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Ann Acad Med Singap · Sep 2020
Multicenter StudyPoint-of-Care Ultrasound Training Among Intensivists in Singapore: A Multicentre Survey.
- Yie Hui Lau, Chee Hong Loh, Wee Kim Fong, Shahla Siddiqui, Chee Keat Tan, Jonathan Je Tan, and Kay Choong See.
- Department of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hospital, Singapore.
- Ann Acad Med Singap. 2020 Sep 1; 49 (9): 630-642.
IntroductionPoint of care ultrasound (POCUS) has become essential in the management of critically ill patients. Multiple POCUS training courses exist, but are not widely adopted in Singapore. Given the discordance between training supply and demand, we aimed to uncover the learning needs and barriers among intensive care medicine (ICM) doctors locally.Materials And MethodsAn anonymous online survey was carried out from January to April 2019 among ICM doctors from 6 major teaching hospitals in Singapore.Results66 out of 160 ICM specialists and trainees responded (41.3%). Although only 6% of respondents had current formal POCUS accreditation, the majority were already using critical care echocardiography (CCE) and pleural/ lung ultrasound. 93% supported having a local training programme. More than 50% of trainees wanted training in CCE, diaphragm/muscle ultrasound, airway ultrasound and ultrasound for neurological disease. More than 50% of specialists wanted training in diaphragm/muscle ultrasound, with mixed interests in other topics. The top 2 obstacles hindering POCUS training were lack of supervisors and locally based programmes.ConclusionsICM doctors who responded were supportive of a local POCUS training programme. The programme's curriculum should address the learning needs of the majority of learners, with diaphragm/muscle ultrasound being the top unmet need. The programme would need to develop supervisors and be as affordable as possible.
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