Design of a point‐of‐care ultrasound curriculum for pediatric emergency medicine fellows: A Delphi study. Issue 4 (2nd December 2021)

• Record Type: Journal Article
• Authors: Gold, Delia; Levine, Marla; Hsu, Deborah; Way, David P.; Shefrin, Allan E.; Lam, Samuel H. F.; Lewiss, Resa; Marin, Jennifer R.
• Other Names: Abo Alyssa investigator.; Adhikari Srikar investigator.; Alade Kiyetta investigator.; Bahner David P investigator.; Boulger Creagh investigator.; Constantine Erika investigator.; Kate Deanehan Julia investigator.; Ekpenyong Atim Uya investigator.; Elkhunovich Marsha A investigator.; Fischer Jason investigator.; Horowitz Russ investigator.; Kou Maybelle investigator.; Kwan Charisse investigator.; Leung Stephanie K investigator.; Liu Rachel B investigator.; Mickley Megan investigator.; Rabiner Joni E investigator.; Rempell Rachel investigator.; Sivitz Adam investigator.; Stoltz Lori investigator.; Toney Amanda investigator.
• Is Part Of: AEM education and training. Volume 5:Issue 4(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-12-02
• Subjects: curriculum -- fellowship -- medical education -- pediatric emergency medicine -- point‐of‐care ultrasound; Emergency medicine -- Study and teaching -- Periodicals; Emergency medicine -- Study and teaching -- United States -- Periodicals; Periodicals; 616.025
• DOI: 10.1002/aet2.10700
• Languages: English
• ISSNs: 2472-5390

Abstract

Abstract: Objectives: There has been a steady increase in the growth and utilization of point‐of‐care ultrasound (POCUS) in pediatric emergency medicine (PEM). POCUS has been established as an Accreditation Council for Graduate Medical Education (ACGME) core requirement for accreditation of PEM fellowship programs. Despite this requirement, training guidelines regarding POCUS knowledge and skills have yet to be developed. The purpose of this project was to develop a curriculum and a competency checklist for PEM fellow POCUS education. Methods: We formed a core leadership group based on expertise in one or more key areas: PEM, POCUS, curriculum development, or Delphi methods. We recruited 29 PEM POCUS or ultrasound education experts from North America to participate in a three‐round electronic Delphi project. The first Delphi round asked experts to generate a list of the core POCUS knowledge and skills that a PEM fellow would need during training to function as an autonomous practitioner. Subsequent rounds prioritized the list of knowledge and skills, and the core leadership group organized knowledge and skills into global competencies and subcompetencies. Results: The first Delphi round yielded 61 POCUS areas of knowledge and skills considered important for PEM fellow learning. After two subsequent Delphi rounds, the list of POCUS knowledge and skills was narrowed to 38 items that addressed elements of six global competencies. The core leadership group then revised items into subcompetencies and categorized them under global competencies, developing a curriculum that defined the scope (depth of content) and sequence (order of teaching) of these POCUS knowledge and skill items. Conclusions: This expert, consensus‐generated POCUS curriculum provides detailed guidance for PEM fellowships to incorporate POCUS education into their programs. Our curriculum also identifies core ultrasound knowledge and skills needed by PEM fellows to perform the specific POCUS applications recommended in prior publications.