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Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 7/2018

01-07-2018 | Correspondence

Fellowship training in critical care ultrasound

Authors: Brian Buchanan, BSc (Hon), MD, FRCPC, Hailey Hobbs, BSc (Hon), MD, FRCPC, Robert Arntfield, BSc, MD, FRCPC

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 7/2018

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Excerpt

To the Editor,
Table
Key professional competencies and related training objectives3,5
Key professional competency
Terms
Objectives
 
6 months
12 months
Technical proficiency
Minimum performance criteria for acquisition and interpretation. All studies overseen by CCUS program director
Optional: Identification of specific examinations that may be challenged (i.e., ARDMS, NBE)
Minimum 250 performed and interpreted/ 6 months
Core CCUS applications including CCE, thoracic, abdominal, vascular, and procedural guidance
Minimum 500 performed and interpreted/ 12 months
Core + additional modalities (i.e., advanced TEE, transcranial Doppler)
Quality assurance
Administrative duties including quality assurance of CCUS resident rotator scans.
Provide real-time assistance to residents learning CCUS
Set minimum QA 250/ 6 months
Weekly QA rounds
Set minimum QA 500/ 6 months
Weekly QA rounds
Education
Participation in postgraduate CCUS education
Additionally, identify optimal educational materials including courses, modules, textbooks
Facilitate or participate in:
 Bedside rounds with students/ residents
 National CCUS training courses
 Resident academic half day
 Ultrasound conferences
 Ultrasound journal club
 Curriculum and resource design and development
 Dedicated self-study
Administrative
Training on program administration, delivery and development of academic deliverables
Facilitate:
 Competency-based assessments of trainee performance.
 Participate in CCUS program design and evaluation activities
Research
Research requirement in the area of CCUS flexible depending on time and long-term goals
Case report publication
Design of an original project or systematic review
ARDMS = American Registry for Diagnostic Medical Sonographers; CCE = critical care echocardiography; CCUS = critical care ultrasound; NBE = National Board of Echocardiography; QA = quality assurance; TEE = transesophageal echocardiography
Literature
1.
go back to reference Kanji HD, McCallum J, Sirounis D, MacRedmond R, Moss R, Boyd JH. Limited echocardiography-guided therapy in subacute shock is associated with change in management and improved outcomes. J Crit Care 2014; 29: 700-5.CrossRefPubMed Kanji HD, McCallum J, Sirounis D, MacRedmond R, Moss R, Boyd JH. Limited echocardiography-guided therapy in subacute shock is associated with change in management and improved outcomes. J Crit Care 2014; 29: 700-5.CrossRefPubMed
2.
go back to reference Lichtenstein D, Goldstein I, Mourgeon E, Cluzel P, Grenier P, Rouby JJ. Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 2004; 100: 9-15.CrossRefPubMed Lichtenstein D, Goldstein I, Mourgeon E, Cluzel P, Grenier P, Rouby JJ. Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 2004; 100: 9-15.CrossRefPubMed
3.
go back to reference Arntfield R, Millington S, Ainsworth C, et al. Canadian recommendations for critical care ultrasound training and competency. Can Respir J 2014; 21: 341-5.CrossRefPubMedPubMedCentral Arntfield R, Millington S, Ainsworth C, et al. Canadian recommendations for critical care ultrasound training and competency. Can Respir J 2014; 21: 341-5.CrossRefPubMedPubMedCentral
4.
go back to reference Mosier JM, Malo J, Stolz LA, et al. Critical care ultrasound training: a survey of US fellowship directors. J Crit Care 2014; 29: 645-9.CrossRefPubMed Mosier JM, Malo J, Stolz LA, et al. Critical care ultrasound training: a survey of US fellowship directors. J Crit Care 2014; 29: 645-9.CrossRefPubMed
5.
go back to reference Arntfield RT. The Utility of remote supervision with feedback as a method to deliver high-volume critical care ultrasound training. J Crit Care 2015; 30: 441.e1-6. Arntfield RT. The Utility of remote supervision with feedback as a method to deliver high-volume critical care ultrasound training. J Crit Care 2015; 30: 441.e1-6.
Metadata
Title
Fellowship training in critical care ultrasound
Authors
Brian Buchanan, BSc (Hon), MD, FRCPC
Hailey Hobbs, BSc (Hon), MD, FRCPC
Robert Arntfield, BSc, MD, FRCPC
Publication date
01-07-2018
Publisher
Springer US
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 7/2018
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-018-1084-4

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