Hoeffe Julia, Desjardins Marie Pier, Fischer Jason, Carriere Benoit, Gravel Jocelyn
*Division of Emergency Medicine,Department of Pediatrics,CHU Sainte-Justine,Université de Montréal,Montréal,QC.
†Division of Emergency Medicine,Department of Pediatrics,The Hospital for Sick Children,Toronto,ON.
CJEM. 2016 Nov;18(6):469-474. doi: 10.1017/cem.2016.20. Epub 2016 Mar 29.
Adult and pediatric emergency physicians have been using point-of-care ultrasound (POCUS) for many years. It is a fast, usually painless, noninvasive diagnostic tool that does not expose the patient to radiation. Information about its current implementation in pediatric emergency medicine (PEM) fellowship programs in Canada is lacking.
The main goal of our study was to investigate current integration and future direction of POCUS training in Canadian PEM programs.
The study consisted of two surveys designed for fellows and program directors of all Canadian PEM fellowship programs. The major aspects of the survey were 1) to describe current training in POCUS in fellowship programs, 2) to compare the kind of training that programs offer with what fellows actually receive, and 3) a needs assessment by fellows and program directors for future POCUS training programs. Surveys were sent to program directors and passed on to their fellows.
Ninety percent of fellowship program directors as well as 70% (42/60) of fellows responded to the survey. A formal POCUS curriculum exists in five of the nine PEM programs included in this study. Three programs offer specific pediatric POCUS training. The main application is the FAST (focused assessment with sonography for trauma) exam.
There is a wide variation in POCUS content and delivery across PEM fellowship programs, as well as differences in perceptions of current training and of needs by fellows and program directors. However, given that both groups feel POCUS is very important and essential for PEM training, the opportunity exists to develop a standardized curriculum across Canada.
成人及儿科急诊医生使用床旁超声（POCUS）已有多年。它是一种快速、通常无痛且无创的诊断工具，不会让患者受到辐射。目前缺乏关于其在加拿大儿科急诊医学（PEM）住院医师培训项目中的应用情况的信息。
我们研究的主要目标是调查POCUS培训在加拿大PEM项目中的当前整合情况及未来方向。
该研究包括针对所有加拿大PEM住院医师培训项目的学员和项目主任设计的两项调查。调查的主要方面包括：1）描述住院医师培训项目中POCUS的当前培训情况；2）比较项目提供的培训类型与学员实际接受的培训；3）学员和项目主任对未来POCUS培训项目的需求评估。调查问卷发送给项目主任，并由他们分发给学员。
90%的住院医师培训项目主任以及70%（42/60）的学员回复了调查。本研究纳入的9个PEM项目中有5个存在正式的POCUS课程。3个项目提供特定的儿科POCUS培训。主要应用是FAST（创伤超声重点评估）检查。
各PEM住院医师培训项目在POCUS的内容和授课方式上存在很大差异，学员和项目主任对当前培训及需求的看法也有所不同。然而，鉴于两组人员都认为POCUS对PEM培训非常重要且必不可少，因此有机会在加拿大开发标准化课程。
