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J Gen Intern Med. 2019 Jun 25. doi: 10.1007/s11606-019-05124-1. [Epub ahead of print]

Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group.

Author information

1
Division of General Internal Medicine, Department of Medicine, University of Calgary, Calgary, AB, Canada.
2
Department of Critical Care, Dalhousie University, Halifax, NS, Canada.
3
Internal Medicine and Critical Care Medicine Division, Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.
4
Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.
5
Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
6
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
7
Department of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada.
8
Division of General Internal Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
9
Division of General Internal Medicine, Department of Medicine, University of Calgary, Calgary, AB, Canada. ima@ucalgary.ca.

Abstract

BACKGROUND:

Curriculum development and implementation for internal medicine point-of-care ultrasound (IM POCUS) continues to be a challenge for many residency training programs. Education indicators may provide a useful framework to support curriculum development and implementation efforts across programs in order to achieve a consistent high-quality educational experience.

OBJECTIVE:

This study seeks to establish consensus-based recommendations for education indicators for IM POCUS training programs in Canada.

DESIGN:

This consensus study uses a modified nominal group technique for voting in the initial round, followed by two additional rounds of online voting, with consensus defined as agreement by at least 80% of the participants.

PARTICIPANTS:

Participants were 22 leaders with POCUS and/or education expertise from 13 Canadian internal medicine residency programs across 7 provinces.

MAIN MEASURES:

Education indicators considered were those that related to aspects of the POCUS educational system, could be presented by a single statistical measure, were readily understood, could be reliably measured to provide a benchmark for measuring change, and represented a policy issue. We excluded a priori indicators with low feasibility, are impractical, or assess learner reactions. Candidate indicators were drafted by two academic internists with post-graduate training in POCUS and medical education. These indicators were reviewed by two internists with training in quality improvement prior to presentation to the expert participants.

KEY RESULTS:

Of the 52 candidate education indicators considered, 6 reached consensus in the first round, 12 in the second, and 4 in the third round. Only 5 indicators reached consensus to be excluded; the remaining indicators did not reach consensus.

CONCLUSIONS:

The Canadian Internal Medicine Ultrasound (CIMUS) group recommends 22 education indicators be used to guide and monitor internal medicine POCUS curriculum development efforts in Canada.

KEYWORDS:

curriculum/program evaluation; internal medicine; post-graduate medical education; quality assessment; ultrasound

PMID:
31240603
DOI:
10.1007/s11606-019-05124-1

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