Emergency Medicine Resident Education: Making a Case for Training Residents to Perform and Interpret Bedside Sonographic Examinations,☆☆

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Abstract

[Sankoff J: Emergency medicine resident education: Making a case for training residents to perform and interpret bedside sonographic examinations. Ann Emerg Med July 1999;34:105-108.]

Section snippets

INTRODUCTION

Emergency medicine is constantly evolving. As effective new techniques for diagnostic testing or treatment are developed, they are rapidly incorporated into everyday practice. Based on a large number of studies demonstrating its benefits in the emergency department, many emergency physicians have begun to use ultrasound testing on a daily basis. In addition to providing benefits for patient diagnosis and care, ultrasonography is noninvasive, portable, rapid, reliable, and cost-effective.1

Among

EMERGENCY ULTRASONOGRAPHY

The use of ultrasound by emergency physicians and trauma surgeons follows a long history of investigations into the potential applications of this modality outside the radiology suite. A discussion of this history must begin with the use of ultrasound in trauma that spans almost 3 decades.

OBSTACLES TO INTRODUCING ULTRASOUND TRAINING

Rozycki and Shackford6 delineated the following obstacles to the implementation of ultrasonography by trauma surgeons. These same barriers pertain to emergency physicians: (1) physician training, (2) establishment of practice domain (“turf wars), (3) equipment procurement, and (4) physician credentialing.6

Acknowledgements

I am indebted to Dr Errol Stern, Dr Evelyn Cardenas for her help and support in the push to acquire ultrasound in Canadian EDs, Dr Andrew Seely for worthy criticisms, and to my wife, Dr Saundra Kay, for her invaluable advice in this and so many other endeavors.

References (28)

Cited by (18)

  • Prehospital ultrasound

    2014, Journal of Medical Ultrasound
    Citation Excerpt :

    It is noninvasive and inexpensive, and causes no radiation exposure. Besides radiologists, many emergency physicians use US to assist in their decision making during critical conditions [1]. With the current improvement in technology, US machines have become more portable and are available with a better resolution.

  • Emergency Ultrasonography and Error Reduction

    2009, Annals of Emergency Medicine
  • Turf wars in radiology: Emergency department ultrasound and radiography

    2005, Journal of the American College of Radiology
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