The American College of Emergency Physicians (ACEP) outlines two pathways for ultrasound credentialing: residency- or practice-based pathway. Furthermore, other emergency medicine scholars have examined the use of experiential learning in US education and reported that learners believed that it improved their ability in the specific area of focus and that the experiential component was valuable to their learning. There are numerous benefits to experiential learning, which include the opportunity to immediately apply knowledge, the promotion of team, increased motivation for learning, opportunity for reflection and real-world practice, which is why our curriculum was delivered in this manner. The purpose of this paper is to describe the experience of a large, multi-site, mixed academic and community emergency department in creating and implementing a POCUS training and credentialing pathway for practicing emergency physicians. To our knowledge, no previous descriptions exist for a large mixed academic and community emergency department. These manuscripts focus primarily on outcomes and lack descriptive detail needed to replicate the curriculum.
used a collaborative training approach with the radiology department to train 96 emergency physicians. found a step-wise incentive-based approach to be successful in a small cohort of academic emergency physicians. implemented a successful training curriculum for 106 community emergency physicians across a hospital system. ĭescriptions of POCUS training programs for practicing emergency physicians have previously been reported. Objections by the Department of Radiology and lack of a formal credentialing process can also pose significant challenges. Lack of time, equipment and training, are the most commonly cited barriers to using POCUS in practice. For practicing clinicians, learning a new skill can be challenging. Despite these benefits, practicing physicians who were never trained or became proficient in POCUS struggle to achieve the necessary training once residency is complete. Additionally, POCUS is associated with fewer complications when used to guide invasive procedures.
These data demonstrate that POCUS use is more accurate than traditional diagnostic tests, saves time and improves efficiency of care. There is a wealth of data showing the utility of POCUS for common patient presentations in emergency medicine. This training gap is pervasive throughout emergency departments today, even those with emergency medicine residency and advanced POCUS fellowship training programs. However, this growth in POCUS use and training has left many emergency physicians who trained before POCUS was widely used or mandated behind their peers. For a decade, POCUS has been a core competency of emergency medicine training and competency assessment is mandated by the Residency Review Committee of the Accreditation Council for General Medical Education. Guidelines for POCUS use, training and credentialing of Emergency Physicians were first published by the American College of Emergency Physicians in 2001 and have since been updated on two separate occasions to reflect the increased use and growth of POCUS within the clinical practice of emergency medicine.
Emergency Physicians have been incorporating point of care ultrasound (POCUS) into the clinical care of patients for over 2 decades.
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