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Point of care ultrasound training in Canadian emergency medicine residency programs

Canadian Journal of Emergency Medicine Aims and scope Submit manuscript

Abstract

Objectives

Point of care ultrasound (POCUS) has been endorsed as an important clinical tool by the Canadian Association of Emergency Physicians (CAEP) and is a training objective of emergency medicine (EM) residency programs accredited by both the Royal College of Physicians and Surgeons of Canada (RCPSC) and the College of Family Physicians of Canada (CFPC). Our objectives are to describe the national state of POCUS training in RCPSC-EM and CFPC-EM residency programs and to evaluate the implementation of the CAEP core POCUS curriculum in these programs.

Methods

This was an online survey study of all POCUS education leads for both RCPSC-EM and CFPC-EM programs. The survey queried participants on program demographics, description of POCUS training, methods of POCUS assessment, and implementation of the CAEP core POCUS curriculum.

Results

The response rate was 100% (39/39). All RCPSC-EM and CFPC-EM programs provide POCUS training for their residents, and 100% of RCPSC-EM programs and 91% (20/22) of CFPC-EM programs have a POCUS lead. All programs provide POCUS training for their residents, but there is variability in how POCUS is introduced to residents, ongoing POCUS instruction provided throughout residency, and POCUS assessment. Only 47% (8/17) of RCPSC-EM and 32% (7/22) of CFPC-EM programs have a quality assurance process for the use of POCUS by their residents. POCUS leads believe their residents are proficient in the CAEP core POCUS applications by the end of training except for advanced cardiac and thoracic ultrasound.

Conclusions

POCUS training in Canadian EM programs is prevalent, but there is variability in support for POCUS leads, delivery of training, determination of proficiency, and presence of quality assurance. While almost all programs deliver POCUS education aligning with the CAEP core POCUS curriculum position statement, more support is required both locally and nationally for sharing best practices for POCUS education.

Résumé

Objectifs

L'échographie ciblée a été reconnue comme un outil clinique important par l'Association canadienne des médecins d'urgence (ACMU) et constitue un objectif de formation des programmes de résidence en médecine d'urgence (MU) agréés par le Collège royal des médecins et chirurgiens du Canada (CRMCC) et le Collège des médecins de famille du Canada (CMFC). Nos objectifs sont de décrire l'état national de la formation en échographie ciblée dans les programmes de résidence du CRMCC(MU) et du CMFC(MU) et d'évaluer la mise en œuvre du programme d'études en échographie ciblée de base d’ACMU dans ces programmes.

Méthodes

Il s'agissait d'une étude par sondage en ligne auprès de tous les responsables de l'éducation en échographie ciblée pour les programmes CRMCC(MU) et CMFC(MU). L'enquête interrogeait les participants sur les données démographiques du programme, la description de la formation en échographie ciblée, les méthodes d'évaluation en échographie ciblée et la mise en œuvre du programme de base en échographie ciblée d’ACMU.

Résultats

Le taux de réponse a été de 100% (39/39). Tous les programmes CRMCC(MU) et CMFC(MU) offrent une formation en échographie ciblée à leurs résidents, et 100 % des programmes CRMCC(MU) et 91 % (20/22) des programmes CMFC(MU) ont un responsable d'échographie ciblée. Tous les programmes offrent une formation en échographie ciblée à leurs résidents, mais la façon dont l'échographie ciblée est présentée aux résidents, l'enseignement continu d'échographie ciblée tout au long de la résidence et l'évaluation de l'échographie ciblée varient. Seulement 47 % (8/17) des programmes CRMCC(MU) et 32 % (7/22) des programmes CMFC(MU) ont un processus d'assurance de la qualité pour l'utilisation d'une échographie ciblée par leurs résidents. Les responsables d'échographie ciblée estiment que leurs résidents maîtrisent les applications de base en échographie ciblée d’ACMU à la fin de la formation, sauf pour l'échographie cardiaque et thoracique avancée.

Conclusions

La formation en échographie ciblée dans les programmes canadiens de MU est répandue, mais il existe une variabilité dans le soutien aux responsables d'échographie ciblée, la prestation de la formation, la détermination de la compétence et la présence d'une assurance qualité. Bien que presque tous les programmes offrent une formation en échographie ciblée qui s’harmonise avec l’énoncé de position du curriculum de base d’ACMU, il faut davantage de soutien à l’échelle locale et nationale pour partager les pratiques exemplaires en matière d’éducation en échographie ciblée.

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References

  1. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749–57.

    Article  CAS  Google Scholar 

  2. Socransky S. Emergency department targeted ultrasound: 2006 update. CJEM. 2006;8(3):170–4.

    Article  Google Scholar 

  3. Henneberry R, Hanson A, Healey A, Hebert G, Ip U, Mensour M, et al. Use of point of care sonography by emergency physicians. CJEM. 2012;14(2):106–12.

    Article  Google Scholar 

  4. Lewis D, Rang L, Kim D, Robichaud L, Kwan C, Pham C, et al. Recommendations for the use of point-of-care ultrasound (POCUS) by emergency physicians in Canada. CJEM. 2019;21(6):721–6.

    Article  Google Scholar 

  5. Royal College of Physicians and Surgeons of Canada. Objectives of Training in the Specialty of Emergency Medicine. Available at: https://www.royalcollege.ca/rcsite/documents/ibd/emergency_otr_e.pdf. Accessed 6 Jan 2021.

  6. The College of Family Physicians of Canada. Emergency Medicine Key Features of the Priority Topics for the Assessment of Competence in Family Medicine at the Enhanced Skills Level. Available at: https://www.cfpc.ca/CFPC/media/Images/PDF/EM_KF-2017_Final_ENG.pdf. Accessed 6 Jan 2021.

  7. Olszynski P, Kim D, Chenkin J, Rang L. The core emergency ultrasound curriculum project: a report from the curriculum working group of the CAEP emergency ultrasound committee. CJEM. 2018;20(2):176–82.

    Article  Google Scholar 

  8. Olszynski P, Kim DJ, Chenkin J, Rang L, Group members of the CEUC curriculum working. The CAEP emergency ultrasound curriculum—objectives and recommendations for implementation in postgraduate training: executive summary. CJEM. 2018;20(5):736–8.

    Article  Google Scholar 

  9. Kim DJ, Theoret J, Liao MM, Hopkins E, Woolfrey K, Kendall JL. The current state of ultrasound training in Canadian emergency medicine programs: perspectives from program directors. Acad Emerg Med. 2012;19(9):E1073-1078.

    Article  Google Scholar 

  10. Royal College of Physicians and Surgeons of Canada. CBD Launch Schedule. Available at: https://www.royalcollege.ca/rcsite/documents/cbd-community-touchpoint/cbd-rollout-schedule-e. Accessed 6 Jan 2021.

  11. Mok D, Schwarz SKW, Rondi K. Point-of-care ultrasonography in Canadian anesthesiology residency programs: a national survey of program directors. Can J Anaesth. 2017;64(10):1023–36.

    Article  Google Scholar 

  12. Mosier JM, Malo J, Stolz LA, Bloom JW, Reyes NA, Snyder LS, et al. Critical care ultrasound training: a survey of US fellowship directors. J Crit Care. 2014;29(4):645–9.

    Article  Google Scholar 

  13. Royal College of Physicians and Surgeons of Canada. Acute Care Point of Care Ultrasonography (POCUS). Available at: https://www.royalcollege.ca/rcsite/documents/ibd/acute-care-ultrasonography-pocus-info-e. Accessed 18 Aug 2021.

  14. Adhikari S, Raio C, Morrison D, Tsung J, Leech S, Meer J, et al. Do emergency ultrasound fellowship programs impact emergency medicine residents’ ultrasound education? J Ultrasound Med. 2014;33(6):999–1004.

    Article  Google Scholar 

  15. Kim DJ, Thiessen M, Strony R. Point-of-care ultrasound credentialing: big picture principles for big health systems. Jt Comm J Qual Patient Saf. 2020;46(8):435–7.

    PubMed  Google Scholar 

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Correspondence to Daniel J. Kim.

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Conflict of interest

PO, DJWS, EL, and MYW do not report any conflicts of interest. DJK is on the medical advisory board of Clarius Mobile Health.

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Kim, D.J., Olszynski, P., Smith, D.J.W. et al. Point of care ultrasound training in Canadian emergency medicine residency programs. Can J Emerg Med 24, 329–334 (2022). https://doi.org/10.1007/s43678-022-00269-1

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  • DOI: https://doi.org/10.1007/s43678-022-00269-1

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