Critical Care Ultrasound: A Systematic Review of International Training Competencies and Program.

Abstract:

OBJECTIVES:Critical care ultrasonography has become established within ICUs as a diagnostic tool and to guide management strategies and practical procedures. Following an international consensus statement in 2011, various national professional societies and organizations have sought to develop and deliver training program. The aim of this review was to assess the similarities and differences among these postgraduate intensive care/critical care training program. DATA SOURCES:A systematic review was performed in two steps. First, we searched medical databases and national societies' websites for documents meeting predefined inclusion criteria. If not found, professionals related to critical care ultrasonography were contacted. DATA EXTRACTION:Data were extracted independently by two authors. Analyses were conducted on general training requirements as well as specific competencies defined in the documents. DATA SYNTHESIS:Eight national program from seven countries were identified from a total of 25 countries; all identified program have defined competencies for core critical care ultrasonography. Although there were common themes across these program, significant variations in training requirements and assessments existed, for example, number of scans required for echocardiography training ranged from 10 to 100. Furthermore, the specifics of each ultrasound module varied between program. CONCLUSIONS:Despite widespread and increasing use of ultrasound in ICUs, the majority of countries lacked a formal training program and clearly defined competencies. Even among the countries where these are available, there remains variability. There is a need to better define the competencies required in core critical care ultrasonography and standardize the assessment process.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Wong A,Galarza L,Duska F

doi

10.1097/CCM.0000000000003626

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

e256-e262

issue

3

eissn

0090-3493

issn

1530-0293

journal_volume

47

pub_type

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