Point-of-Care Ultrasound Training on ICU: An Analysis of Accreditation Programmes

Adrian Wong, UKLaura Galarza, Spain

Olusegun Olusanya, UK

Background Point-of-care ultrasound part of critical care practice

Diagnostic Procedural

Appropriate training and governance systems crucial Guidelines from multiple professional organisations vary Lack of standardised training pathways/programmes

Methodology Analysis of Critical Care POCUS accreditation programmes Information/Accreditation packs of programmes from:

USA, Europe, Australia, Canada, Misc Thematic analysis

Modalities Training delivery Training requirements Assessment

Results

Is Point-of-Care ultrasound incorporated into the ICM training program in your country?

ACCP ESICM Canadian SCCM UK

Theoretical programme 2 courses + 1

online module10 hrs Echo

10 hrs GCCUS As per ESICM 20 hours 1 day echo1 day GCCUS

Basic TTE10 (50 images) 30 fully

supervised scans 30 30(5 procedural) 50

Lung4 (12 images) ? 20 20

(5 procedural) 50

Abdomen4 (16 images) ?

Free fluid – 10Renal* – 25Aorta* -25

20 (5 procedural) 20

Vascular access? ? 10

20 (10 procedural) 5

DVT3 (24 images) ? 25* As above Not specified yet

Conclusion

POCUS training/accrediation programmes for critical care variable Training delivery Training requirements Assessment Modalities

Lack of evidence-based ‘goal-standard’ for best way to acquire skills Vast majority of accreditation programmes do not address issue of

maintaining competencies