Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group

被引：19

作者：

Ambasta, Anshula ^{[1
]}

Balan, Marko ^{[2
,9
]}

Mayette, Michael ^{[3
,16
]}

Goffi, Alberto ^{[4
]}

Mulvagh, Sharon ^{[5
,6
,17
]}

Buchanan, Brian ^{[7
,11
]}

Montague, Steven ^{[8
]}

Ruzycki, Shannon ^{[1
]}

Ma, Irene W. Y. ^{[1
]}

Blouw, Marcus ^{[10
]}

Buchanan, Brian ^{[7
,11
]}

Card, Sharon E. ^{[12
]}

Chan, Barry ^{[8
]}

Desy, Janeve ^{[8
]}

Demchuk, Gabriel ^{[13
]}

Gebhardt, Colin R. ^{[12
]}

Goffi, Alberto ^{[4
]}

Halman, Samantha ^{[14
]}

Kerr, Brendan ^{[1
]}

Ma, Irene W. Y. ^{[1
]}

Martin, Leslie ^{[15
]}

Mayette, Michael ^{[3
,16
]}

Montague, Steven J.

Mulvagh, Sharon ^{[5
,6
,17
]}

Ringrose, Jennifer ^{[18
]}

Ruzycki, Shannon ^{[1
]}

Schaefer, Jeffrey P. ^{[1
]}

Yu, Jeffrey ^{[19
]}

机构：

[1] Univ Calgary, Dept Med, Div Gen Internal Med, Calgary, AB, Canada

[2] Dalhousie Univ, Dept Crit Care, Halifax, NS, Canada

[3] Univ Sherbrooke, Dept Med, Internal Med & Crit Care Med Div, Sherbrooke, PQ, Canada

[4] Univ Toronto, Dept Med, Interdept Div Crit Care Med, Toronto, ON, Canada

[5] Dalhousie Univ, Dept Med, Div Cardiol, Halifax, NS, Canada

[6] Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA

[7] Univ Alberta, Dept Crit Care Med, Edmonton, AB, Canada

[8] Queens Univ, Dept Med, Div Gen Internal Med, Kingston, ON, Canada

[9] Dalhousie Univ, Dept Crit Care, Div Gen Internal Med, Halifax, NS, Canada

[10] Univ Manitoba, Dept Crit Care Med, Winnipeg, MB, Canada

[11] Univ Alberta, Dept Crit Care Med, Edmonton, AB, Canada

[12] Univ Saskatchewan, Dept Med, Div Gen Internal Med, Saskatoon, SK, Canada

[13] Univ Laval, Gen Internal Med, Quebec City, PQ, Canada

[14] Univ Ottawa, Dept Med, Div Gen Internal Med, Ottawa, ON, Canada

[15] McMaster Univ, Dept Med, Div Gen Internal Med, Hamilton, ON, Canada

[16] Univ Sherbrooke, Dept Med, Internal Med & Crit Care Med Div, Sherbrooke, PQ, Canada

[17] Dalhousie Univ, Dept Med, Div Cardiol, Med, Halifax, NS, Canada

[18] Univ Alberta, Dept Med, Div Gen Internal Med, Edmonton, AB, Canada

[19] Western Univ, Dept Med, Div Gen Internal Med, London, ON, Canada

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2019年 / 34卷 / 10期

关键词：

ultrasound; post-graduate medical education; quality assessment; internal medicine; curriculum/program evaluation; ULTRASONOGRAPHY; RECOMMENDATIONS; DELPHI; POCUS; TIME;

D O I：

10.1007/s11606-019-05124-1

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BACKGROUND: Curriculum development and implementation for internal medicine point-of-care ultrasound (IM POCUS) continues to be a challenge for many residency training programs. Education indicators may provide a useful framework to support curriculum development and implementation efforts across programs in order to achieve a consistent high-quality educational experience. OBJECTIVE: This study seeks to establish consensus-based recommendations for education indicators for IM POCUS training programs in Canada. DESIGN: This consensus study uses a modified nominal group technique for voting in the initial round, followed by two additional rounds of online voting, with consensus defined as agreement by at least 80% of the participants. PARTICIPANTS: Participants were 22 leaders with POCUS and/or education expertise from 13 Canadian internal medicine residency programs across 7 provinces. MAIN MEASURES: Education indicators considered were those that related to aspects of the POCUS educational system, could be presented by a single statistical measure, were readily understood, could be reliably measured to provide a benchmark for measuring change, and represented a policy issue. We excluded a priori indicators with low feasibility, are impractical, or assess learner reactions. Candidate indicators were drafted by two academic internists with post-graduate training in POCUS and medical education. These indicators were reviewed by two internists with training in quality improvement prior to presentation to the expert participants. KEY RESULTS: Of the 52 candidate education indicators considered, 6 reached consensus in the first round, 12 in the second, and 4 in the third round. Only 5 indicators reached consensus to be excluded; the remaining indicators did not reach consensus. CONCLUSIONS: The Canadian Internal Medicine Ultrasound (CIMUS) group recommends 22 education indicators be used to guide and monitor internal medicine POCUS curriculum development efforts in Canada.

引用

页码：2123 / 2129

页数：7

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