{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:09:38Z","timestamp":1792087778281,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AEM Education and Training"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The primary objective was to survey pediatric emergency medicine (PEM) leaders and fellows regarding point\u2010of\u2010care ultrasound (POCUS) training in PEM fellowship programs, including teaching methods, training requirements, and applications taught. Secondary objectives were to compare fellows' and program leaders' perceptions of fellow POCUS competency and training barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross\u2010sectional survey of U.S. PEM fellows and fellowship program leaders of the 78 fellowship programs using two online group\u2010specific surveys exploring five domains: program demographics; training strategies and requirements; perceived competency; barriers, strengths, and weaknesses of POCUS training; and POCUS satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010three percent (65\/78) of programs and 53% (298\/558) of fellows responded. All participating PEM fellowship programs included POCUS training in their curriculum. Among the 65 programs, 97% of programs and 92% of programs utilized didactics and supervised scanning shifts as educational techniques, respectively. Sixty percent of programs integrated numerical benchmarks and 49% of programs incorporated real\u2010time, hands\u2010on demonstration as training requirements. Of the 19 POCUS applications deemed in the literature as core requirements for fellows, at least 75% of the 298 fellows reported training in 13 of those applications. Although less than half of fellows endorsed competency for identifying intussusception, ultrasound\u2010guided pericardiocentesis, and transvaginal pregnancy evaluation, a higher proportion of leaders reported fellows as competent for these applications (40% vs. 68%, p\u00a0\u2264 0.001; 21% vs. 39%, p\u00a0=\u00a00.003; and 21% vs. 43%, p\u00a0\u2264\u00a00.001). Forty\u2010six percent of fellows endorsed a lack of PEM POCUS evidence as a training barrier compared to 31% of leaders (p\u00a0=\u00a00.02), and 39% of leaders endorsed a lack of local financial support as a training barrier compared to 23% of fellows (p\u00a0=\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although most PEM fellowship programs provide POCUS training, there is variation in content and requirements. Training does conform to many of the expert recommended guidelines; however, there are some discrepancies and perceived barriers to POCUS training remain.<\/jats:p><\/jats:sec>","DOI":"10.1002\/aet2.10643","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T19:06:06Z","timestamp":1625252766000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Pediatric emergency medicine fellowship point\u2010of\u2010care ultrasound training in 2020"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5937-1461","authenticated-orcid":false,"given":"Natan","family":"Cramer","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Cantwell","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University School of Medicine Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Trauma Services Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyam M.","family":"Sivasankar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University School of Medicine Palo Alto California USA"},{"name":"Dell Medical School Department of Pediatrics Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Graff","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Department of Pediatrics Norton Children's Hospital University of Louisville School of Medicine Louisville Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone L.","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Trauma Services Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paria M.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA"},{"name":"Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen A.","family":"Noorbakhsh","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Mickley","sequence":"additional","affiliation":[{"name":"Section of Pediatric Emergency Medicine Department of Pediatrics Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel S.","family":"Zuckerbraun","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad","family":"Sobolewski","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA"},{"name":"Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane K.","family":"Soung","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devora B.","family":"Azhdam","sequence":"additional","affiliation":[{"name":"Department of 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