The document summarizes the results of the EMUGs Survey conducted in 2015 to assess emergency medicine physicians' ultrasound experience, practice, training needs, and interest in an EM ultrasound specialist group. The key findings were that 234 physicians responded from 41 hospitals, demonstrating interest in credentialing and a need for improved ultrasound education. Respondents felt a local credentialing process like UTEC could help increase ultrasound use if challenges around time, funding, and access to training were addressed.
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EMUGs Survey 2015
1. The EMUGs Survey - 2015
The EMUGs Survey
2015
Brian OConnell
EM Fellow, RPA Hospital
MICGP, UTEC (eFAST, AAA)
2. The EMUGs Survey - 2015
Why conduct a Survey?
To gauge current local emergency
ultrasound experience, practice and
training
To assess level of interest in an EM US
specialist interest group
To look at the challenges and possible
solutions of progressing US practice
3. The EMUGs Survey - 2015
The Survey: Distribution
Emailed via the ECI database
to all ED Directors & DEMTs
from Newcastle to Wollongong
Follow up emails and local EMUGs
enthusiasts influence
4. The EMUGs Survey - 2015
Survey open & Respondents
From 7th April for 4 weeks
234 Responses
133 FACEMs
71 Registrars
20 Others
5. The EMUGs Survey - 2015
The Hospitals
41 separate sites
Maximum 33
Minimum 1 respondents
Average 5.7
6. The EMUGs Survey - 2015
Hospitals
Highest number
RPA 33
John Hunter/Liverpool 29ea
Bankstown 21
St.Vincents 15
St George 14
16. The EMUGs Survey - 2015
Comments:
Don't see the need; I'm not officially
qualified to read radiographs or ECGs,
but it's part of the practice of EM!!
Very dubious about value of accreditation
Credentialing process would need to be
relevant
17. The EMUGs Survey - 2015
What would you like to be done to help
improve EM US education and training?
Lobby ACEM to make credentialing
mandatory in basic modalities for trainees
Affordability of courses
A curriculum and trainers who deliver
teaching as per curriculum
We really need a credentialing program
that is easy to access and fits in with work
on the floor
18. The EMUGs Survey - 2015
Each Department needs a champion of US
Formal assessment, feedback
CCPU already exists work with ASUM
rather than competing course
Revive UTEC
Scans to be uploaded on hospital imaging
19. The EMUGs Survey - 2015
What obstacles are there for improving EM US?
How would you recommend addressing them?
Time. Have half a day a month off the floor
scanning
Time / work pressures mean US becomes
a discretional extra, rather than a core part
of daily practice
Money! Getting funding to train people in
ED is difficult
20. The EMUGs Survey - 2015
ACEM Commitment
Access to ultrasonographers and ECHO
teachers
Finding supervisor for CCPU modules
Inertia, lack of vision by old guard
Practice practice practice
No established forum (yet)
21. The EMUGs Survey - 2015
Role for EMUGs?
Form a collaborative peer group for EM US
discussion
Encourage appropriate use of EMUS
Restart ED U/S credentialing
Advocate for more US positions, time for
training, pathway
22. The EMUGs Survey - 2015
Increase awareness of need to be
credentialled,
store images for easy reference,
establish standards for image storage and
access/review
Work with ASUM
To provide frequent low cost courses which will
give us accreditation
I'm not a complete luddite, but I think the role of
US needs to be kept in perspective.
23. The EMUGs Survey - 2015
Get ACEM to recognise EMUS as a core
skill and get US incorporated into ACEM
exams, DOPS, OSCEs, etc.
24. The EMUGs Survey - 2015
Summary
Education is key
Credentialing is wanted and will increase
quality and quantity of US use
Local UTEC credentialing process will
take a little more time
CCPU is great for those motivated
In house training similar to ECG/CXR
interpretation is essential
28. The Re-launch of UTEC
My understanding
Participant 2012/13
Active 2009 until 2013
Funding ceased
Cost
Completed trainees
29. The Re-launch of UTEC
Meetings in 2013 to reestablish the
program
Online platform transfer from GemWorkstar
to HETIonline
Discussions with HETI last week
Awaiting external vendor to deliver
reformated program in 3-4 weeks
30. The Re-launch of UTEC
Issues with UTEC relaunch
Minor content changes FAST to eFAST
Ownership and responsibility of running the
program when Online component ready
Qualified persons to review scans online
31. The Re-launch of UTEC
and now for something completely different!