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International Federation for Emergency Medicine Point of Care Ultrasound Curriculum

  • Paul Atkinson (a1) (a2), Justin Bowra (a3) (a4), Mike Lambert (a5), Hein Lamprecht (a6), Vicki Noble (a7) and Bob Jarman (a8) (a9)...
Abstract
Abstract

To meet a critical and growing need for a standardized approach to emergency point of care ultrasound (PoCUS) worldwide, emergency physicians must be trained to deliver and teach this skill in an accepted and reliable format. Currently, there is no globally recognized, standard PoCUS curriculum that defines the accepted applications, as well as standards for training and practice of PoCUS by specialists and trainees in emergency medicine. To address this deficit, the International Federation for Emergency Medicine (IFEM) convened a sub-committee of international experts in PoCUS to outline a curriculum for training of specialists in emergency PoCUS. This curriculum document represents the consensus of recommendations by this sub-committee. The curriculum is designed to provide a framework for PoCUS education in emergency medicine.

The focus is on the processes required to select core and enhanced applications, as well as the key elements required for the delivery of PoCUS training from introduction through to continuing professional development and skill maintenance. It is designed not to be prescriptive but to assist educators and emergency medicine leadership to advance PoCUS education in emergency medicine no matter the training venue. The content of this curriculum is relevant not just for communities with mature emergency medicine systems but in particular for developing nations or for nations seeking to develop PoCUS training programs within the current educational structure. We anticipate that there will be wide variability in how this curriculum is implemented and taught, reflecting the existing educational environment, resources and goals of educational programs.

Résumé

Afin de répondre à un besoin crucial, de plus en plus grand d’une approche normalisée de l’enseignement de l’échographie pratiquée d’urgence au point de service, et ce, partout dans le monde, les urgentologues doivent être formés pour présenter et enseigner cette compétence dans un cadre fiable et acceptable. Il n’existe pas actuellement de programme uniforme d’enseignement de l’échographie au point de service (EPS), reconnu dans le monde, qui établisse les applications acceptées, ni de normes en matière de formation en EPS et de pratique de cet examen par les spécialistes et les stagiaires en médecine d’urgence. Afin de combler cette lacune, l’International Federation for Emergency Medicine (IFEM) a réuni un sous-comité d’experts en EPS, provenant de partout dans le monde afin de tracer les grandes lignes d’un programme de formation de spécialistes en EPS d’urgence. Le présent document sur le programme fait état du consensus auquel en est arrivé le sous-comité sur les recommandations. Le programme est conçu pour fixer un cadre d’enseignement de l’EPS en médecine d’urgence.

Le comité a mis l’accent sur les processus nécessaires à la sélection des applications de base et des applications évoluées, ainsi que sur les principaux éléments nécessaires à la prestation de la formation en EPS, depuis l’introduction jusqu’à la formation professionnelle continue et au maintien des compétences. Il ne s’agit pas d’un programme normatif, mais plutôt d’un programme flexible, visant à aider les éducateurs et les responsables en médecine d’urgence à faire progresser la formation en EPS dans cette spécialité, quel que soit le lieu de formation. Le contenu du programme convient non seulement aux communautés dotées de systèmes bien rodés de médecine d’urgence, mais aussi et surtout aux pays en voie de développement ou en voie d’élaboration de programmes de formation en EPS à l’intérieur des structures actuelles d’enseignement. On s’attend à ce que l’application du programme et la prestation de l’enseignement varient énormément d’une région à une autre, mais cette disparité n’est que le reflet de la diversité actuelle des milieux éducationnels, des ressources disponibles et des buts des programmes de formation.

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Copyright
Corresponding author
Correspondence to:International Federation for Emergency Medicine, c/o Carol Reardon, Executive Officer, 34 Jeffcott Street, West Melbourne, VIC 3003, Australia; ifem@acem.org.au
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This article has been peer-reviewed by experts in point-of-care ultrasound.

Footnotes
References
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1. International Federation For Emergency Medicine (IFEM) Point Of Care Emergency Ultrasound Curriculum Guidelines; 2014. Available at: http://www.ifem.cc/site/DefaultSite/filesystem/documents/Policies%20and%20Guidelines/IFEM%20Point-of-Care%20Ultrasound%20Curriculum%20Guidelines%202014.pdf (accessed March 18, 2014).
2. American College of Emergency Physicians. Emergency ultrasound guidelines; 2008. Available at: http://www.acep.org (accessed March 18, 2014).
3. Henneberry RJ, Hanson A, Healy A, et al. Use of point of care sonography by emergency physicians. Canadian Association of Emergency Physicians Position Statement. CJEM 2012;14(2):106-112.
4. Canadian Emergency Ultrasound Society. CEUS recommended standards. Available at: http://ceus.ca/008-position_statements/008-01.advanced_applications.htm (accessed March 18, 2014).
5. College of Emergency Medicine Ultrasound Subcommittee: Emergency medicine ultrasound, level 1 training. Available at: http://www.collemergencymed.ac.uk/Training-Exams/Training/Ultrasound%20training (accessed March 18, 2014).
6. College of Emergency Medicine Ultrasound Subcommittee: Certificate in Focused Emergency Ultrasound. Available at: http://www.collemergencymed.ac.uk/Training-Exams/Training/Ultrasound%20training (accessed March 18, 2014).
7. Australasian College for Emergency Medicine. Policy on the use of bedside ultrasound by emergency physicians. Available at: https://www.acem.org.au/getattachment/797900b1-8d0d-40f7-887a-6cccb3ba7d6c/Policy-on-the-Use-of-Bedside-Ultrasound-by-Emergen.aspx (accessed March 18, 2014).
8. College of Emergency Medicine of South Africa Policy Document Emergency Ultrasound in South Africa. Part 1 – Credentialing for Emergency Ultrasound. Available at: http://academic.sun.ac.za/emergencymedicine/documents/CEM(SA)%20Emergency%20Ultrasound%20POLICY%20v3.pdf (accessed March 18, 2014).
9. Jehle D, Davis E, Evans T, et al. Emergency department sonography by emergency physicians. Am J Emerg Med 1989;7(6):605-611.
10. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Prepared for: Agency for Healthcare Research and Quality. Prepared by: University of California at San Francisco (UCSF) - Stanford University Evidence-based Practice Center. Available at: www.ahrq.gov (accessed March 18, 2013).
11. Moore CL, Copel JA. Point of Care Ultrasonography. N Engl J Med 2011;364:749-757.
12. Sidhu HS, Olubaniyi BO, Bhatnagar G, et al. Role of simulation-based education in ultrasound practice training. J Ultrasound Med 2012;31(5):785-791.
13. Filippucci E, Meenagh G, Epis O, et al. E-learning in ultrasonography: a web-based approach. Ann Rheum Dis 2007;66(7):962-965.
14. Heller M, Mandavia D, Tayal V, et al. Residency training in emergency ultrasound: Fulfilling the mandate. Acad Emerg Med 2002;9(8):835-839.
15. Reardon R, Heegaard B, Plummer D, et al. Ultrasound is a necessary skill for emergency physicians. Acad Emerg Med 2006;13(3):334-336.
16. Lanoix R, Leak LV, Gaeta T, et al. A preliminary evaluation of emergency ultrasound in the setting of an emergency medicine training program. Am J Emerg Med 2000;18(1):41-45.
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Canadian Journal of Emergency Medicine
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Supplementary Materials

Atkinson supplementary material
Appendix A

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Supplementary Materials

Atkinson supplementary material
Appendix B

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Supplementary Materials

Atkinson supplementary material
Table S1

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