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Clinical Ultrasound Training in Emergency Medicine Advanced Practice Provider Residencies
Christian Junker1,2,3, Priyanka Vakkalanka1,2,3, Cory Wittrock1,2,3
1Christian Junker, PA-C, is a clinical assistant professor, Department of Emergency Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
Most emergency medicine Advanced Practice Provider residencies share ultrasound training resources with physician programs. However, standardized proficiency guidelines are lacking for these crucial clinical skills.
Area of Science:
- Emergency Medicine
- Medical Education
- Point-of-Care Ultrasound
Background:
- Clinical ultrasound is a core skill for Emergency Medicine (EM) clinicians.
- Understanding current ultrasound training for Advanced Practice Providers (APPs) in residencies is crucial.
Purpose of the Study:
- To investigate current clinical ultrasound training patterns within EM APP residencies.
- To identify common structures, faculty involvement, and evaluation methods.
Main Methods:
- A survey was electronically distributed to 17 active EM APP residencies.
- Data were collected from 21 responses regarding ultrasound faculty, quality assessment, feedback, and competency evaluation.
Main Results:
- A high response rate of 88% was achieved.
- 93% of programs were associated with EM physician residencies, often led by fellowship-trained physicians.
- While 93% required proctored scanning, 60% lacked a required number of scans for graduation.
Conclusions:
- EM APP residencies frequently share ultrasound training infrastructure with EM physician residencies.
- Quality ultrasound training is feasible, but a lack of standardized proficiency guidelines across programs exists.
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