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. 2019 Mar 14;3(3):251-258.
doi: 10.1002/aet2.10332. eCollection 2019 Jul.

Consensus Core Point-of-care Ultrasound Applications for Pediatric Emergency Medicine Training

Allan Evan Shefrin  1 , Fred Warkentine  2 , Erika Constantine  3 , Amanda Toney  4 , Atim Uya  5 , Stephanie J Doniger  6   7 , Adam Brand Sivitz  8 , Russ Horowitz  9 , David Kessler  10
Affiliations

Consensus Core Point-of-care Ultrasound Applications for Pediatric Emergency Medicine Training

Allan Evan Shefrin et al. AEM Educ Train. .

Abstract

Background: Pediatric emergency medicine (PEM) physicians have variably incorporated point-of-care ultrasound (POCUS) into their practice. Prior guidelines describe the scope of POCUS practice for PEM physicians; however, consensus does not yet exist about which applications should be prioritized and taught as fundamental skills for PEM trainees. Members of the PEM POCUS Network (P2Network) conducted a consensus-building process to determine which applications to incorporate into PEM fellowship training.

Methods: A multinational group of experts in PEM POCUS was recruited from the P2Network and greater PEM POCUS community if they met the following criteria: performed over 1,000 POCUS scans and had at least 3 years of experience teaching POCUS to PEM fellows, were a local academic POCUS leader, or completed a formal PEM POCUS fellowship. Experts rated 60 possible PEM POCUS applications for their importance to include as part of a PEM fellowship curriculum using a modified Delphi consensus-building technique.

Results: In round 1, 66 of 92 (72%) participants responded to an e-mail survey of which 48 met expert criteria and completed the survey. Consensus was reached to include 18 items in a PEM fellowship curriculum and to exclude two items. The 40 remaining items and seven additional items were considered in round 2. Thirty-seven of 48 (77%) experts completed round 2 reaching consensus to include three more items and exclude five. The remaining 39 items did not reach consensus for inclusion or exclusion.

Conclusion: Experts reached consensus on 21 core POCUS applications to include in PEM fellowship curricula.

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