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Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies
BACKGROUND: Emergency medicine (EM) is a growing specialty in Colombia with five residency programs in the country. EM leadership is interested in incorporating point-of-care (POC) ultrasound into a standardized national EM residency curriculum. This study is a nationwide survey of Colombian EM resi...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3922404/ https://www.ncbi.nlm.nih.gov/pubmed/24499650 http://dx.doi.org/10.1186/1865-1380-7-7 |
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author | Henwood, Patricia C Beversluis, David Genthon, Alissa A Wilson, Christina N Norwood, Brendan Silva, Daniel Foran, Mark Romero, Mauricio G Martinez, Yury B Vargas, Luis E Ocampo, Alejandro C Vallejo, Carlos E Arbelaez, Christian |
author_facet | Henwood, Patricia C Beversluis, David Genthon, Alissa A Wilson, Christina N Norwood, Brendan Silva, Daniel Foran, Mark Romero, Mauricio G Martinez, Yury B Vargas, Luis E Ocampo, Alejandro C Vallejo, Carlos E Arbelaez, Christian |
author_sort | Henwood, Patricia C |
collection | PubMed |
description | BACKGROUND: Emergency medicine (EM) is a growing specialty in Colombia with five residency programs in the country. EM leadership is interested in incorporating point-of-care (POC) ultrasound into a standardized national EM residency curriculum. This study is a nationwide survey of Colombian EM residents designed to explore the current state of POC ultrasound use within EM residencies and examine specific barriers preventing its expansion. METHODS: We conducted a mix-methodology study of all available current EM residents in the five EM residencies in Colombia. The quantitative survey assessed previous ultrasound experience, current use of various applications, desire for further training, and perceived barriers to expanded use. Focus group discussions (FGDs) were conducted with current EM residents to gather additional qualitative insight into their practice patterns and perceived barriers to clinician-performed ultrasound. RESULTS: Sixty-nine EM residents completed the quantitative survey, a response rate of 85% of all current EM residents in Colombia; 52% of resident respondents had previously used ultrasound during their training. Of these, 58% indicated that they had performed <10 scans and 17% reported >40 scans. The most frequently used applications indicated by respondents were trauma, obstetrics, and procedures including vascular access. A quarter indicated they had previously received some ultrasound training, but almost all expressed an interest in learning more. Significant barriers included lack of trained teachers (indicated by 78% of respondents), absence of machines (57%), and limited time (41%). In FGDs, the barriers identified were inter-specialty conflicts over the control of ultrasonography, both institutionally and nationally, and program-specific curriculum decisions to include POC ultrasound. CONCLUSION: While currently limited in their access, EM residents in Colombia have a strong interest in integrating POC ultrasound into their training. Current barriers to expanded use include traditional barriers such as a lack of equipment seen in many developing countries, as well as inter-specialty conflicts typical of developed countries. Further collaboration is underway to help overcome these obstacles and integrate POC ultrasound into Colombian EM residency training. |
format | Online Article Text |
id | pubmed-3922404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Springer |
record_format | MEDLINE/PubMed |
spelling | pubmed-39224042014-02-20 Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies Henwood, Patricia C Beversluis, David Genthon, Alissa A Wilson, Christina N Norwood, Brendan Silva, Daniel Foran, Mark Romero, Mauricio G Martinez, Yury B Vargas, Luis E Ocampo, Alejandro C Vallejo, Carlos E Arbelaez, Christian Int J Emerg Med Original Research BACKGROUND: Emergency medicine (EM) is a growing specialty in Colombia with five residency programs in the country. EM leadership is interested in incorporating point-of-care (POC) ultrasound into a standardized national EM residency curriculum. This study is a nationwide survey of Colombian EM residents designed to explore the current state of POC ultrasound use within EM residencies and examine specific barriers preventing its expansion. METHODS: We conducted a mix-methodology study of all available current EM residents in the five EM residencies in Colombia. The quantitative survey assessed previous ultrasound experience, current use of various applications, desire for further training, and perceived barriers to expanded use. Focus group discussions (FGDs) were conducted with current EM residents to gather additional qualitative insight into their practice patterns and perceived barriers to clinician-performed ultrasound. RESULTS: Sixty-nine EM residents completed the quantitative survey, a response rate of 85% of all current EM residents in Colombia; 52% of resident respondents had previously used ultrasound during their training. Of these, 58% indicated that they had performed <10 scans and 17% reported >40 scans. The most frequently used applications indicated by respondents were trauma, obstetrics, and procedures including vascular access. A quarter indicated they had previously received some ultrasound training, but almost all expressed an interest in learning more. Significant barriers included lack of trained teachers (indicated by 78% of respondents), absence of machines (57%), and limited time (41%). In FGDs, the barriers identified were inter-specialty conflicts over the control of ultrasonography, both institutionally and nationally, and program-specific curriculum decisions to include POC ultrasound. CONCLUSION: While currently limited in their access, EM residents in Colombia have a strong interest in integrating POC ultrasound into their training. Current barriers to expanded use include traditional barriers such as a lack of equipment seen in many developing countries, as well as inter-specialty conflicts typical of developed countries. Further collaboration is underway to help overcome these obstacles and integrate POC ultrasound into Colombian EM residency training. Springer 2014-02-05 /pmc/articles/PMC3922404/ /pubmed/24499650 http://dx.doi.org/10.1186/1865-1380-7-7 Text en Copyright © 2014 Henwood et al.; licensee Springer. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Original Research Henwood, Patricia C Beversluis, David Genthon, Alissa A Wilson, Christina N Norwood, Brendan Silva, Daniel Foran, Mark Romero, Mauricio G Martinez, Yury B Vargas, Luis E Ocampo, Alejandro C Vallejo, Carlos E Arbelaez, Christian Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies |
title | Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies |
title_full | Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies |
title_fullStr | Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies |
title_full_unstemmed | Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies |
title_short | Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies |
title_sort | characterizing the limited use of point-of-care ultrasound in colombian emergency medicine residencies |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3922404/ https://www.ncbi.nlm.nih.gov/pubmed/24499650 http://dx.doi.org/10.1186/1865-1380-7-7 |
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