The Variable Journey in Learning to Interpret Pediatric Point‐of‐care Ultrasound Images: A Multicenter Prospective Cohort Study

Kwan, Charisse; Pusic, Martin; Pecaric, Martin; Weerdenburg, Kirstin; Tessaro, Mark O.; Boutis, Kathy

doi:10.1002/aet2.10375

Cited by 26 publications

(41 citation statements)

References 37 publications

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“…Another study designed an online learning platform to train paediatric emergency medicine physicians and reported the performance of the trainees [ 101 ]. The learning platform consisted of 100 cases (including short clinical presentation, video, images) per application (e.g., FAST, lung, cardiac) and trainees had to distinguish pathology from normal anatomy.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, clinically important missed diagnoses have been reported [39], underlining the need for proper training of non-radiologists. This scoping review makes clear that no [99] 2016 Canada Emergency Survey Radiology rotation (28%), official course (45%), no training (28%) Kornblith [100] 2015 USA Emergency Survey Not specified Kwan [101] 2019 Based on the included studies, effective training could start with a short introduction lecture, followed by an online training program (e.g., Kwan et al [101]), which can be followed at home, and such training could conclude with a nonradiologist point-of-care US rotation in the emergency department, radiology department or both. In the included studies, a basic training of just 1-2 h was found to be sufficient for physicians performing dedicated single-organ point-of-care US exams.…”

Section: Discussionmentioning

confidence: 99%

“…The first is a study from a paediatric critical care department that reported initial efforts, structure, and progress within the division and institution to train and credential physicians [97]. Physicians were trained as follows: they first participated in a Another study designed an online learning platform to train paediatric emergency medicine physicians and reported the performance of the trainees [101]. The learning platform consisted of 100 cases (including short clinical presentation, video, images) per application (e.g., FAST, lung, cardiac) and trainees had to distinguish pathology from normal anatomy.…”

Section: Studies Reporting Efforts and Outcomes Of General Training Strategies For Non-radiologist Point-of-care Ultrasoundmentioning

confidence: 99%

“…[6,7,23,30, 31, 38, 39,[96][97][98][99][100][101][102][103][104]). We subdivided these publications into three categories: (1) studies reporting efforts and outcomes of general training strategies for non-radiologist point-of-care US, (2) studies reporting training strategies for a dedicated application of nonradiologist point-of-care US and (3) surveys that reported the state of non-radiologist point-of-care US use and training in paediatric medicine.…”

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confidence: 99%

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Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics — a scoping review

et al. 2021

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Background Historically, US in the paediatric setting has mostly been the domain of radiologists. However, in the last decade, there has been an uptake of non-radiologist point-of-care US. Objective To gain an overview of abdominal non-radiologist point-of-care US in paediatrics. Materials and methods We conducted a scoping review regarding the uses of abdominal non-radiologist point-of-care US, quality of examinations and training, patient perspective, financial costs and legal consequences following the use of non-radiologist point-of-care US. We conducted an advanced search of the following databases: Medline, Embase and Web of Science Conference Proceedings. We included published original research studies describing abdominal non-radiologist point-of-care US in children. We limited studies to English-language articles from Western countries. Results We found a total of 5,092 publications and selected 106 publications for inclusion: 39 studies and 51 case reports or case series on the state-of-art of abdominal non-radiologist point-of-care US, 14 on training of non-radiologists, and 1 each on possible harms following non-radiologist point-of-care US and patient satisfaction. According to included studies, non-radiologist point-of-care US is increasingly used, but no standardised training guidelines exist. We found no studies regarding the financial consequences of non-radiologist point-of-care US. Conclusion This scoping review supports the further development of non-radiologist point-of-care US and underlines the need for consensus on who can do which examination after which level of training among US performers. More research is needed on training non-radiologists and on the costs-to-benefits of non-radiologist point-of-care US.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Studies Reporting Efforts and Outcomes Of General Training Strategies For Non-radiologist Point-of-care Ultrasoundmentioning

confidence: 99%

mentioning

confidence: 99%

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Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics — a scoping review

et al. 2021

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“…19 In 2 other studies in which researchers evaluated family medicine and internal medicine residents, residents who saw more patients scored higher on intraining examinations. 20,[21][22][23] Given this association between exposure and competency, it is, therefore, important for residency programs to consider tracking resident-level patient exposures during the pandemic. It is also important to recognize that concerns about competency may impact intern confidence in medical decision-making, particularly as they gain additional autonomy at the end of intern year.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Intern Clinical Exposure During the COVID-19 Pandemic

Geanacopoulos¹,

Sundheim²,

Greco³

et al. 2021

Hospital Pediatrics

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BACKGROUND AND OBJECTIVES: Pediatric health care encounters declined during the coronavirus disease 2019 (COVID-19) pandemic, and pediatric residency programs have adapted trainee schedules to meet the needs of this changing clinical environment. We sought to evaluate the impact of the pandemic on pediatric interns' clinical exposure. METHODS:In this retrospective cohort study, we quantified patient exposure among pediatric interns from a single large pediatric residency program at a freestanding children's hospital. Patient encounters and shifts per pediatric intern in the inpatient and emergency department settings were evaluated during the COVID-19 pandemic, from March to June 2020, as compared with these 3 months in 2019. Patient encounters by diagnosis were also evaluated. RESULTS:The median number of patient encounters per intern per 2-week block declined on the pediatric hospital medicine service (37.5 vs 27.0; P < .001) and intensive care step-down unit (29.0 vs 18.8; P = .004) during the pandemic. No significant difference in emergency department encounters was observed (63.0 vs 40.5; P = .06). The median number of shifts worked per intern per 2-week block also decreased on the pediatric hospital medicine service (10.5 vs 9.5, P < .001). Across all settings, there were more encounters for screening for infectious disease and fewer encounters for respiratory illnesses.CONCLUSIONS: Pediatric interns at the onset of the COVID-19 pandemic were exposed to fewer patients and had reduced clinical schedules. Careful consideration is needed to track and supplement missed clinical experiences during the pandemic.

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