Critical Care Ultrasound Competency of Fellows and Faculty in Pulmonary and Critical Care Medicine: A Nationwide Survey.

Autor:	Adelman MH; Division of Pulmonary, Critical Care & Sleep Medicine, New York University Grossman School of Medicine New York, NY USA., Deshwal H; Division of Pulmonary, Critical Care, and Sleep Medicine, West Virginia University Health Sciences Center Morgantown, WV USA., Pradhan D; Division of Pulmonary, Critical Care, and Sleep Medicine, West Virginia University Health Sciences Center Morgantown, WV USA.
Jazyk:	angličtina
Zdroj:	POCUS journal [POCUS J] 2023 Nov 27; Vol. 8 (2), pp. 202-211. Date of Electronic Publication: 2023 Nov 27 (Print Publication: 2023).
DOI:	10.24908/pocus.v8i2.16640
Abstrakt:	Purpose: Competency assessment standards for Critical Care Ultrasonography (CCUS) for Graduate Medical Education (GME) trainees in pulmonary/critical care medicine (PCCM) fellowship programs are lacking. We sought to answer the following research questions: How are PCCM fellows and teaching faculty assessed for CCUS competency? Which CCUS teaching methods are perceived as most effective by program directors (PDs) and fellows. Methods: Cross-sectional, nationwide, electronic survey of PCCM PDs and fellows in accredited GME training programs. Results: PDs and fellows both reported the highest rates of fellow competence to use CCUS for invasive procedural guidance, but lower rates for assessment of deep vein thrombosis and abdominal organs. 54% and 90% of PDs reported never assessing fellows or teaching faculty for CCUS competency, respectively. PDs and fellows perceived hands-on workshops and directly supervised CCUS exams as more effective learning methods than unsupervised CCUS archival with subsequent review and self-directed learning. Conclusions: There is substantial variation in CCUS competency assessment among PCCM fellows and teaching faculty nationwide. The majority of training programs do not formally assess fellows or teaching faculty for CCUS competence. Guidelines are needed to formulate standardized competency assessment tools for PCCM fellowship programs. Competing Interests: MHA had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. MHA and DP contributed substantially to the study design, data analysis and interpretation. MHA, HD and DP contributed substantially to the writing of the manuscript. The authors have no relevant conflicts of interest to disclose. (Copyright (c) 2023 Mark Adelman, Himanshu Deshwal, Deepak Pradhan.)
Databáze:	MEDLINE
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