158: Present and Future of Emergency Point-of-Care Ultrasound in Pediatric Emergency Fellowship Programs in Canada
Notice bibliographique
Résumé
Pediatric Emergency Point-of-care Ultrasound (POCUS) has become more and more important in the emergent care of ill and injured children over the last years. No information is currently available about its adoption and integration into Canadian pediatric emergency medicine (PEM) fellowship programs. The objective of this study was to describe current state as well as requests for POCUS training offered by Canadian PEM fellowship programs as perceived by both program directors and actively training fellows. Two web-based surveys were created by the survey authors: one for fellowship program directors and one for actively training fellows. The survey was tested and refined, and posted on a web-based survey site. The links for both questionnaires were distributed to all PEM fellowship program directors in Canada for dissemination to their fellows. A modified Dillman's method was used to maximize survey responses. Survey questions explored: current use of POCUS clinically at the training sites, existing POCUS curriculum and training opportunities, and interest in future curriculum development. A total of 9/10 (90%) fellowship program directors as well as 42/60 (70%) fellows responded. Currently a formal curriculum in POCUS is established in five of nine PEM programs. Most fellows (83%) had no training in POCUS before their fellowship but 74% reported a formal training during fellowship (FAST and focused cardiac examination mainly). Only 33% of fellows reported specific pediatric POCUS training. 50% of fellows stated using POCUS at least once a week, while directors indicated that the majority of faculty rarely uses POCUS (70%) in clinical practice. Main application in both groups is the FAST exam. For fellows and fellowship directors the major barrier in learning POCUS was the lack of trained faculty (95% and 90%, respectively), followed by faculty time, and interest in the technology. Finally, 86% of fellows described training in POCUS as very important or essential and they expressed their need for more training. While demand from PEM fellows is high, there is a great variability in implantation of POCUS training in Canadian PEM programs. The most important barrier in POCUS training is related to the lack of trained faculty, a fact that needs to be addressed by program directors. Canadian PEM programs should develop a conjoint standardized POCUS curriculum.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».