Credentialing of hospitalists in ultrasound-guided bedside procedures: A position statement of the society of hospital medicine

SHM Point-of-Care-Ultrasound Task Force

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Ultrasound guidance is used increasingly to perform the following 6 bedside procedures that are core competencies of hospitalists: abdominal paracentesis, arterial catheter placement, arthrocentesis, central venous catheter placement, lumbar puncture, and thoracentesis. Yet most hospitalists have not been certified to perform these procedures, whether using ultrasound guidance or not, by specialty boards or other institutions extramural to their own hospitals. Instead, hospital privileging committees often ask hospitalist group leaders to make ad hoc intramural certification assessments as part of credentialing. Given variation in training and experience, such assessments are not straightforward “sign offs.” We thus convened a panel of experts to conduct a systematic review to provide recommendations for credentialing hospitalist physicians in ultrasound guidance of these 6 bedside procedures. Pathways for initial and ongoing credentialing are proposed. A guiding principle of both is that certification assessments for basic competence are best made through direct observation of performance on actual patients.

Original languageEnglish (US)
Pages (from-to)117-125
Number of pages9
JournalJournal of Hospital Medicine
Volume13
Issue number2
DOIs
StatePublished - Feb 2018

ASJC Scopus subject areas

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

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