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

被引:18
|
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
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
收藏
页码:2123 / 2129
页数:7
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