National Needs Assessment for Point-of-Care Ultrasound in Pediatric Residency
Date survey distributed to APPD membership (eg., 3/2015):
Portion of APPD membership surveyed (eg., Program Directors and Associate Program Directors):
Associate Program Directors
Response rate (eg., 50%; 99/198):
Summary of main findings:
Most respondents were Associate Program Directors (APDs) (91%), with more than half (55%) graduating from residency less than 10 years ago. Hospital Medicine (31%) and General Pediatrics (20%) were the most common fields of clinical practice among respondents and only 29% used point-of-care ultrasound (POCUS) in clinical practice. There were no significant differences in program characteristics including size, region or setting between respondents and non-respondents (Figure 1). Only 38% of programs reported any POCUS training for residents and there was no difference in the presence of POCUS training based on program characteristics. The most common educational formats included informal bedside teaching (68%) and independent study (39%). POCUS instructors were most likely from the fields of Emergency Medicine (84%) or Critical Care Medicine (67%). The most common POCUS applications reported in training were procedural guidance (72%), lung ultrasound (68%), trauma/resuscitation (61%) and skin/soft tissue (58%). The most frequently cited barrier to POCUS training was lack of qualified instructors (91%). A majority (57%) of APDs completely or mostly agreed that all pediatric residents should be trained in POCUS during residency with no difference in opinions based on respondent or program characteristics. A greater percentage of APDs completely or mostly agreed that POCUS is an important tool in the management of pediatric patients (71%) and that POCUS is useful in a variety of clinical settings (76%). The POCUS applications regarded as extremely or somewhat important to include in training for pediatric residents were procedural guidance (90%), soft tissue (79%), trauma/resuscitation (78%) and renal/bladder (76%) while hepatobiliary (41%) and obstetrical (40%) were regarded as less important.
Plan to submit abstracts to PAS and APPD spring meeting.
Finishing final data analysis prior to manuscript preparation.