{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:56:45Z","timestamp":1790391405005,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,18]],"date-time":"2017-02-18T00:00:00Z","timestamp":1487376000000},"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":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Emergency ultrasound (<jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>) has been recognized as integral to the training and practice of emergency medicine (<jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content>). The Council of Emergency Medicine Residency\u2010Academy of Emergency Ultrasound (<jats:styled-content style=\"fixed-case\">CORD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">AEUS<\/jats:styled-content>) consensus document provides guidelines for resident assessment and progression. The Accredited Council for Graduate Medical Education (<jats:styled-content style=\"fixed-case\">ACGME<\/jats:styled-content>) has adopted the <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> Milestones for assessment of residents\u2019 progress during their residency training, which includes demonstration of procedural competency in bedside ultrasound. The objective of this study was to assess <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> residents\u2019 use of ultrasound and perceptions of the proposed ultrasound milestones and guidelines for assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study is a prospective stratified cluster sample survey of all U.S. <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> residency programs. Programs were stratified based on their geographic location (Northeast, South, Midwest, West), presence\/absence of ultrasound fellowship program, and size of residency with programs sampled randomly from each stratum. The survey was reviewed by experts in the field and pilot tested on <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> residents. Summary statistics and 95% confidence intervals account for the survey design, with sampling weights equal to the inverse of the probability of selection, and represent national estimates of all <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 539 participants from 18 residency programs with an overall survey response rate of 85.1%. <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> residents considered several applications to be core applications that were not considered core applications by <jats:styled-content style=\"fixed-case\">CORD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">AEUS<\/jats:styled-content> (quantitative bladder volume, diagnosis of joint effusion, interstitial lung fluid, peritonsillar abscess, fetal presentation, and gestational age estimation). Of several core and advanced applications, the Focused Assessment with Sonography in Trauma examination, vascular access, diagnosis of pericardial effusion, and cardiac standstill were considered the most likely to be used in future clinical practice. Residents responded that procedural guidance would be more crucial to their future clinical practice than resuscitative or diagnostic ultrasound. They felt that an average of 325 (301\u2013350) ultrasound examinations would be required to be proficient, but felt that number of examinations poorly represented their competency. They reported high levels of concern about medicolegal liability while using <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>. Eighty\u2010nine percent of residents agreed that <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content> is necessary for the practice of <jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content> resident physicians\u2019 opinion of what basic and advanced skills they are likely to utilize in their future clinical practice differs from what has been set forth by various groups of experts. Their opinion of how many ultrasound examinations should be required for competency is higher than what is currently expected during training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.13113","type":"journal-article","created":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T11:08:49Z","timestamp":1476443329000},"page":"353-361","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Emergency Medicine Resident Assessment of the Emergency Ultrasound Milestones and Current Training Recommendations"],"prefix":"10.1111","volume":"24","author":[{"given":"Lori A.","family":"Stolz","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University of Arizona Tucson AZ"},{"name":"Banner University Medical Center University of Arizona Tucson AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Stolz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Arizona Tucson AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Matthew","family":"Fields","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Thomas Jefferson University Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turandot","family":"Saul","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai Department of Emergency Medicine Mount Sinai St. Luke's Mount Sinai Roosevelt New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Secko","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine SUNY Downstate Medical Center\/Kings County Hospital Brooklyn NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Flannigan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Spectrum Health Grand Rapids MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnathan M.","family":"Sheele","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University Hospitals Case Medical Center Cleveland OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Rifenburg","sequence":"additional","affiliation":[{"name":"Emergency Department Presence Resurrection Medical Center Chicago IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Weekes","sequence":"additional","affiliation":[{"name":"University of North Carolina School of Medicine Department of Emergency Medicine Carolinas Medical Center Charlotte NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine B.","family":"Josephson","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College of Cornell University Department of Emergency Medicine Lincoln Medical and Mental Health Center Bronx NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Bedolla","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Texas\u2013Austin Austin TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana M.","family":"Resop","sequence":"additional","affiliation":[{"name":"Berbee Walsh Department of Emergency Medicine University of Wisconsin School of Medicine and Public Health Madison WI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"dela Cruz","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Southern Illinois University School of Medicine Springfield IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Boysen\u2010Osborn","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California at Irvine Irvine CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrell","family":"Caffery","sequence":"additional","affiliation":[{"name":"Emergency Medicine Residency Program Louisiana State University at Baton\u2010Rouge Baton\u2010Rouge LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Derr","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of Emergency Medicine University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rimon","family":"Bengiamin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California San Francisco Fresno CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Chiricolo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine New York Methodist Hospital New York 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