PMID- 34527846
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240403
IS  - 2472-5390 (Electronic)
IS  - 2472-5390 (Linking)
VI  - 5
IP  - 4
DP  - 2021 Aug
TI  - Development of a novel pediatric point-of-care ultrasound question bank using a 
      modified Delphi process.
PG  - e10651
LID - 10.1002/aet2.10651 [doi]
LID - e10651
AB  - BACKGROUND AND OBJECTIVES: Measuring pediatric emergency medicine (PEM) fellow 
      competency in point-of-care ultrasound (POCUS) is important for ensuring adequate 
      training and performance. Assessment may include direct observation, image 
      review, quality assessment, and written examination. The purpose of this study 
      was to develop a pediatric POCUS question bank that could subsequently be used as 
      a POCUS assessment for graduating PEM fellows. METHODS: We organized a 10-person 
      question writing group (QWG). Eight hold expertise in POCUS and two hold 
      expertise in medical education. Members of the QWG created questions within four 
      domains: interpretation/diagnosis (50% of questions), anatomy (30%), physics 
      (10%), and pitfalls (10%). POCUS faculty ascertained content validity and the 
      medical education faculty revised questions for syntax and readability. In 2016, 
      we recruited 31 pediatric POCUS experts. The majority were members of the 
      P2 Network, an international group of experts and leaders in PEM POCUS, to 
      participate in three iterative rounds of a modified Delphi process to review, 
      revise, and establish consensus on the question bank. RESULTS: Thirty-one 
      pediatric POCUS experts participated in the three rounds of the modified Delphi 
      process and evaluated 437 questions developed by the expert panel. Forty-nine 
      percent (n = 216) of the questions were accepted in round 1, 30% (n = 130) in 
      round 2, and 11% (n = 47) in the final round. The final question bank included 
      393 questions covering 17 pediatric POCUS applications. CONCLUSION: We developed 
      a 393-question bank to aid in the assessment of PEM POCUS competency. Future work 
      includes piloting the questions with PEM fellows to evaluate the response process 
      and implementing the assessment tool to establish a minimum passing score.
CI  - (c) 2021 Society for Academic Emergency Medicine.
FAU - Alade, Kiyetta H
AU  - Alade KH
AUID- ORCID: 0000-0001-6711-8327
AD  - Baylor College of Medicine Houston Texas USA.
FAU - Marin, Jennifer R
AU  - Marin JR
AUID- ORCID: 0000-0003-3090-664X
AD  - UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA.
FAU - Constantine, Erika
AU  - Constantine E
AUID- ORCID: 0000-0001-6682-0763
AD  - Alpert Medical School of Brown University Providence Rhode Island USA.
FAU - Ekpenyong, Atim
AU  - Ekpenyong A
AD  - University of California-San Diego San Diego California USA.
FAU - Farrell, Susan E
AU  - Farrell SE
AD  - Harvard Medical School Boston Massachusetts USA.
FAU - Horowitz, Russ
AU  - Horowitz R
AD  - Northwestern School of Medicine Chicago Illinois USA.
FAU - Hsu, Deborah
AU  - Hsu D
AD  - Baylor College of Medicine Houston Texas USA.
FAU - Kwan, Charisse W
AU  - Kwan CW
AD  - Children's Hospital London Health Sciences Centre London Ontario Canada.
FAU - Ng, Lorraine
AU  - Ng L
AD  - Columbia University Irving Medical Center New York New York USA.
FAU - Leonard, Perry J
AU  - Leonard PJ
AD  - Baylor College of Medicine Houston Texas USA.
FAU - Lewiss, Resa E
AU  - Lewiss RE
AD  - Thomas Jefferson University Philadelphia Pennsylvania USA.
LA  - eng
PT  - Journal Article
DEP - 20210801
PL  - United States
TA  - AEM Educ Train
JT  - AEM education and training
JID - 101722142
PMC - PMC8427181
COIS- RH-Butterfly Network, educational consulting. DCH-American Board of Pediatrics 
      Emergency Medicine Subboard member and American Academy of Pediatrics Section on 
      Emergency Medicine Executive Committee Chair Elect. REL serves of the medical 
      advisory board of EchoNous. She is an editor at Rosh Review. The other authors 
      have no potential conflicts to disclose.
EDAT- 2021/09/17 06:00
MHDA- 2021/09/17 06:01
PMCR- 2022/08/01
CRDT- 2021/09/16 07:19
PHST- 2021/04/27 00:00 [received]
PHST- 2021/07/08 00:00 [revised]
PHST- 2021/07/11 00:00 [accepted]
PHST- 2021/09/16 07:19 [entrez]
PHST- 2021/09/17 06:00 [pubmed]
PHST- 2021/09/17 06:01 [medline]
PHST- 2022/08/01 00:00 [pmc-release]
AID - AET210651 [pii]
AID - 10.1002/aet2.10651 [doi]
PST - epublish
SO  - AEM Educ Train. 2021 Aug 1;5(4):e10651. doi: 10.1002/aet2.10651. eCollection 2021 
      Aug.