Post on 15-Aug-2015
The EMUGs Survey - 2015
The EMUGs Survey 2015
Brian O’ConnellEM Fellow, RPA Hospital MICGP, UTEC (eFAST, AAA)
The EMUGs Survey - 2015
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 EMUGs Survey - 2015
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
The EMUGs Survey - 2015
Survey open & Respondents• From 7th April for 4 weeks
• 234 Responses
• 133 FACEMs • 71 Registrars • 20 Others
The EMUGs Survey - 2015
The Hospitals
• 41 separate sites • Maximum 33 • Minimum 1 respondents • Average 5.7
The EMUGs Survey - 2015
Hospitals
• Highest number
• RPA 33 • John Hunter/Liverpool 29ea • Bankstown 21 • St.Vincents 15 • St George 14
The EMUGs Survey - 2015
The EMUGs Survey - 2015
The EMUGs Survey - 2015
Ultrasound Qualifications
The EMUGs Survey - 2015
The EMUGs Survey - 2015
The EMUGs Survey - 2015
The EMUGs Survey - 2015
• Sexy picture!!!!
The EMUGs Survey - 2015
The EMUGs Survey - 2015
The EMUGs Survey - 2015
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
The EMUGs Survey - 2015
“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
The EMUGs Survey - 2015
• 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
The EMUGs Survey - 2015
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
The EMUGs Survey - 2015
• 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)
The EMUGs Survey - 2015
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
The EMUGs Survey - 2015
• 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.
The EMUGs Survey - 2015
• Get ACEM to recognise EMUS as a core skill and get US incorporated into ACEM exams, DOPS, OSCEs, etc.
The EMUGs Survey - 2015
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 EMUGs Survey - 2015
The Re-launch of ‘UTEC’
The Re-launch of ‘UTEC’Brian O’Connell
EM Fellow, RPA Hospital MICGP, UTEC (eFAST, AAA)
The Re-launch of ‘UTEC’
UTEC Governance chart
The Re-launch of ‘UTEC’
My understanding• Participant 2012/13 • Active 2009 until 2013 • Funding ceased • Cost • Completed trainees
The Re-launch of ‘UTEC’
• 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
The Re-launch of ‘UTEC’
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
The Re-launch of ‘UTEC’
• …and now for something completely different!
The Re-launch of ‘UTEC’
• Thank you