Allan Evan Shefrin1, Fred Warkentine2, Erika Constantine3, Amanda Toney4, Atim Uya5, Stephanie J Doniger6,7, Adam Brand Sivitz8, Russ Horowitz9, David Kessler10. 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.
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.
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