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| EFSUMB MINIMUM TRAINING
RECOMMENDATIONS FOR THE PRACTICE OF MEDICAL ULTRASOUND IN EUROPE |
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| Please click
here to view the EFSUMB guidelines in full |
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 November 2009 |
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| The EFSUMB Guidelines for Minimum Training
Recommendations for the Practice of Medical Ultrasound in Europe have been
reviewed by members of BMUS and the Council and are generally accepted a
suitable and applicable to the United Kingdom subject to the following
observations: |
General Comments:
In general terms we should endorse the comments in the introduction regarding
proper costing and funding of training, the time commitment of the trainer and
the trainee and to take a view on who is appropriate to conduct the competency
assessment at the end of training. This competency assessment should not be
performed by the trainer. All these modules require that trainees attend an
appropriate theoretical course. |
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- Gastroenterological Ultrasound
There are some specific areas that seem to be missing for examples spleen
(splenic masses, trauma and infarction), liver (no mention of infection or
trauma) and gallbladder (adenomyomatosis and porcelain gallbladder not
included).
(a) We do not necessarily believe that ultrasound controlled biopsies is
necessary for every Level 1 practitioner.
The levels expected for bowel ultrasound are perhaps outside those normally
practised in the UK.
Finally, some specific procedures, i.e., EUS, RFA, PEI and laser ablations
probably not appropriate for level 1.
- Breast
We would typically assess biopsy competence over at least 30 cases and not 10
as has been suggested and we would suggest a succession rate of at least 80%
with definitive diagnosis.
500 cases a year are perhaps a little too many in maintenance of skills in the
UK. This should probably be revised downwards.
- Vascular Ultrasound
In general we have agreed with the vascular module. The Level 2 attainment
should include dialysis vascular access pre-assessment and also we would
consider that assessment of permanent haemodialysis access fistulas and grafts
should be included. We would also regard it necessary to measure volume flow in
permanent haemodialysis access. We should be able to recognise normal and
abnormal appearances including stenosis, thrombosis, aneurysms and
pseudoaneurysms. Would it be possible to recognise changes in haemodynamics as
a result of a steal.
- Nephrology
In general we are satisfied with the contents of the nephrological section
- Gynaecology
In general we are satisfied with the gynaecological section although some of
the numbers are perhaps a little too high to achieve for the United Kingdom.
- Obstetrics
Foetal Biometry must include head circumference.
We consider that at the end of the training the trainee should be able to
perform a systematic abdominal ultrasound examination of the pregnant uterus
placenta, amniotic fluid and foetus; to optimise and correctly orientate the
ultrasound image; to obtain accurate measurements of the foetal biparietal
diameter, head circumference, femur length and abdominal diameter or
circumference.
They should be able to evaluate foetal anatomy recognising a number of
structures discriminating between normal and abnormal - the structures include
the skull, the brain, the midline echo in the brain, cavum septi pellucidum,
the cerebellum, cisterna magna, cerebral ventricles, the neck, the thorax, four
chamber view of the heart plus the outflow tracts, the stomach, the umbilical
cord insertion, the kidneys, urinary bladder, spine and extremities where
possible. It may also be desirable to recognise features of the face.
The trainee should have good ability to communicate both normal and abnormal
findings to the pregnant women and finally to be able to complete a proper
report.
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Training & Education Statements |
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