Critical care ultrasound training: A survey of US fellowship directors

Jarrod M. Mosier, Josh Malo, Lori A. Stolz, John W. Bloom, Nathaniel A. Reyes, Linda S. Snyder, Srikar Adhikari

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

Purpose: The purpose of this study is to describe the current state of bedside ultrasound use and training among critical care (CC) training programs in the United States. Materials and methods: This was a cross-sectional survey of all program directors for Accreditation Council for Graduate Medical Education accredited programs during the 2012 to 2013 academic year in CC medicine, surgical CC, pulmonary and critical care, and anesthesia CC. Availability, current use, and barriers to training in CC ultrasound were assessed. Results: Sixty of 195 (31%; 95% confidence interval [CI], 24%-38%) program directors responded. Most of the responding programs had an ultrasound system available for use (54/60, 90%; 95% CI, 79%-96%) and identified ultrasound training as useful (59/60, 98%; 95% CI, 91%-100%) but lacked a formal curriculum (25/60, 42%; 95% CI, 29%-55%) or trained faculty (mean percentage of faculty trained in ultrasound: pulmonary and critical care, 25%; surgical CC, 33%; anesthesia CC, 20%; CC medicine, 7%), and relied on informal teaching (45/60, 77%; 95% CI, 62%-85%). Faculty with expertise (53/60, 88%; 95% CI, 77%-95%), simulation training (60/60, 100%; 95% CI, 94%-100%), establishing and meeting required number of examinations (47/60, 78%; 95% CI, 66%-88%), and regular review sessions (49/60, 82%; 95% CI, 70%-90%) were identified as necessary to improve ultrasound training. Most responding programs (32/35 91%; 95% CI, 77%-98%) without a formal curriculum plan to create one in the next 5 years. Conclusions: This study identified deficiencies in current training, suggesting a need for a formal curriculum for bedside ultrasound training in CC fellowship programs.

Original languageEnglish (US)
Pages (from-to)645-649
Number of pages5
JournalJournal of Critical Care
Volume29
Issue number4
DOIs
StatePublished - Aug 2014

Keywords

  • Bedside ultrasound education
  • Bedside ultrasound training
  • Critical care fellowship
  • Curriculum
  • Fellowship training
  • Survey

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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