Emergency Medicine Resident Education: Making a Case for Training Residents to Perform and Interpret Bedside Sonographic Examinations☆,☆☆
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.
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Cited by (18)
Prehospital ultrasound
2014, Journal of Medical UltrasoundCitation 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 Department Ultrasound Credentialing: A Sample Policy and Procedure
2009, Journal of Emergency MedicineEmergency Ultrasonography and Error Reduction
2009, Annals of Emergency MedicineTurf wars in radiology: Emergency department ultrasound and radiography
2005, Journal of the American College of RadiologyStethoscope of the 21st century: dominant discourses of ultrasound in medical education
2018, Medical EducationFaculty staff-guided versus self-guided ultrasound training for internal medicine residents
2013, Medical Education