Evidence map›Paper›PMID 38632162›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2024

Competencies for proficiency in basic point-of-care ultrasound in anesthesiology: national expert recommendations using Delphi methodology.

Glenio B Mizubuti, Sarah Maxwell, Sergiy Shatenko, Heather Braund, Rachel Phelan, Anthony M-H Ho, Nancy Dalgarno, Hailey Hobbs, Adam Szulewski, Faizal Haji and 2 more

Open access · bronzeAbstract read
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In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 3 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

12 authors at 2 institutions in 1 country.

Glenio B MizubutiDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada. gleniomizubuti@hotmail.com.ORCID 0000-0002-5515-829X
Sarah MaxwellDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Sergiy ShatenkoDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Heather BraundFaculty of Health Sciences, Office of Professional Development and Educational Scholarship, Queen's University, Kingston, ON, Canada.
Rachel PhelanDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Anthony M-H HoDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Nancy DalgarnoFaculty of Health Sciences, Office of Professional Development and Educational Scholarship, Queen's University, Kingston, ON, Canada.
Hailey HobbsDepartment of Critical Care Medicine, POCUS Fellowship Program Director, Queen's University, Kingston, ON, Canada.
Adam SzulewskiDepartments of Emergency Medicine and Psychology, Educational Scholarship Lead & Resuscitation and Reanimation Medicine Fellowship Program Director, Queen's University, Kingston, ON, Canada.
Faizal HajiDivision of Neurosurgery, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Ramiro ArellanoDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Canadian Anesthesiology POCUS Consortium
Queen's University · CAUniversity of British Columbia · CA

Funding

Southeastern Ontario Academic Medical Organization Education FundSoutheastern Ontario Academic Medical Organization Endowed Scholarship
6 · The paper itself

Abstract

purposePoint-of-care ultrasound (POCUS) allows for rapid bedside assessment and guidance of patient care. Recently, POCUS was included as a mandatory component of Canadian anesthesiology training; however, there is no national consensus regarding the competencies to guide curriculum development. We therefore aimed to define national residency competencies for basic perioperative POCUS proficiency.

methodsWe adopted a Delphi process to delineate relevant POCUS competencies whereby we circulated an online survey to academic anesthesiologists identified as POCUS leads/experts (n = 25) at all 17 Canadian anesthesiology residency programs. After reviewing a list of competencies derived from the Royal College of Physicians and Surgeons of Canada's National Curriculum, we asked participants to accept, refine, delete, or add competencies. Three rounds were completed between 2022 and 2023. We discarded items with < 50% agreement, revised those with 50-79% agreement based upon feedback provided, and maintained unrevised those items with ≥ 80% agreement.

resultsWe initially identified and circulated (Round 1) 74 competencies across 19 clinical domains (e.g., basics of ultrasound [equipment, nomenclature, clinical governance, physics]; cardiac [left ventricle, right ventricle, valve assessment, pericardial effusion, intravascular volume status] and lung ultrasound anatomy, image acquisition, and image interpretation; and clinical applications [monitoring and serial assessments, persistent hypotension, respiratory distress, cardiac arrest]). After three Delphi rounds (and 100% response rate maintained), panellists ultimately agreed upon 75 competencies.

conclusionThrough national expert consensus, this study identified POCUS competencies suitable for curriculum development and assessment in perioperative anesthesiology. Next steps include designing and piloting a POCUS curriculum and assessment tool(s) based upon these nationally defined competencies.

Indexed as

AnesthesiologyClinical CompetenceCurriculumDelphi TechniquePoint-of-Care SystemsUltrasonographyAnesthesiologistsCanadaHumansInternship and ResidencySurveys and Questionnairesanesthesia residencyanesthesia trainingassessment toolDelphimedical educationPOCUSpoint-of-care ultrasound

Identifiers

PMID38632162
OpenAlexW4394874949

What OpenQuestion holds

Textmetadata
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.