Emergency Ultrasound Section Forum
Credentialing for Pelvic Ultrasound
Dear ultrasound colleagues,
We have run into some questions about credentialing our EM residents to perform 1st trimester pregnancy ultrasound. Our current ACEP guidelines recommend a numeric goal of at least 25 pregnancy exams, similar to the other core ultrasound applications -- but this specific exam is unique, in that there are two approaches (transabdominal vs transvaginal), which I believe are very different instrumentation skill sets.
Are you having your trainees:
-Perform a grand total of >25, combining both TA and TV?
-Perform 25 TA and 25 TV scans?
-Requiring that a certain proportion of the 25 scans be TV?
I'd be interested to know the variations in our approach to this question.
Tiffany C. Fong, MD
Director of Emergency Ultrasound
Assistant Professor of Emergency Medicine
Johns Hopkins University School of Medicine
On Tue, Apr 5, 2016 at 1:27 PM, Noble, Vicki Elizabeth,M.D. VNOBLE@mgh.harvard.edu> wrote:
You have to do 25 of each at least This is in the guidelines
As absolutely as you point put these are totally different skills
Agree with both. I make mine do 25 of both
VST-Vivek Tayal, MD
We moved to 25 combined TA and TV about 8 years ago. Then went back to 25 TA and TV at the request of several groups who insisted upon this. I agree with the discussion in obvious technique differences as well as counter point on similar anatomy.
I would suggest we note in the 2016 version that 25 are required with at least 10 being TV. This is a key springboard exam. Setting the bar too high will hinder efforts to improve EUS utilization. But I defer to the group.
I am cc'ing this to Phil Perera to start a forum thread for the discussion. Thanks everyone!
John Bailitz, MD
Cook County EUS Division & Collaborative Research Director
Rush Associate Professor of Emergency Medicine
ACEP EUS Section & Online Education Chair
SMACC US Director & Organizing Committee