Procedural competency in emergency medicine training

Only credentialed physicians should be performing ultrasound in emergency department: No

“…Both the New Zealand Ministry of Health and the Australian Commission on Safety and Quality in Health Care consider credentialing a process that assigns specific and contextual clinical responsibilities to health practitioners with a prime focus on patient safety . The presence of POCUS in the FACEM training programme continues to gain traction but until it is well embedded within the programme, it is acknowledged that patient safety will demand that there is a role for credentialing, ignoring the fact that competence and credentialed are not always aligned …”

Regident: A rural and regional enigma

“…The forced autonomy of working in non‐tertiary EDs serves as a reminder of the apprenticeship model that medicine was born from . Such experience provided a wealth of procedural upskilling as well as early supervision of juniors and leadership responsibilities.…”

“…1 The forced autonomy of working in non-tertiary EDs serves as a reminder of the apprenticeship model that medicine was born from. 2 Such experience provided a wealth of procedural upskilling as well as early supervision of juniors and leadership responsibilities. My provisional years were the procedural envy of my tertiary ED (TED) colleagues, encompassing lumbar punctures, thoracostomies, central venous catheter (CVC) placements and even intubations.…”

See one, do one, teach one: Is it enough? No

“…Tran et al . expand on these topics in their editorial on procedural competency for this edition . Many departments and hospitals have local online modules on more high‐risk procedures such as intubation and procedural sedation that must be completed prior to unsupervised practice.…”