Emergency Ultrasound Section Forum
Subspecialty Certification 2017: ACGME vs DFP vs Alternative
Please review the attached update on subspecialty certification. This document was preparedby leadership across ACEP, SAEM, SCUF and the Clinical Ultrasound Task Force to supplementprevious discussion on this topic and draw attention to some potential advantages anddisadvantages of the different pathways. While this document cannot comprehensively discussevery aspect of subspecialty certification, it hopes to engender discussion and debate. TheAmerican Board of Emergency Medicine (ABEM) will decide whether to pursue either ACGMEsubspecialty certification, the newly created designation of focused practice or neither. Beforemoving forward, the ABEM wants to survey the ultrasound community to determine what wewant. This survey will occur after October and may be a critical factor in deciding the future ofclinical ultrasound. It is imperative that everyone voting is as well informed as possible.
In addition to reviewing this document please feel free to post any questions, concerns, thoughts and opinions by posting in this friendly discussion thread.
Thanks for putting together. My gut is to proceed with full ACGME sub-specialty recognition given the decades of work that has been invested to make EM the leaders in POC US. At our institution, as well as many others I'm sure, our department is the go to for POC US education and oversight. I feel that other pathways will lead to our expertise being watered-down. Am concerned about increased difficulty (initially) establishing the fellowships and recruiting fellows, but feel it will payoff in the long-run. Will look forward to reading others' comments and ideas, and will also be checking with our local DIO for what impact this would have on our available fellowship spots. My best,
Andrew Shedd, MD, FACEPUltrasound DirectorAssistant Residency DirectorEmergency MedicineJohn Peter Smith HospitalFort Worth, TX@SonoShedd
Yeah, thanks for putting this together, appreciate all the time put in to it. I am still somewhat fresh out of residency, one that was very US heavy, also recently completed the US fellowship in Fort Worth TX at John Peter Smith, but I am fairly new to this side of the discussion. I agree with @SonoShedd, my initial thoughts are to proceed with full ACGME sub-specialty recognition. It may initially make it more difficult to recruit fellows but in the end will only help to legitimize the role of POCUS in EM and even more so show that we are leaders and pioneers in the US community as a whole. US is not necessary a tool that all EM physicians use or feel comfortable with, even after completing an EM residency, so for those of us who have dedicated time honing those skills and then completing an additional year of training in fellowship, I feel deserve the recognition as "specialists" in this area of EM.
Chad Holmes, DO
John Peter Smith Hospital
Fort Worth, TX
I'll just say that I'm in favor or ACGME subspecialty certification. While there are benefits and drawbacks on both sides, long term, I think subspecialty certification is the best route for the continued growth of our work and gives us the best position to have a larger impact implementing ultrasound into routine health care for the benefits of patients and the health care system as a whole.