Credentialing of Hospitalists in Ultrasound‐Guided Bedside Procedures: A Position Statement of the Society of Hospital Medicine. Issue 2 (17th January 2018)

• Record Type: Journal Article
• Authors: Lucas, Brian P.; Tierney, David M.; Jensen, Trevor P.; Dancel, Ria; Cho, Joel; El‐Barbary, Mahmoud; Franco‐Sadud, Ricardo; Soni, Nilam J.
• Is Part Of: Journal of hospital medicine. Volume 13:Issue 2(2018)
• Page Start: 117
• Page End: 125
• Publication Date: 2018-01-17
• Subjects: Hospital care -- Periodicals; Clinical medicine -- Periodicals; 610
• DOI: 10.12788/jhm.2917
• Languages: English
• ISSNs: 1553-5592

Abstract

Abstract : Ultrasound guidance is used increasingly to perform the following 6 bedside procedures that are core competencies of hospitalists: abdominal paracentesis, arterial catheter placement, arthrocentesis, central venous catheter placement, lumbar puncture, and thoracentesis. Yet most hospitalists have not been certified to perform these procedures, whether using ultrasound guidance or not, by specialty boards or other institutions extramural to their own hospitals. Instead, hospital privileging committees often ask hospitalist group leaders to make ad hoc intramural certification assessments as part of credentialing. Given variation in training and experience, such assessments are not straightforward "sign offs." We thus convened a panel of experts to conduct a systematic review to provide recommendations for credentialing hospitalist physicians in ultrasound guidance of these 6 bedside procedures. Pathways for initial and ongoing credentialing are proposed. A guiding principle of both is that certification assessments for basic competence are best made through direct observation of performance on actual patients.