The Current State of Ultrasound Training in Canadian Emergency Medicine Programs: Perspectives From Program Directors

Kim, Daniel; Theoret, Jonathan; Liao, Michael M.; Hopkins, Emily; Woolfrey, Karen; Kendall, John L.

doi:10.1111/j.1553-2712.2012.01430.x

Cited by 27 publications

(32 citation statements)

References 8 publications

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“…27 As emergency medicine residents graduate from these programs and become champions for PoCUS in their respective rural EDs, this is likely to increase the availability of PoCUS in rural hospitals. Furthermore, of the emergency physicians surveyed nationwide by Woo et al, more than 80% predicted future use of PoCUS.…”

Section: Corrective Measuresmentioning

confidence: 99%

Barriers to point-of-care ultrasound use in rural emergency departments

Micks

Sue

Rogers

2016

CJEM

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Over the past few decades, point-of-care ultrasound (PoCUS) has come to play a major role in the practice of emergency medicine. Despite its numerous benefits, there has been a slow uptake of PoCUS use in rural emergency departments. Surveys conducted across Canada and the United States have identified a lack of equipment, training, funding, quality assurance, and an inability to maintain skills as major barriers to PoCUS use. Potential solutions include expanding residency training in ultrasound skills, extending funding for PoCUS training to rural physicians in practice, moving PoCUS training courses to rural sites, and creating telesonography training for rural physicians. With these barriers identified and solutions proposed, corrective measures must be taken so that the benefits of PoCUS are extended to patients in rural Canada where, arguably, it has the greatest potential for benefit when access to advanced imaging is not readily available.

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Section: Corrective Measuresmentioning

confidence: 99%

Barriers to point-of-care ultrasound use in rural emergency departments

Micks

Sue

Rogers

2016

CJEM

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“…12, 13 The current recommendations are that all residents be taught how to perform PoCUS; for a list of elements, see 17 Recent studies have found that tremendous variability exists in current EM-PoCUS curricula, both in the United States and Canada, [18][19][20] suggesting that guidelines are needed to ensure high-quality PoCUS training in EM residency programs. 21 Increased PoCUS research and the establishment of high-quality PoCUS fellowships would support further advancement of the field and greater acceptance of PoCUS as a core competency for all emergency physicians and increase PoCUS use in academic, community, and international EM settings.…”

Section: Abstract: Education Emergency Medicine Point-of-care Ultramentioning

confidence: 99%

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

Fischer

Woo

Lee

et al. 2015

CJEM

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Introduction: Emergency 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. Objectives: To conduct a systematic needs assessment of major stakeholders to define the essential elements necessary for a Canadian EM-PoCUS fellowship training curriculum. Methods: We carried out a national survey of experts in EMPoCUS, 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. Results: The 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. Conclusion: This 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.

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“…11 In the same year, Kim et al published a survey of POCUS training in Canadian emergency medicine residency programs. 12 Ninety-three percent of programs included formal POCUS training at the time of the study. All of these programs were offering training in focused assessment with sonography for trauma (FAST), cardiac assessment, and abdominal aortic aneurysm evaluation.…”

Section: Introductionmentioning

confidence: 99%

Emergency point-of-care ultrasound in Canadian pediatric emergency fellowship programs: current integration and future directions

Hoeffe

Desjardins

Fischer

et al. 2016

CJEM

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Background: Adult and pediatric emergency physicians have been using point-of-care ultrasound (POCUS) for many years. It is a fast, usually painless, noninvasive diagnostic tool that does not expose the patient to radiation. Information about its current implementation in pediatric emergency medicine (PEM) fellowship programs in Canada is lacking. Objective: The main goal of our study was to investigate current integration and future direction of POCUS training in Canadian PEM programs. Methods: The study consisted of two surveys designed for fellows and program directors of all Canadian PEM fellowship programs. The major aspects of the survey were 1) to describe current training in POCUS in fellowship programs, 2) to compare the kind of training that programs offer with what fellows actually receive, and 3) a needs assessment by fellows and program directors for future POCUS training programs. Surveys were sent to program directors and passed on to their fellows. Results: Ninety percent of fellowship program directors as well as 70% (42/60) of fellows responded to the survey. A formal POCUS curriculum exists in five of the nine PEM programs included in this study. Three programs offer specific pediatric POCUS training. The main application is the FAST (focused assessment with sonography for trauma) exam. Conclusion: There is a wide variation in POCUS content and delivery across PEM fellowship programs, as well as differences in perceptions of current training and of needs by fellows and program directors. However, given that both groups feel POCUS is very important and essential for PEM training, the opportunity exists to develop a standardized curriculum across Canada.

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The Current State of Ultrasound Training in Canadian Emergency Medicine Programs: Perspectives From Program Directors

Cited by 27 publications

References 8 publications

Barriers to point-of-care ultrasound use in rural emergency departments

Barriers to point-of-care ultrasound use in rural emergency departments

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

Emergency point-of-care ultrasound in Canadian pediatric emergency fellowship programs: current integration and future directions

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