scholarly journals Core Content for Pediatric Emergency Medicine Ultrasound Fellowship Training: A Modified Delphi Consensus Study

2019 ◽  
Vol 4 (2) ◽  
pp. 130-138
Author(s):  
Erika Constantine ◽  
Marla Levine ◽  
Alyssa Abo ◽  
Alex Arroyo ◽  
Lorraine Ng ◽  
...  
CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S116-S117
Author(s):  
A.E. Shefrin ◽  
F. Warkentine ◽  
E. Constantine ◽  
A. Toney ◽  
A. Uya ◽  
...  

Introduction: Emergency Medicine Physicians have been incorporating Point-of-Care Ultrasound (POCUS) into their practice for over twenty years. Only recently has its use become more widespread in the practice of Pediatric Emergency Medicine (PEM). Recent guidelines have described the scope of applications for PEM physicians. However, no consensus exists as to which applications should be prioritized and routinely taught to PEM fellowship trainees and therefore expected of PEM graduates as they enter practice. The PEM POCUS Network, a multinational group of Physicians with POCUS expertise formed in 2014, set out to reach expert consensus as to which applications should be incorporated into PEM fellowship training curricula. Methods: A multinational group of PEM POCUS experts was recruited from the PEM POCUS Network via a screening process that identified PEM physicians who have performed over 1000 pediatric POCUS scans and met any of one of the following criteria: having 3 years or more experience teaching POCUS to PEM fellows, being local academic POCUS leaders or had completed a dedicated PEM POCUS fellowship. These experts rated each of the 60 possible PEM POCUS applications using a modified Delphi consensus building technique for their importance in inclusion into a PEM Fellowship curriculum. Consensus was reached when >80% of respondents agreed to include or exclude each item. Results: In the first round, 66 out of 92 (72%) PEM POCUS Network members responded to the survey email, of whom 45 met expert criteria and completed the first round. During round 1, consensus was reached to include 18 of the 60 applications in a PEM fellowship curriculum and to exclude 2 applications from a PEM fellowship curriculum. Eighty-two percent (37 /45) of the experts completed Round 2 where 40 items were rated; consensus was reached to include 3 additional applications and exclude 5 applications. The decision was made not to carry on with future rounds after this stage, since no significant changes were observed between the two rounds, with regard to items that had not reached consensus. Conclusion: This project of the PEM POCUS Network reached consensus on 21 applications that should be included in a PEM Fellowship curriculum. This project will have significant impact on how PEM fellowships teach POCUS to their trainees.


1994 ◽  
Vol 24 (5) ◽  
pp. 825-835 ◽  
Author(s):  
Christopher King ◽  
Gwendolyn J. Nilsen ◽  
Fred M. Henretig ◽  
David K. Wagner

CJEM ◽  
2015 ◽  
Vol 17 (6) ◽  
pp. 662-669 ◽  
Author(s):  
Ilana Bank ◽  
Adam Cheng ◽  
Peter McLeod ◽  
Farhan Bhanji

ABSTRACTObjectivesBy the end of residency training, pediatric emergency medicine (PEM) residents are expected to have developed the confidence and abilities required to manage acutely ill children. Acquisition of competence requires exposure and/or supplemental formal education for critical and noncritical medical clinical presentations. Simulation can provide experiential learning and can improve trainees’ knowledge, skills, and attitudes. The primary objective of this project was to identify the content for a simulation-based national curriculum for PEM training.MethodsWe recruited participants for the Delphi study by contacting current PEM program directors and immediate past program directors as well as simulation experts at all of the Canadian PEM fellowship sites. We determined the appropriate core content for the Delphi study by combining the PEM core content requirements of the Royal College of Physicians and Surgeons of Canada (RCPSC) and the American Board of Pediatrics (ABP). Using the Delphi method, we achieved consensus amongst the national group of PEM and simulation experts. The participants completed a three-round Delphi (using a four-point Likert scale).ResultsResponse rates for the Delphi were 85% for the first round and 77% for second and third rounds. From the initial 224 topics, 53 were eliminated (scored <2). Eighty-five topics scored between 2 and 3, and 87 scored between 3 and 4. The 48 topics, which were scored between 3.5 and 4.0, were labeled as “key curriculum topics.”ConclusionWe have iteratively identified a consensus for the content of a national simulation-based curriculum.


2011 ◽  
Vol 27 (12) ◽  
pp. 1208-1212 ◽  
Author(s):  
Ran D. Goldman ◽  
Adam Cheng ◽  
Anna Jarvis ◽  
Kelly Keogh ◽  
Guo-ping Lu ◽  
...  

2017 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ronald F. Marchese ◽  
Payal K. Gala ◽  
Jeffrey A. Seiden ◽  
Richard Scarfone ◽  
Robert A. Belfer ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 757
Author(s):  
Jae-Hyun Kwon ◽  
Jin-Hee Lee ◽  
Young-Rock Ha ◽  
June-Dong Park ◽  

Background: As the frequency of ultrasound use in pediatric emergency departments increases, it is necessary to train pediatric emergency medicine (PEM) physicians on pediatric point-of-care ultrasonography (POCUS). We discussed the core content of POCUS applications and proposed a POCUS training curriculum for PEM physicians in South Korea. Methods: Twenty-three experts were included if had performed over 1500 POCUS scans, had at least three years of experience teaching POCUS to physicians, were POCUS instructors or had completed a certified pediatric POCUS program. Experts rated 61 possible POCUS applications in terms of the importance of their inclusion in a PEM POCUS curriculum using the modified Delphi technique. Results: In round one, twelve (52.2%) out of 23 experts responded to the email. Eleven experts satisfied the inclusion criteria. Eleven experts participated in round one of a survey and agreed on 27 (44.3%) out of a total of 61 items. In round two, all 11 experts participated in the survey; they agreed on two (5.9%) of the remaining 34 items, and no items were excluded. Conclusion: Using the Delphi method, 61 applications were discussed, and a consensus was reached on 29 core applications.


1992 ◽  
Vol 8 (5) ◽  
pp. 308
Author(s):  
D. L. Weiner ◽  
G. R. Fleisher ◽  
E. L. Liebelt ◽  
C. A. Delgado ◽  
G. L. Caputo

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