Literature DB >> 20162277

An international perspective on ultrasound training and use for thyroid and parathyroid disease.

Barbra S Miller1, Paul G Gauger, James T Broome, Richard E Burney, Gerard M Doherty.   

Abstract

BACKGROUND: Use of ultrasound (USN) by endocrine surgeons has dramatically increased. Presently, optimal training and certification requirements have not been standardized at any level (resident/fellow/attending). We sought to define the types of USN training endocrine surgeons receive and how USN is employed in practice. We hypothesized that in more recent years fellowship-trained endocrine surgeons were more likely to receive formal training in the use of USN during their endocrine surgery fellowship.
METHODS: A survey link was sent via email to a large group of endocrine surgeons around the world asking about the settings in which they received USN training, the type of instruction received, current use of USN, and other various questions. chi(2) analysis was performed and P < 0.05 was considered significant.
RESULTS: One hundred twenty-one surveys were collected from respondents in 27 countries. Median time from completion of residency to the present was 17 years (range = 2-49). Fifty-nine percent of both fellowship- and nonfellowship-trained endocrine surgeons currently use USN in their practice. Of those currently performing USN, 38% reported no USN training of any kind (47% international vs. 23% United States). USN experience among international and U.S. residents was not different (P = 0.27). Fifty-nine percent of respondents reported completing an endocrine surgery fellowship; of those, 85% reported no formal USN training. Forty-one percent reported not being comfortable performing USN at the completion of their endocrine surgery fellowships, requiring the presence of someone else to assist with the exam.
CONCLUSIONS: USN training among endocrine surgeons varies widely around the world. Despite an increase in the number of formal endocrine surgery fellowships offered, it does not appear that the number with formal USN training and certification has increased. Formal USN certification is achieved in only a minority of cases among practicing endocrine surgeons. It is currently unknown whether there is a difference in competency between endocrine surgeons with formal versus informal USN training.

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Year:  2010        PMID: 20162277     DOI: 10.1007/s00268-010-0481-9

Source DB:  PubMed          Journal:  World J Surg        ISSN: 0364-2313            Impact factor:   3.352


  8 in total

1.  Use of an Objective Structured Clinical Examination (OSCE) for the assessment of physician performance in the ultrasound evaluation of trauma.

Authors:  A C Sisley; S B Johnson; W Erickson; J B Fortune
Journal:  J Trauma       Date:  1999-10

2.  Statement on ultrasound examinations by surgeons. Committee on Emerging Surgical Technology and Education, American College of Surgeons.

Authors: 
Journal:  Bull Am Coll Surg       Date:  1998-06

Review 3.  Preventing complications of central venous catheterization.

Authors:  David C McGee; Michael K Gould
Journal:  N Engl J Med       Date:  2003-03-20       Impact factor: 91.245

4.  Accuracy of surgeon-performed ultrasound in parathyroid localization.

Authors:  Russell Van Husen; Lawrence T Kim
Journal:  World J Surg       Date:  2004-11       Impact factor: 3.352

5.  An evaluation of the American College of Surgeons' ultrasound education program.

Authors:  Edgar D Staren; M Margaret Knudson; Grace S Rozycki; Jay K Harness; David C Wherry; Steven R Shackford
Journal:  Am J Surg       Date:  2006-04       Impact factor: 2.565

6.  Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature.

Authors:  A G Randolph; D J Cook; C A Gonzales; C G Pribble
Journal:  Crit Care Med       Date:  1996-12       Impact factor: 7.598

7.  A sonographically guided technique for central venous access.

Authors:  U K Teichgräber; T Benter; M Gebel; M P Manns
Journal:  AJR Am J Roentgenol       Date:  1997-09       Impact factor: 3.959

8.  The status of ultrasonography training and use in general surgery residency programs.

Authors:  Marilee L Freitas; Spiros G Frangos; Heidi L Frankel
Journal:  J Am Coll Surg       Date:  2006-01-18       Impact factor: 6.113

  8 in total
  4 in total

1.  All thyroid ultrasound evaluations are not equal: sonographers specialized in thyroid cancer correctly label clinical N0 disease in well differentiated thyroid cancer.

Authors:  Sarah C Oltmann; David F Schneider; Herbert Chen; Rebecca S Sippel
Journal:  Ann Surg Oncol       Date:  2014-09-19       Impact factor: 5.344

2.  Surgeon-performed ultrasound is superior to 99Tc-sestamibi scanning to localize parathyroid adenomas in patients with primary hyperparathyroidism: results in 516 patients over 10 years.

Authors:  Brian R Untch; Mohamed Abdelgadir Adam; Randall P Scheri; Kyla M Bennett; Darshana Dixit; Cynthia Webb; George S Leight; John A Olson
Journal:  J Am Coll Surg       Date:  2011-04       Impact factor: 6.113

3.  Utility of surgeon-performed pre-operative ultrasound in the localisation of parathyroid adenomas.

Authors:  Paul Rs Thomas; Andrew D Beggs; Thang S Han
Journal:  JRSM Cardiovasc Dis       Date:  2019-06-19

4.  Scientific Publications on Thyroid Ultrasound between 2001 and 2020: Differences in Research Characteristics by Disciplines.

Authors:  Won Chul Shin; Chae Woon Lee; Jiyeon Ha; Kyoung Ja Lim; Young Lan Seo; Eun Joo Yun; Dae Young Yoon
Journal:  Korean J Radiol       Date:  2022-06-20       Impact factor: 7.109

  4 in total

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