Needs Assessment of Musculoskeletal Ultrasound Training in North American Pediatric Rheumatology Fellowship Programs.

Autor: Perron MM; University of Colorado School of Medicine & Children's Hospital Colorado, Aurora., Ziniel SI; University of Colorado School of Medicine & Children's Hospital Colorado, Aurora., Curran M; University of Colorado School of Medicine & Children's Hospital Colorado, Aurora., Bloom JL; University of Colorado School of Medicine & Children's Hospital Colorado, Aurora., Vega-Fernandez P; University of Cincinnati and Cincinnati Children's Hospital Medical Center, Ohio., Benham H; UT Southwestern Medical Center and Scottish Rite for Children, Dallas, Texas., Torralba K; Loma Linda University School of Medicine, California., De Ranieri D; Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Lin C; University of Colorado School of Medicine & Children's Hospital Colorado, Aurora.
Jazyk: angličtina
Zdroj: Arthritis care & research [Arthritis Care Res (Hoboken)] 2024 Aug; Vol. 76 (8), pp. 1116-1120. Date of Electronic Publication: 2024 May 07.
DOI: 10.1002/acr.25337
Abstrakt: Objective: Musculoskeletal ultrasound (MSUS) is widely used in adult rheumatology practice for diagnosis of arthritis and procedural guidance; however, it is not yet common practice in pediatric rheumatology. MSUS is advantageous to the pediatric population because it lacks radiation and eliminates need for sedation. This study aims to assess interest in, access to, and barriers to MSUS training in pediatric rheumatology fellowship programs in North America.
Methods: A survey was developed by pediatric rheumatology providers with experience in medical and/or MSUS education and distributed via REDCap anonymously in March 2022 (Supplementary Material). Eligible participants included current and recently graduated (<1 year) pediatric rheumatology fellows at a North American program. Descriptive statistics and bivariate analyses using design-based Pearson chi-squared tests were performed.
Results: Overall response rate was 78% (88/113), and 75% reported some form of MSUS training during fellowship. Only 36% indicated their program had a formal MSUS curriculum. Of those with MSUS training, 23% reported adult-only MSUS education. Eighty-four percent felt MSUS would be beneficial to their career. Major barriers to MSUS training included lack of MSUS-trained faculty, lack of time, and lack of hands-on MSUS sessions. Those who had access to MSUS training were significantly more interested in MSUS than those without (P = 0.0036).
Conclusion: This study demonstrates that North American pediatric rheumatology fellows have a strong interest in learning MSUS, but they face significant challenges in accessing MSUS training (lack of MSUS-trained faculty, time, and access to hands-on training). MSUS should be incorporated into fellowship curriculum; however, implementation remains a challenge.
(© 2024 American College of Rheumatology.)
Databáze: MEDLINE
Externí odkaz: