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Pediatric emergency care · Feb 2023
Pediatric Emergency Medicine Faculty Response to Point-of-Care Ultrasound Credentialing Curriculum.
- Benjamin K Nti, Sarah Kennedy, Elisa Sarmiento, Elizabeth Weinstein, and Frances Russell.
- Division of Clinical Ultrasound, Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.
- Pediatr Emerg Care. 2023 Feb 1; 39 (2): e35e40e35-e40.
ObjectivesAs point-of-care ultrasound (POCUS) continues to evolve in pediatric emergency medicine (PEM), new protocols and curricula are being developed to help establish the standards of practice and delineate training requirements. New suggested guidelines continue to improve, but a national standard curriculum for training and credentialing PEM providers is still lacking. To understand the barriers and perception of curriculum implementation for PEM providers, we created an ultrasound program at our institution and observed attitudes and response to training.MethodsFourteen PEM-fellowship-trained faculty with limited to no previous experience with POCUS underwent training within a 12-month time frame using a modified practice-based training that included didactics, knowledge assessment, and hands-on practice. As part of the curriculum, the faculty completed a 3-phase survey before, after, and 6 months after completion of the curriculum.ResultsThere was a 100%, 78.6%, and 71.4% response rate for the presurvey, postsurvey, and 6 months postsurvey, respectively. Lack of confidence with using POCUS went from 100% on the presurvey to 57% on the postsurvey and down to 30% on the 6th month postsurvey. All other barriers also decreased from precurriculum to postcurriculum, except for length of time to perform POCUS. Participants rated the curriculum highly, with a mean Likert score and standard error of the mean at 3.9 ± 0.73, respectively. The average rating for whether POCUS changed clinical practice was low (2.6 ± 1.34).ConclusionThese results show that a simplified structured curriculum can improve perception of POCUS and decrease barriers to usage while helping to understand obstacles for implementation of POCUS among PEM-fellowship-trained faculty.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
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