecology, pediatrics, physics, procedures, research, right ventricle, and venous/arterial. Perceived knowledge increased for the following topics: administration, advanced LV, education, head and neck, male genitourinary, musculoskeletal, pediatrics, physics, procedures, renal/bladder, research, right ventricle, and venous/arterial. Fifty‐three of 74 participants (71.6%) stated they would change their practice based on the course. Examples of changes in practice include increased use of ultrasound for advanced abdominal, musculoskeletal, pediatric, and procedural applications. Future work will determine the impact on longer‐term outcomes and focused practice designation (FPD) examination pass rates. Conclusion The ACEP AEMUS FPD review course demonstrated high levels of satisfaction, increased participant confidence, increased perceived knowledge, and several self‐reported changes in participants' ultrasound practice.

Trends in point‐of‐care ultrasound use among emergency medicine residency programs over a 10‐year period

“…It has also become more ubiquitous within EM, possibly stemming from data demonstrating benefits in patient care across several applications 13 . Moreover, ultrasound fellowship–trained EM faculty are also increasing, with a positive effect on resident education 14,15 . Increased billing for POCUS may have further increased clinical use.…”

“…13 Moreover, ultrasound fellowship-trained EM faculty are also increasing, with a positive effect on resident education. 14,15 Increased billing for POCUS may have further increased clinical use.…”