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AEM Educ Train. 2019 Mar 14;3(3):251-258. doi: 10.1002/aet2.10332. eCollection 2019 Jul.

Consensus Core Point-of-care Ultrasound Applications for Pediatric Emergency Medicine Training.

Author information

1
Department of Pediatrics and Emergency Medicine University of Ottawa Ottawa ON Canada.
2
Department of Pediatrics University of Louisville Louisville KY.
3
Division of Pediatric Emergency Medicine Alpert Medical School of Brown University Providence RI.
4
Department of Emergency Medicine Denver Health Medical Center University of Colorado School of Medicine Aurora CO.
5
Department of Pediatrics University of California at San Diego San Diego CA.
6
Department of Emergency Medicine New York University Winthrop Mineola NY.
7
St. Christopher's Hospital for Children Philadelphia PA.
8
Department of Emergency Medicine Newark Beth Israel Medical Center Children's Hospital of New Jersey Newark NJ.
9
Department of Pediatrics Feinberg School of Medicine Northwestern University Chicago IL.
10
Department of Emergency Medicine Columbia University Vagelos College of Physicians and Surgeons New York NY.

Abstract

Background:

Pediatric emergency medicine (PEM) physicians have variably incorporated point-of-care ultrasound (POCUS) into their practice. Prior guidelines describe the scope of POCUS practice for PEM physicians; however, consensus does not yet exist about which applications should be prioritized and taught as fundamental skills for PEM trainees. Members of the PEM POCUS Network (P2Network) conducted a consensus-building process to determine which applications to incorporate into PEM fellowship training.

Methods:

A multinational group of experts in PEM POCUS was recruited from the P2Network and greater PEM POCUS community if they met the following criteria: performed over 1,000 POCUS scans and had at least 3 years of experience teaching POCUS to PEM fellows, were a local academic POCUS leader, or completed a formal PEM POCUS fellowship. Experts rated 60 possible PEM POCUS applications for their importance to include as part of a PEM fellowship curriculum using a modified Delphi consensus-building technique.

Results:

In round 1, 66 of 92 (72%) participants responded to an e-mail survey of which 48 met expert criteria and completed the survey. Consensus was reached to include 18 items in a PEM fellowship curriculum and to exclude two items. The 40 remaining items and seven additional items were considered in round 2. Thirty-seven of 48 (77%) experts completed round 2 reaching consensus to include three more items and exclude five. The remaining 39 items did not reach consensus for inclusion or exclusion.

Conclusion:

Experts reached consensus on 21 core POCUS applications to include in PEM fellowship curricula.

PMID:
31360818
PMCID:
PMC6637013
[Available on 2020-03-14]
DOI:
10.1002/aet2.10332

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