Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Department of Paediatrics, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
Pediatr Res. 2018 Jul;84(Suppl 1):13-17. doi: 10.1038/s41390-018-0078-9.
There is a growing interest worldwide in using echocardiography in the neonatal unit to act as a complement to the clinical assessment of the hemodynamic status of premature and term infants. However, there is a wide variation in how this tool is implemented across many jurisdictions, the level of expertise, including the oversight of this practice. Over the last 5 years, three major expert consensus statements have been published to provide guidance to neonatologists performing echocardiography, with all recommending a structured training program and clinical governance system for quality assurance. Neonatal practice in Europe is very heterogeneous and the proximity of neonatal units to pediatric cardiology centers varies significantly. Currently, there is no overarching governance structure for training and accreditation in Europe. In this paper, we provide a brief description of the current training recommendations across several jurisdictions including Europe, North America, and Australia and describe the steps required to achieve a sustainable governance structure with the responsibility to provide accreditation to neonatologist performed echocardiography in Europe.
目前，全世界都越来越关注在新生儿病房中使用超声心动图，将其作为对早产儿和足月儿血流动力学状态进行临床评估的补充手段。然而，在许多司法管辖区，该工具的实施方式、专业水平（包括对此类实践的监督）存在很大差异。在过去的 5 年中，已经发表了三份主要的专家共识声明，为进行超声心动图检查的新生儿科医生提供指导，所有这些声明都建议建立一个结构化的培训计划和临床治理系统，以确保质量。欧洲的新生儿科实践非常多样化，新生儿病房与儿科心脏病中心的距离也有很大差异。目前，欧洲在培训和认证方面没有总体治理结构。本文简要介绍了包括欧洲、北美和澳大利亚在内的几个司法管辖区的当前培训建议，并描述了实现可持续治理结构所需的步骤，该结构负责为欧洲的新生儿科医生进行的超声心动图检查提供认证。
