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

Publication Date

2018

Journal Title

J Hosp Med

Abstract

© 2018 Society of Hospital Medicine. 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.

Volume Number

13

Issue Number

2

Pages

117 - 125

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Pulmonary, Critical Care, and Sleep Medicine

PMID

29340341

DOI

10.12788/jhm.2917

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