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Best Practices for a Competency-based Curriculum in Critical Care Ultrasonography for Fellows
Paru Patrawalla1, Frances Mae West2, Navitha Ramesh3
1Division of Pulmonary and Critical Care Medicine, Icahn School of Medicine at Mount Sinai (Mount Sinai West), New York, New York.
Abstract:
New guidelines from the Accreditation Council on Graduate Medical Education for critical care ultrasound (CCUS) training went into effect on July 1, 2024, for critical care medicine and combined pulmonary and critical care medicine fellows. Fellowship programs will need to ensure that their fellows demonstrate competence in skills that are essential to CCUS, which currently encompasses applications in basic cardiac, lung/pleural, abdominal, and vascular ultrasonography (US). This may be a challenge for fellowship programs that have nascent CCUS curricula and limited faculty expertise. In this Perspective, we share expert and evidence-based recommendations on how to implement a competency-based curriculum in CCUS. We review best practices for equipment requirements, introductory and longitudinal curricula, competency assessment and certification, faculty requirements and development, and continuous programmatic quality improvement.
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