Logging Tools
Counting Positives
How do you ensure good PEM POCUS education when positive findings can be rare? There are multiple approaches to this conundrum.
Numbers:
Strict, must log positives
Pros:
- real experience seeing live positive scans
Cons:
- challenging to find positives
- time and resource consuming
Suggestions:
- don't limit to peds ED population
- adults
- inpatients with known pathology
Numbers:
Supplement with Sim (online or phantoms)
Pros:
- possibility for asynchronous learning
Cons:
- Cost of sim materials or subscriptions
Suggestions:
- create sim curriculum
Numbers:
No positives is OK
Pros:
- encourage scanning without pressure to find positives
Cons:
- missing experience of live scanning positives
Suggestions:
- focus teaching on excellent scanning technique and identifying key landmarks
- image review of positives
Competency based
Pros:
- more holistic evaluation
- encourages instructors to spend quality scanning time to establish good skills
Cons:
- potentially time/work intensive to do the assessments
Suggestions:
- focus on teaching excellent scanning technique and identifying key landmarks
- image review of positives