EMUGs Survey 2015

The EMUGs Survey - 2015

The EMUGs Survey 2015

Brian O’ConnellEM Fellow, RPA Hospital MICGP, UTEC (eFAST, AAA)


Why conduct a Survey?• To gauge current local emergency

ultrasound experience, practice and training

• To assess level of interest in an EM US specialist interest group

• To look at the challenges and possible solutions of progressing US practice


The Survey: Distribution

• Emailed via the ECI database to all ED Directors & DEMTs from Newcastle to Wollongong

• Follow up emails and local EMUGs enthusiast’s influence


Survey open & Respondents• From 7th April for 4 weeks

• 234 Responses

• 133 FACEMs • 71 Registrars • 20 Others


The Hospitals

• 41 separate sites • Maximum 33 • Minimum 1 respondents • Average 5.7


Hospitals

• Highest number

• RPA 33 • John Hunter/Liverpool 29ea • Bankstown 21 • St.Vincents 15 • St George 14




Ultrasound Qualifications





• Sexy picture!!!!




Comments:• Don't see the need; I'm not officially

qualified to read radiographs or ECGs, but it's part of the practice of EM!!

• Very dubious about value of accreditation

• Credentialing process would need to be relevant


“What would you like to be done to help improve EM US education and training?”

• Lobby ACEM to make credentialing mandatory in basic modalities for trainees

• Affordability of courses • A curriculum and trainers who deliver

teaching as per curriculum • We really need a credentialing program

that is easy to access and fits in with work on the floor


• Each Department needs a champion of US • Formal assessment, feedback • CCPU already exists work with ASUM

rather than competing course • Revive UTEC • Scans to be uploaded on hospital imaging


What obstacles are there for improving EM US? How would you recommend addressing them?

• Time. Have half a day a month off the floor scanning

• Time / work pressures mean US becomes a discretional extra, rather than a core part of daily practice

• Money! Getting funding to train people in ED is difficult


• ACEM Commitment • Access to ultrasonographers and ECHO

teachers • Finding supervisor for CCPU modules • Inertia, lack of vision by old guard • Practice practice practice • No established forum (yet)


Role for EMUGs?

• Form a collaborative peer group for EM US discussion

• Encourage appropriate use of EMUS • Restart ED U/S credentialing • Advocate for more US positions, time for

training, pathway


• Increase awareness of need to be credentialled, store images for easy reference, establish standards for image storage and access/review

• Work with ASUM • To provide frequent low cost courses which will

give us accreditation • I'm not a complete luddite, but I think the role of

US needs to be kept in perspective.


• Get ACEM to recognise EMUS as a core skill and get US incorporated into ACEM exams, DOPS, OSCEs, etc.


Summary• Education is key • Credentialing is wanted and will increase

quality and quantity of US use • Local ‘UTEC’ credentialing process will

take a little more time • CCPU is great for those motivated • In house training similar to ECG/CXR

interpretation is essential


The Re-launch of ‘UTEC’

The Re-launch of ‘UTEC’Brian O’Connell

EM Fellow, RPA Hospital MICGP, UTEC (eFAST, AAA)


UTEC Governance chart


My understanding• Participant 2012/13 • Active 2009 until 2013 • Funding ceased • Cost • Completed trainees


• Meetings in 2013 to reestablish the program

• Online platform transfer from GemWorkstar to ‘HETIonline’

• Discussions with HETI last week • Awaiting external vendor to deliver

reformated program in 3-4 weeks


Issues with ‘UTEC’ relaunch• Minor content changes FAST to eFAST • Ownership and responsibility of running the

program when Online component ready • Qualified persons to review scans online


• …and now for something completely different!


• Thank you

EMUGs Survey 2015

Documents

emugs survey

survey open respondents

local emugs enthusiasts

practice of em

role of us

em us discussion

us positions

em us specialist