Keith S Boniface1, Aaran Drake1, Matthew Pyle1, Fabith Moideen2, Sanjay Mehta3, Venugopal Poovathumparambil4, Hamid Shokoohi1,5, Katherine Douglass1. 1. Department of Emergency Medicine The George Washington University Washington DC. 2. Department of Emergency Medicine Baby Memorial Hospital Calicut Kerala India. 3. Department of Emergency Medicine Kokilaben Dhirubhai Ambani Hospital Mumbai India. 4. Department of Emergency Medicine Aster DM Healthcare Kochi Kerala India. 5. Department of Emergency Medicine Massachusetts General Hospital Boston MA.
Abstract
BACKGROUND: Point-of-care ultrasound (POCUS) is important to the practice of emergency medicine (EM), but requires training to achieve competence. The purpose of this study was to describe the current state of POCUS practice and perceived barriers to the implementation in EM training programs in India. METHODS: A cross-sectional survey consisting of 28 questions was administered to 378 faculty and residents in postgraduate EM training programs across India. RESULTS: Data were collected from 159 physicians from 16 institutions; 76% of them were EM residents, with a response rate of 42%. Respondents overwhelmingly reported high interest (91%) in learning POCUS topics. Respondents identified highest levels of comfort with the performance and interpretation of trauma ultrasound (US) and echocardiography. Conversely, there was a scarce interest and low levels of competence in performing obstetric US, which may be a result of the practice of triaging these complaints to obstetricians and gynecologists. Lack of US equipment and dedicated training were the highest rated barriers by a significant margin, which 56% of respondents ranked as "very important." CONCLUSIONS: While significant interest in POCUS exists among the Indian EM physicians, comfort and competence were limited to trauma and echocardiography applications. Expansion of and comfort with POCUS use in these settings may be sought through improvement of access to US equipment and a dedicated US curriculum.
BACKGROUND: Point-of-care ultrasound (POCUS) is important to the practice of emergency medicine (EM), but requires training to achieve competence. The purpose of this study was to describe the current state of POCUS practice and perceived barriers to the implementation in EM training programs in India. METHODS: A cross-sectional survey consisting of 28 questions was administered to 378 faculty and residents in postgraduate EM training programs across India. RESULTS: Data were collected from 159 physicians from 16 institutions; 76% of them were EM residents, with a response rate of 42%. Respondents overwhelmingly reported high interest (91%) in learning POCUS topics. Respondents identified highest levels of comfort with the performance and interpretation of trauma ultrasound (US) and echocardiography. Conversely, there was a scarce interest and low levels of competence in performing obstetric US, which may be a result of the practice of triaging these complaints to obstetricians and gynecologists. Lack of US equipment and dedicated training were the highest rated barriers by a significant margin, which 56% of respondents ranked as "very important." CONCLUSIONS: While significant interest in POCUS exists among the Indian EM physicians, comfort and competence were limited to trauma and echocardiography applications. Expansion of and comfort with POCUS use in these settings may be sought through improvement of access to US equipment and a dedicated US curriculum.
Authors: Keith S Boniface; Aislynn Raymond; Katelyn Fleming; James Scott; Vanessa B Kerry; Tenagne Haile-Mariam; Sadath Sayeed; Hamid Shokoohi Journal: Am J Emerg Med Date: 2018-08-27 Impact factor: 2.469
Authors: Amit Gupta; Brad Peckler; Michael B Stone; Michael Secko; L R Murmu; Praveen Aggarwal; Sagar Galwankar; Sanjeev Bhoi Journal: J Emerg Trauma Shock Date: 2010-04