Shefrin Allan Evan, Warkentine Fred, Constantine Erika, Toney Amanda, Uya Atim, Doniger Stephanie J, Sivitz Adam Brand, Horowitz Russ, Kessler David
Department of Pediatrics and Emergency Medicine University of Ottawa Ottawa ON Canada.
Department of Pediatrics University of Louisville Louisville KY.
AEM Educ Train. 2019 Mar 14;3(3):251-258. doi: 10.1002/aet2.10332. eCollection 2019 Jul.
Pediatric emergency medicine (PEM) physicians have variably incorporated point-of-care ultrasound (POCUS) into their practice. Prior guidelines describe the scope of POCUS practice for PEM physicians; however, consensus does not yet exist about which applications should be prioritized and taught as fundamental skills for PEM trainees. Members of the PEM POCUS Network (P2Network) conducted a consensus-building process to determine which applications to incorporate into PEM fellowship training.
A multinational group of experts in PEM POCUS was recruited from the P2Network and greater PEM POCUS community if they met the following criteria: performed over 1,000 POCUS scans had at least 3 years of experience teaching POCUS to PEM fellows, were a local academic POCUS leader, completed a formal PEM POCUS fellowship. Experts rated 60 possible PEM POCUS applications for their importance to include as part of a PEM fellowship curriculum using a modified Delphi consensus-building technique.
In round 1, 66 of 92 (72%) participants responded to an e-mail survey of which 48 met expert criteria and completed the survey. Consensus was reached to include 18 items in a PEM fellowship curriculum and to exclude two items. The 40 remaining items and seven additional items were considered in round 2. Thirty-seven of 48 (77%) experts completed round 2 reaching consensus to include three more items and exclude five. The remaining 39 items did not reach consensus for inclusion or exclusion.
Experts reached consensus on 21 core POCUS applications to include in PEM fellowship curricula.
儿科急诊医学（PEM）医生在其临床实践中对床旁超声（POCUS）的应用程度各不相同。先前的指南描述了PEM医生POCUS实践的范围；然而，对于哪些应用应作为PEM实习生的基本技能进行优先排序和教学，尚未达成共识。PEM POCUS网络（P2Network）的成员开展了一个建立共识的过程，以确定哪些应用应纳入PEM专科培训。
从P2Network及更大的PEM POCUS社区招募了一组多国PEM POCUS专家，条件如下：进行过超过1000次POCUS扫描；有至少3年向PEM专科住院医生教授POCUS的经验；是当地学术性POCUS带头人；完成了正式的PEM POCUS专科培训。专家们采用改良的德尔菲共识建立技术，对60种可能的PEM POCUS应用在作为PEM专科培训课程一部分的重要性进行评分。
在第一轮中，92名参与者中有66名（72%）回复了电子邮件调查，其中48名符合专家标准并完成了调查。就将18项纳入PEM专科培训课程并排除2项达成了共识。第二轮考虑了其余40项和另外7项。48名专家中有37名（77%）完成了第二轮，达成共识再纳入3项并排除5项。其余39项在纳入或排除方面未达成共识。
专家们就纳入PEM专科培训课程的21项核心POCUS应用达成了共识。
