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Point-of-Care Ultrasound Education and Training for Regional Anesthesiologist and Pain Physicians
Publication Date: March 1, 2021
Last Updated: March 14, 2022
Recommendations
The I-AIM model is used as the framework for didactic and hands-on training and to guide competency assessment.
Didactic curricula may include in-class or online components.
Training should include hands-on sessions on live models with normal anatomy and sonoanatomy for each particular skill to aid in image acquisition and familiarity with normal anatomy. Pathology can be reviewed either by a simulator, scanning patients with known pathology, or reviewing clinical cases.
Curriculum content should be reviewed on an ongoing basis.
Further research is encouraged to investigate the optimal training methodologies, approach to competency assessment, and learning curves in an anesthesiology and pain clinical environment.
Refer to table 1 for the minimum number of supervised studies recommended to achieve competency in each of the specific diagnostic point-of-care ultrasound (POCUS) domains.
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Table 1: Minimum number of supervised studies recommended to achieve competency in specific diagnostic point-of-care ultrasound (POCUS) domains (adapted with permission from a Work Product authored by the American Society of Anesthesiologists’ Ad Hoc Committee on POCUS)
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POCUS application
Minimum number of supervised studies personally performed and interpreted (“Level 1” studies)
Minimum number of additional supervised studies interpreted but need not be personally performed (“Level 2” studies)
Total number of “Level 1 and 2” studies for competency
Focused airway ultrasound
30
20
50
Focused lung ultrasound
30
20
50
Focused assessment with sonography in trauma
30
20
50
Focused gastric ultrasound
30
20
50
Focused cardiac ultrasound
50
100
150
Overview
Title
Point-of-Care Ultrasound Education and Training for Regional Anesthesiologists and Pain Physicians
Authoring Organization
American Society of Regional Anesthesia and Pain Medicine