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