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Anaesthesiology

Training, Certification of Proficiency and Medicolegal Concerns for Point-of-Care Ultrasound in Anesthesia and Critical Care

Built from Practical Ultrasound in Anesthesia

The first 25 slides of Training, Certification of Proficiency and Medicolegal Concerns for Point-of-Care Ultrasound in Anesthesia and Critical Care
The first 25 slides, exactly as they appear. The full deck has 50 content slides.

What’s inside

6 sections · 50 slides

  1. 01

    Overview

    • Topics covered

    1 slide

  2. 02

    Background and definitions

    What point-of-care ultrasound is, and the terms used throughout

    • What point-of-care ultrasound is
    • Two kinds of POCUS
    • Diagnostic POCUS vs consultative ultrasound
    • Anesthesiology and diagnostic POCUS

    4 slides

  3. 03

    POCUS training

    The three curriculum elements, how they are taught, and minimum study numbers

    • Training has been variable
    • Who has provided guidance
    • Three curriculum elements
    • Teaching the three elements
    • Why hands-on scanning is essential
    • Level 1 vs Level 2 studies
    • Where the minimum numbers come from
    • Supervised studies for each application
    • Supervised Studies Recommended for Achieving POCUS Competency
    • Two assumptions behind the numbers

    10 slides

  4. 04

    Certification and competence

    Certificates vs certification, the ASA program, and credentialing

    • Why certification exists
    • Three terms defined
    • Certificate vs certification
    • ASA Diagnostic POCUS Certificate Program
    • Certificate program requirements
    • What the certificate is — and is not
    • ACGME residency requirements
    • ABA board exam content
    • Why no separate board certification
    • Credentialing and privileging
    • Institutional credentialing framework
    • Quality review and maintenance

    12 slides

  5. 05

    Ethical concerns

    Thermal safety, consent, and department safeguards

    • POCUS is safe, but not risk-free
    • Tissues at thermal risk
    • Minimize exposure and obtain consent
    • Department safeguards

    4 slides

  6. 06

    Medicolegal concerns

    What the lawsuit evidence shows about POCUS risk

    • Why medicolegal risk matters
    • Historical medicolegal concerns
    • Blaivas and Pawl (1987–2007)
    • Stolz et al. (2008–2012)
    • Russ et al. (2012–2021)
    • Limits of the emergency medicine studies
    • Beyond emergency medicine
    • Prager et al. — Canadian data
    • The medicolegal studies at a glance
    • Published Retrospective Legal Database Studies on POCUS — Study Characteristics
    • Published Retrospective Legal Database Studies on POCUS — Lawsuits and Consultative Services
    • Published Retrospective Legal Database Studies on POCUS — Diagnoses Involved
    • Medicolegal summary
    • Key takeaways
    • References
    • References
    • References
    • Practical Ultrasound in Anesthesia for Critical Care and Pain Management

    19 slides