Emergency Ultrasound Training Program in Guyana: Systematic Credentialing Process in a Resource-limited Setting

Area of Science:

• Emergency Medicine
• Medical Education
• Point-of-Care Ultrasound

Background:

• Point-of-care ultrasound (POCUS) is vital for emergency physicians, particularly in resource-limited settings.
• Diagnostic imaging availability and timeliness are often compromised in underserved regions.
• Implementing POCUS training requires addressing unique logistical and educational hurdles.

Purpose of the Study:

• To describe the implementation of an emergency medicine ultrasound curriculum in Guyana.
• To outline the challenges encountered and the creative solutions developed.
• To detail the curriculum, credentialing process, and sustainability plan.

Main Methods:

• A formal emergency medicine ultrasound curriculum was established at Georgetown Public Hospital Corporation.
• Challenges including limited equipment, IT infrastructure, and local expertise were identified.
• Creative solutions and a structured credentialing process were developed to overcome these obstacles.

Main Results:

• The implemented ultrasound curriculum successfully trained emergency medicine residents.
• All graduating residents demonstrated competency in ultrasound assessments.
• The program established a sustainable model for POCUS education in a resource-limited environment.

Conclusions:

• Despite significant challenges, a formal emergency medicine ultrasound curriculum can be successfully implemented in resource-limited settings.
• Creative problem-solving and a structured approach are key to overcoming barriers to POCUS training.
• The program demonstrates the feasibility and effectiveness of POCUS education for improving emergency care in Guyana.