Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine: Results of a National Survey

Thomas W. Conlon, David B. Kantor, Erik R Su, Sonali Basu, Donald L. Boyer, Bereketeab Haileselassie, Tara L. Petersen, Felice Su, Akira Nishisaki

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To assess current diagnostic bedside ultrasound program core element (training, credentialing, image storage, documentation, and quality assurance) implementation across pediatric critical care medicine divisions in the United States. DESIGN: Cross-sectional questionnaire-based needs assessment survey. SETTING: Pediatric critical care medicine divisions with an Accreditation Council of Graduate Medical Education-accredited fellowship. RESPONDENTS: Divisional leaders in education and/or bedside ultrasound training.None. MEASUREMENTS AND MAIN RESULTS: Fifty-five of 67 pediatric critical care medicine divisions (82%) with an Accreditation Council of Graduate Medical Education-accredited fellowship provided responses. Overall, 63% of responding divisions (34/54) were clinically performing diagnostic bedside ultrasound studies with no difference between divisions with large versus small units. Diagnostic bedside ultrasound training is available for pediatric critical care medicine fellows within 67% of divisions (35/52) with no difference in availability between divisions with large versus small units. Other core elements were present in less than 25% of all divisions performing clinical studies, with a statistically significant increase in credentialing and documentation among divisions with large units (p = 0.048 and 0.01, respectively). All core elements were perceived to have not only high impact in program development but also high effort in implementation. Assuming that all structural elements could be effectively implemented within their division, 83% of respondents (43/52) agreed that diagnostic bedside ultrasound should be a core curricular component of fellowship education. CONCLUSIONS: Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.

Fingerprint

Program Development
Critical Care
Ultrasonography
Medicine
Pediatrics
Credentialing
Graduate Medical Education
Accreditation
Documentation
Education
Needs Assessment
Surveys and Questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

Cite this

Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine : Results of a National Survey. / Conlon, Thomas W.; Kantor, David B.; Su, Erik R; Basu, Sonali; Boyer, Donald L.; Haileselassie, Bereketeab; Petersen, Tara L.; Su, Felice; Nishisaki, Akira.

In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, Vol. 19, No. 11, 01.11.2018, p. e561-e568.

Research output: Contribution to journalArticle

Conlon, Thomas W. ; Kantor, David B. ; Su, Erik R ; Basu, Sonali ; Boyer, Donald L. ; Haileselassie, Bereketeab ; Petersen, Tara L. ; Su, Felice ; Nishisaki, Akira. / Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine : Results of a National Survey. In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2018 ; Vol. 19, No. 11. pp. e561-e568.
@article{9fceb9be1e29482f899e849a7af87c99,
title = "Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine: Results of a National Survey",
abstract = "OBJECTIVES: To assess current diagnostic bedside ultrasound program core element (training, credentialing, image storage, documentation, and quality assurance) implementation across pediatric critical care medicine divisions in the United States. DESIGN: Cross-sectional questionnaire-based needs assessment survey. SETTING: Pediatric critical care medicine divisions with an Accreditation Council of Graduate Medical Education-accredited fellowship. RESPONDENTS: Divisional leaders in education and/or bedside ultrasound training.None. MEASUREMENTS AND MAIN RESULTS: Fifty-five of 67 pediatric critical care medicine divisions (82{\%}) with an Accreditation Council of Graduate Medical Education-accredited fellowship provided responses. Overall, 63{\%} of responding divisions (34/54) were clinically performing diagnostic bedside ultrasound studies with no difference between divisions with large versus small units. Diagnostic bedside ultrasound training is available for pediatric critical care medicine fellows within 67{\%} of divisions (35/52) with no difference in availability between divisions with large versus small units. Other core elements were present in less than 25{\%} of all divisions performing clinical studies, with a statistically significant increase in credentialing and documentation among divisions with large units (p = 0.048 and 0.01, respectively). All core elements were perceived to have not only high impact in program development but also high effort in implementation. Assuming that all structural elements could be effectively implemented within their division, 83{\%} of respondents (43/52) agreed that diagnostic bedside ultrasound should be a core curricular component of fellowship education. CONCLUSIONS: Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.",
author = "Conlon, {Thomas W.} and Kantor, {David B.} and Su, {Erik R} and Sonali Basu and Boyer, {Donald L.} and Bereketeab Haileselassie and Petersen, {Tara L.} and Felice Su and Akira Nishisaki",
year = "2018",
month = "11",
day = "1",
doi = "10.1097/PCC.0000000000001692",
language = "English (US)",
volume = "19",
pages = "e561--e568",
journal = "Pediatric Critical Care Medicine",
issn = "1529-7535",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine

T2 - Results of a National Survey

AU - Conlon, Thomas W.

AU - Kantor, David B.

AU - Su, Erik R

AU - Basu, Sonali

AU - Boyer, Donald L.

AU - Haileselassie, Bereketeab

AU - Petersen, Tara L.

AU - Su, Felice

AU - Nishisaki, Akira

PY - 2018/11/1

Y1 - 2018/11/1

N2 - OBJECTIVES: To assess current diagnostic bedside ultrasound program core element (training, credentialing, image storage, documentation, and quality assurance) implementation across pediatric critical care medicine divisions in the United States. DESIGN: Cross-sectional questionnaire-based needs assessment survey. SETTING: Pediatric critical care medicine divisions with an Accreditation Council of Graduate Medical Education-accredited fellowship. RESPONDENTS: Divisional leaders in education and/or bedside ultrasound training.None. MEASUREMENTS AND MAIN RESULTS: Fifty-five of 67 pediatric critical care medicine divisions (82%) with an Accreditation Council of Graduate Medical Education-accredited fellowship provided responses. Overall, 63% of responding divisions (34/54) were clinically performing diagnostic bedside ultrasound studies with no difference between divisions with large versus small units. Diagnostic bedside ultrasound training is available for pediatric critical care medicine fellows within 67% of divisions (35/52) with no difference in availability between divisions with large versus small units. Other core elements were present in less than 25% of all divisions performing clinical studies, with a statistically significant increase in credentialing and documentation among divisions with large units (p = 0.048 and 0.01, respectively). All core elements were perceived to have not only high impact in program development but also high effort in implementation. Assuming that all structural elements could be effectively implemented within their division, 83% of respondents (43/52) agreed that diagnostic bedside ultrasound should be a core curricular component of fellowship education. CONCLUSIONS: Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.

AB - OBJECTIVES: To assess current diagnostic bedside ultrasound program core element (training, credentialing, image storage, documentation, and quality assurance) implementation across pediatric critical care medicine divisions in the United States. DESIGN: Cross-sectional questionnaire-based needs assessment survey. SETTING: Pediatric critical care medicine divisions with an Accreditation Council of Graduate Medical Education-accredited fellowship. RESPONDENTS: Divisional leaders in education and/or bedside ultrasound training.None. MEASUREMENTS AND MAIN RESULTS: Fifty-five of 67 pediatric critical care medicine divisions (82%) with an Accreditation Council of Graduate Medical Education-accredited fellowship provided responses. Overall, 63% of responding divisions (34/54) were clinically performing diagnostic bedside ultrasound studies with no difference between divisions with large versus small units. Diagnostic bedside ultrasound training is available for pediatric critical care medicine fellows within 67% of divisions (35/52) with no difference in availability between divisions with large versus small units. Other core elements were present in less than 25% of all divisions performing clinical studies, with a statistically significant increase in credentialing and documentation among divisions with large units (p = 0.048 and 0.01, respectively). All core elements were perceived to have not only high impact in program development but also high effort in implementation. Assuming that all structural elements could be effectively implemented within their division, 83% of respondents (43/52) agreed that diagnostic bedside ultrasound should be a core curricular component of fellowship education. CONCLUSIONS: Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.

UR - http://www.scopus.com/inward/record.url?scp=85056252131&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056252131&partnerID=8YFLogxK

U2 - 10.1097/PCC.0000000000001692

DO - 10.1097/PCC.0000000000001692

M3 - Article

C2 - 30113518

AN - SCOPUS:85056252131

VL - 19

SP - e561-e568

JO - Pediatric Critical Care Medicine

JF - Pediatric Critical Care Medicine

SN - 1529-7535

IS - 11

ER -