University of Utah, Division of Emergency Department, Salt Lake City, UT.
West J Emerg Med. 2010 Sep;11(4):314-8.
Education in emergency ultrasound (EUS) has become an essential part of emergency medicine (EM) resident training. In 2009, comprehensive residency training guidelines were published to ensure proficiency in ultrasound education. The American College of Emergency Physicians (ACEP) recommends that 150 ultrasound exams be performed for physician competency. Our goal is to evaluate the current ultrasound practices among EM residency programs and assess the need for further formalization of EUS training.
We generated a survey using an online survey tool and administered via the internet. The survey consisted of 25 questions that included multiple choice and free text answers. These online survey links were sent via email to EM ultrasound directors at all 149 American College of Graduate Medical Education EM residency programs in April 2008. We surveyed programs regarding EUS curriculum and residency proficiency requirements and descriptive statistics were used to report the survey findings.
Sixty-five residency programs responded to the survey. The average number of ultrasound exams required by programs for EUS competency was 137 scans. However, the majority of programs 42/65 (64%) require their residents to obtain 150 scans or greater for competency. Fifty-one out of 64 (79%) programs reported having a structured ultrasound curriculum while 14/64 (21%) of programs reported that EUS training is primarily resident self-directed. In terms of faculty credentialing, 29/62 (47%) of residency programs have greater than 50% of faculty credentialed. Forty-four out of 61 (72%) programs make EUS a required rotation. Thirty-four out of 63 (54%) programs felt that they were meeting all their goals for resident EUS education.
Currently discrepancies exist between EM residency programs in ultrasound curriculum and perceived needs for achieving proficiency in EUS. Although a majority of residency programs require 150 ultrasound exams or more to achieve resident competency, overall the average number of scans required by all programs is 137 exams. This number is less than that recommended by ACEP for physician competency. These data suggest that guidelines are needed to help standardize ultrasound training for all EM residency programs.
急诊超声（EUS）教育已成为急诊医学（EM）住院医师培训的重要组成部分。2009 年，发布了全面的住院医师培训指南，以确保超声教育的熟练程度。美国急诊医师学院（ACEP）建议医生应进行 150 次超声检查以达到胜任水平。我们的目标是评估 EM 住院医师培训计划中当前的超声实践，并评估进一步规范化 EUS 培训的需求。
我们使用在线调查工具生成了一份调查问卷，并通过互联网进行管理。该调查问卷由 25 个问题组成，包括多项选择题和自由文本答案。这些在线调查链接于 2008 年 4 月通过电子邮件发送给所有 149 个美国研究生医学教育 EM 住院医师培训计划的 EM 超声主任。我们调查了计划中的 EUS 课程和住院医师熟练程度要求，并使用描述性统计数据报告了调查结果。
65 个住院医师培训计划对调查做出了回应。计划要求达到 EUS 能力的超声检查平均数量为 137 次。然而，大多数计划（42/65，64%）要求其住院医师获得 150 次或更多次扫描以达到胜任水平。64 个计划中的 51 个（79%）报告有一个结构化的超声课程，而 64 个计划中的 14 个（21%）报告 EUS 培训主要是住院医师自主指导。在师资认证方面，29/62（47%）的住院医师培训计划中有超过 50%的教师获得认证。61 个计划中的 44 个（72%）将 EUS 作为必修轮转。63 个计划中的 34 个（54%）认为他们正在实现住院医师 EUS 教育的所有目标。
目前，急诊超声课程在 EM 住院医师培训计划之间存在差异，并且在实现 EUS 熟练程度方面存在差异。尽管大多数住院医师培训计划要求进行 150 次或更多次超声检查以达到住院医师的胜任水平，但总体而言，所有计划要求的平均检查次数为 137 次。这个数字低于 ACEP 对医生胜任能力的建议。这些数据表明，需要制定指南来帮助规范所有 EM 住院医师培训计划的超声培训。
