• Resa E Lewiss, Turandot Saul, and Marina Del Rios.
• Emergency Ultrasound Division, Department of Emergency Medicine, St Luke's-Roosevelt Hospital Center, New York, New York, USA.
• BMJ Open. 2013 Jan 1;3(8):e003502.

ObjectiveAlthough there are training guidelines to credential emergency physicians in bedside ultrasound, many faculty groups have members who completed residency without a mandatory curriculum. These physicians are therefore required to learn bedside ultrasound while out in practice. The objective of this descriptive report is to illustrate a single academic facility's experience with acquiring credentials for emergency physicians in bedside ultrasound and the faculty's impressions on the motivators of and barriers to completion of the requirements.DesignCross-sectional survey.SettingTwo urban teaching hospitals with a combined volume of 170 000 visits a year.Participants41 emergency medicine attending physicians.InterventionEmergency medicine attending physicians underwent training and credentialing in the applications of aorta and pelvic ultrasound over a 9-month period.Outcome MeasureAfter the credentialing period, we conducted a survey to evaluate the physicians' perceptions of this process.ResultsThere were 41 faculty members during the credentialing survey period. 11 of the faculty members were exempt from ultrasound training. We asked attending physicians (N=41 exempt and non-exempt) to complete a web-based survey after the completion of the credentialing period. Questions about the potential barriers and incentives were listed and responders were asked to rank answers on a five-point Likert scale. Of the 31 respondents, 21 (67.7%) completed the credentialing requirements by the 9-month deadline. 19 of 26 emergency medicine residency trained physicians completed the requirements compared with 2/5 of those that were not emergency medicine residency trained. Our pilot study data suggest an association between fewer years in practice and completion of the requirements.ConclusionsThis is a report on a single academic institution's experience with a faculty credentialing programme in bedside ultrasound for physicians with a diversity of prior experience in bedside ultrasonography. We describe the success of the credentialing process and identify survey-based faculty characteristics associated with fulfilling the requirements.

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