Chest
Consensus StatementAmerican College of Chest Physicians/La Société de Réanimation de Langue Française Statement on Competence in Critical Care Ultrasonography
Section snippets
Executive Summary
Ultrasonography has widespread utility in the diagnosis and treatment of critical illness, and is a valuable and accessible tool for intensivists and pulmonary physicians. With proper training, intensivists and pulmonary physicians can achieve a high level of competence in all aspects of ultrasonography relevant to their specialty. The clinician needs to understand what constitutes competence in the field. A defined standard allows the formulation of training goals and serves to guide the
Materials and Methods
This consensus statement is sponsored by the ACCP Critical Care NetWork Steering Committee, which identified ACCP representatives for this project; SRLF members were assigned separately. Working groups representing both organizations were responsible for different components of manuscript preparation. The contents of this statement should not be used for performance measurement or establishing competency purposes because they are not evidence-based as outlined by the ACCP Health and Science
Analysis of Delphi Surveys
One group of respondents consisted of 126 participants of a 3-day course on CCUS. A second group of experts consisted of 18 faculty who taught the CCUS course. Appendix 1 summarizes the demographics of course participants.
There were 22 faculty members, of whom 18 had a 100% response rate; the 4 faculty members who did not have a 100% response rate were excluded because they had prior knowledge of the consensus statement content. The response rate of the course participant group varied, with
Conclusions
The purpose of this document is to define explicitly the competencies of CCUS. This statement has two important uses:
- 1.
It may be used as a practical guide for physicians who seek training and for those who provide training in the field. With this standard statement of competence, the goals of training are now clearly defined.
- 2.
It may be used as a foundation for developing training methods and standards, as well as providing a framework for developing a formal system of certification in the field of
Appendix 1
PA = physicianDemographic Participant Group(n = 126), % Position Resident 5 Fellow 20 Attending 73 PA/NP 1 Other 1 Age 20–30 yr 3 30–40 yr 45 40–50 yr 20 50–60 yr 24 ≥ 60 yr 8 Residence South 26 West coast 7 Midwest 38 East coast 18 International 10 Practice Front-line PCCM 79 Consultative PCCM 13 Hospitalist 4 Other specialty 4 Interest Pleural 7 Abdominal 0 General 48 Procedural guidance 45 Experience None 45 1–5 USs/wk 38 6–10 USs/wk 12 10–20 USs/wk 2 ≥ 20 USs/wk 3
Appendix 2
Empty Cell Agreement, % Empty Cell Range Mean (Median) Modules/Statements G1 G2 Mean Level of Agreement, % G1 G2 G1 G2 Lung S1 75 100 88 1–5 4–5 4.0 (4) 4.9 (5) S2 83 100 92 1–5 4–5 4.2 (5) 4.9 (5) S3 61 95 78 1–5 3–5 3.6 (4) 4.6 (4) S4 69 100 84 1–5 4–5 3.8 (4) 4.9 (5) S5 69 95 82 1–5 3–5 3.8 (4) 4.8 (5) Pleural S6 93 94 94 1–5 2–5 4.6 (5) 4.7 (5) S7 96 100 98 1–5 5–5 4.5 (5) 5.0 (5) S8 94 100 97 1–5 5–5 4.7 (5) 5.0 (5) S9 94 94 2–5 4.6 (5) Vascular guidance S10 91 100 96 1–5 4–5 4.5 (5) 4.4 (5) S11 94 94 94 1–5 3–5 4.8 (5) 4.3 (5) S12 94 94 94 1–5 3–5 4.7 (5)
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The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).