Evidence map›Paper›PMID 27230231›Full record

ArticleCritical ultrasound journal2016

Current status of emergency department attending physician ultrasound credentialing and quality assurance in the United States.

Devjani Das, Monica Kapoor, Cara Brown, Afoma Ndubuisi, Sanjey Gupta

Open access · goldAbstract read
In one paragraph

Article in Critical ultrasound journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Devjani DasDepartment of Emergency Medicine, Northwell Health-Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, 10305, USA. devdas2@gmail.com.
Monica KapoorDepartment of Emergency Medicine, Northwell Health-Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, 10305, USA.
Cara BrownDepartment of Emergency Medicine, Northwell Health-Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, 10305, USA.
Afoma NdubuisiDepartment of Emergency Medicine, Northwell Health-Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, 10305, USA.
Sanjey GuptaDepartment of Emergency Medicine, Northwell Health-Franklin Hospital, 900 Franklin Ave, Valley Stream, NY, 11580, USA.
Staten Island University Hospital · USNorthwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of emergency ultrasonography (EUS) has gained much popularity in the past few decades, and is now a mainstay of diagnostic decision-making. This expanded use is now highlighting the substantial issue of individual hospitals in credentialing its emergency medicine attending physicians in EUS in the United States. This issue is also of importance as more hospitals are now requesting reimbursements for emergency ultrasounds. The objective of this study is to gain an understanding of how many emergency departments are currently credentialing its attending staff in EUS, what the internal structure and staffing are of these emergency departments, and how they are currently performing quality assurance of the ultrasounds performed.

methodsThis was a cross-sectional, web-based survey sent to 160 ACGME-accredited EM residency programs from July 2013 to November 2013. The survey consisted of 23 questions regarding: (1) number of emergency medicine attendings on staff, (2) presence of an EUS fellowship, (3) quality assurance (QA) process, and (4) current US credentialing process.

resultsThere was a 50 % response rate. Fifty percent of the total respondents (n = 40) had an EUS fellowship program. Of the sites with an EUS fellowship, 36 had EUS fellowship-trained attendings. Of the sites without an EUS fellowship, 19 had EUS fellowship-trained faculty, p ≤ 0.0001. Sites with an EUS fellowship had a greater percentage of staff credentialed to perform EUS as compared to sites with no EUS fellowship, p = 0.0161. All sites with an EUS fellowship had EUS-credentialed attendings. In sites with an EUS fellowship, 35 conducted a formal QA of ED performed EUS scans versus 22 at sites without an EUS fellowship, p = 0.003.

conclusionsThe survey results support hiring emergency attendings that have completed postgraduate training in emergency ultrasonography to aid in credentialing staff. This also seems to be helpful in completing a timelier QA of all ED ultrasounds.

Indexed as

CredentialingEducationEmergency ultrasonographyQuality assuranceSurvey

Identifiers

PMID27230231
PMCPMC4880803
OpenAlexW2394658954

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.