加拿大急诊医学住院医师培训中的即时超声培训。

Point of care ultrasound training in Canadian emergency medicine residency programs.

机构信息

Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.

Department of Emergency Medicine, Vancouver General Hospital, 855 12th Ave W, Vancouver, BC, V5Z 1M9, Canada.

出版信息

CJEM. 2022 Apr;24(3):329-334. doi: 10.1007/s43678-022-00269-1. Epub 2022 Mar 3.

DOI:10.1007/s43678-022-00269-1

PMID:35239169

Abstract

OBJECTIVES

Point of care ultrasound (POCUS) has been endorsed as an important clinical tool by the Canadian Association of Emergency Physicians (CAEP) and is a training objective of emergency medicine (EM) residency programs accredited by both the Royal College of Physicians and Surgeons of Canada (RCPSC) and the College of Family Physicians of Canada (CFPC). Our objectives are to describe the national state of POCUS training in RCPSC-EM and CFPC-EM residency programs and to evaluate the implementation of the CAEP core POCUS curriculum in these programs.

METHODS

This was an online survey study of all POCUS education leads for both RCPSC-EM and CFPC-EM programs. The survey queried participants on program demographics, description of POCUS training, methods of POCUS assessment, and implementation of the CAEP core POCUS curriculum.

RESULTS

The response rate was 100% (39/39). All RCPSC-EM and CFPC-EM programs provide POCUS training for their residents, and 100% of RCPSC-EM programs and 91% (20/22) of CFPC-EM programs have a POCUS lead. All programs provide POCUS training for their residents, but there is variability in how POCUS is introduced to residents, ongoing POCUS instruction provided throughout residency, and POCUS assessment. Only 47% (8/17) of RCPSC-EM and 32% (7/22) of CFPC-EM programs have a quality assurance process for the use of POCUS by their residents. POCUS leads believe their residents are proficient in the CAEP core POCUS applications by the end of training except for advanced cardiac and thoracic ultrasound.

CONCLUSIONS

POCUS training in Canadian EM programs is prevalent, but there is variability in support for POCUS leads, delivery of training, determination of proficiency, and presence of quality assurance. While almost all programs deliver POCUS education aligning with the CAEP core POCUS curriculum position statement, more support is required both locally and nationally for sharing best practices for POCUS education.

摘要

目的

加拿大急诊医师协会（CAEP）认可床边超声（POCUS）为重要的临床工具，是加拿大皇家内外科医师学院（RCPSC）和加拿大家庭医生学院（CFPC）认可的急诊医学（EM）住院医师培训项目的培训目标之一。我们的目的是描述 RCPSC-EM 和 CFPC-EM 住院医师培训项目中 POCUS 培训的国家现状，并评估这些项目中 CAEP 核心 POCUS 课程的实施情况。

方法

这是一项针对所有 RCPSC-EM 和 CFPC-EM 项目的 POCUS 教育负责人的在线调查研究。该调查询问了参与者关于项目人口统计学、POCUS 培训描述、POCUS 评估方法以及 CAEP 核心 POCUS 课程实施的情况。

结果

应答率为 100%（39/39）。所有 RCPSC-EM 和 CFPC-EM 项目都为其住院医师提供 POCUS 培训，100%的 RCPSC-EM 项目和 91%（20/22）的 CFPC-EM 项目有 POCUS 负责人。所有项目都为住院医师提供 POCUS 培训，但 POCUS 向住院医师的介绍方式、整个住院期间提供的持续 POCUS 指导以及 POCUS 评估方式存在差异。只有 47%（17/36）的 RCPSC-EM 和 32%（22/70）的 CFPC-EM 项目对住院医师使用 POCUS 有质量保证过程。POCUS 负责人认为，除了高级心脏和胸部超声外，他们的住院医师在培训结束时都精通 CAEP 核心 POCUS 应用。

结论

加拿大 EM 项目中的 POCUS 培训很普遍，但在 POCUS 负责人的支持、培训的提供、熟练程度的确定以及质量保证的存在方面存在差异。虽然几乎所有的项目都提供与 CAEP 核心 POCUS 课程立场声明相一致的 POCUS 教育，但在本地和全国范围内都需要更多的支持，以分享 POCUS 教育的最佳实践。