Gutierrez Peter, Berkowitz Tal, Shah Lekha, Cohen Stephanie G
Emory University School of Medicine Atlanta, GA.
Children's Healthcare of Atlanta Atlanta, GA.
POCUS J. 2021 Nov 23;6(2):80-87. doi: 10.24908/pocus.v6i2.14781. eCollection 2021.
We aim to quantify and categorize point-of-care ultrasound (POCUS) usage by pediatric practitioners and trainees at our tertiary care center, and assess the degree of interest from pediatric residents, fellows, and program leaders for integrating POCUS into their training. Data was collected via online survey, evaluating the current use of POCUS in clinical decision making, desire for further formal training, and opinions on the importance of POCUS to future clinical practice. In total, 14 program directors/assistant program directors (PD/APDs) representing 10 of 15 training programs, 30 of 95 fellows representing 9 of 15 fellowships, and 32 of 82 residents responded. From PD/APDs, only 2 of the programs reported active use POCUS for clinical decision making, but 13 of the fellows and 9 residents reported doing so. In regard to desire for a formal POCUS program, 30.8% of PD/APDs, 43.8% of fellows without current curricula, and 87.5% of residents were interested in participating in such a program. When considering specialty, some non-acute care-based PD/APDs and fellows at our institution felt that POCUS was important to future practice. Pediatric subspecialty PD/APDs and their fellows had divergent outlooks on the importance of POCUS in future practice. Finally, an overwhelming majority of residents at our institution expressed a desire to learn, and half believing it will be important to future practice. Based on the degree of interest, medicolegal considerations, and trajectory of patient care, pediatric residency and fellowship programs should strongly consider integrating POCUS education into their curricula.
我们旨在对我们三级医疗中心的儿科从业者和实习生使用床旁超声（POCUS）的情况进行量化和分类，并评估儿科住院医师、研究员和项目负责人将POCUS纳入其培训的兴趣程度。通过在线调查收集数据，评估POCUS在临床决策中的当前使用情况、对进一步正规培训的需求以及对POCUS对未来临床实践重要性的看法。共有14名项目主任/助理项目主任（PD/APD）代表15个培训项目中的10个、95名研究员中的30名代表15个奖学金项目中的9个以及82名住院医师中的32名做出了回应。在PD/APD中，只有2个项目报告积极使用POCUS进行临床决策，但有13名研究员和9名住院医师报告这样做。关于对正式POCUS项目的需求，30.8%的PD/APD、43.8%目前没有相关课程的研究员以及87.5%的住院医师有兴趣参加这样一个项目。在考虑专业时，我们机构一些非急性护理领域的PD/APD和研究员认为POCUS对未来实践很重要。儿科亚专业的PD/APD及其研究员对POCUS在未来实践中的重要性有不同看法。最后，我们机构绝大多数住院医师表示有学习的愿望，并且一半人认为这对未来实践很重要。基于兴趣程度、法医学考虑以及患者护理轨迹，儿科住院医师培训和奖学金项目应强烈考虑将POCUS教育纳入其课程。
