title: The utility of remote supervision with feedback as a method to deliver high-volume critical care ultrasound training.
abstract: OBJECTIVE
  Despite international agreement that critical care ultrasound (CCUS) is an essential skill for intensive care providers, CCUS training and dissemination is complicated by a shortage of educators. Newer technology now permits remote, offline supervision as a method of overseeing trainees undergoing CCUS instruction.
  
  
  METHODS
  This was a retrospective, descriptive report of a CCUS curriculum and its output of clinical ultrasound examinations at an academic critical care training program over a 1-year period. The curriculum consisted of typical didactic and hands-on training as well as wireless archiving of examinations with remote, offline oversight and feedback provided by the director using ultrasound management software.
  
  
  METHODS
  A tertiary-care, academic critical care training program.
  
  
  RESULTS
  Twenty-nine trainees acquired and archived a total of 2531 CCUS studies (average 76 studies per trainee) for 1 year. Of these, 1807 (71%) examinations had a typewritten report generated by the operator, and 1788 of these examinations were overread and subjected to feedback from the curriculum director. The predominant application of CCUS was for cardiac (62%), thoracic (32%), and abdominal (5%) assessment.
  
  
  CONCLUSIONS
  This study suggests that the use of wireless archiving and offline oversight in a CCUS curriculum is a feasible and highly-efficient strategy permitting a small number of faculty to supervise a large number of trainees. This approach provides an efficient method to address unmet demand for CCUS education.
authors.affiliation: Division of Critical Care Medicine, Department of Medicine, Western University, London, Ontario, Canada. Electronic address: robert.arntfield@gmail.com.
authors.forename: Robert T
authors.initials: RT
authors.lastname: Arntfield
mesh_terms: D002983:Clinical Competence; D003422:Critical Care; D003479:Curriculum; D004501:Education, Medical / Q000379:methods*; D005246:Feedback; D006801:Humans; D019114:Remote Consultation; D012189:Retrospective Studies; D014463:Ultrasonography
keywords: Critical care echocardiography; Critical care training; Critical care ultrasound; Curriculum; Efficiency; Supervision