Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship

Kathleen M. Antony; Nauman Khurshid; Barbara Trampe; Vivek K. Gupta; J. Igor Iruretagoyena; Katharina S. Stewart; Dinesh Shah

doi:10.1055/s-0038-1675344

American Journal of Perinatology Reports, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · AJP Rep 2018; 08(04): e251-e260
DOI: 10.1055/s-0038-1675344

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship

Kathleen M. Antony

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

,

Nauman Khurshid

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

²Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, ProMedica Toledo Hospital, University of Toledo, Toledo, Toledo, Ohio

,

Barbara Trampe

³Meriter Center for Perinatal Care, Meriter-UnityPoint Health, Madison, Wisconsin

,

Vivek K. Gupta

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

,

J. Igor Iruretagoyena

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

,

Katharina S. Stewart

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

,

Dinesh Shah

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

› Institutsangaben

Abstract

Objective The American Institute of Ultrasound in Medicine has described what constitutes a detailed fetal anatomic examination but what comprises an appropriate physician training program has not been described. The purpose of this paper is to describe a highly-structured program developed by our center to train maternal-fetal medicine fellows in a systematic approach to fetal diagnostic imaging.

Study Design We describe this approach in three phases. Phase I: Development of Skills as a Perinatal Sonographer, Phase II: Mentored Evolution to a Perinatal Sonologist and Phase III: Supervised Independent Practice as Consultant-in-training.

Results This curriculum was implemented in 2006. Of the eight maternal-fetal medicine fellows who completed this program, 100% were capable of following this curriculum and 100% felt comfortable performing and interpreting detailed sonograms including sonograms with significant and uncommon anomalies. Qualitative feedback was also positive. Finally, this structured approach resulted in an increase in the average total number of sonograms interpreted.

Conclusion Our curriculum, by following the explicit guidelines and expectations set out by the American Institute of Ultrasound in Medicine and the American Board of Obstetrics and Gynecology for practicing maternal-fetal medicine fellowship graduates, provides an opportunity to explore national standardization for this component of training.

Keywords

ultrasound training - fetal diagnosis - maternal-fetal medicine fellowship - ultrasound curriculum - medical education - obstetric ultrasound

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Referenzen

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