Do we need a critical care ultrasound certification program Implications from an Australian medical-legal perspective.docVIP

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Do we need a critical care ultrasound certification program Implications from an Australian medical-legal perspective.doc

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Do we need a critical care ultrasound certification program Implications from an Australian medical-legal perspective

Huang and McLean Critical Care 2010, 14:313 /content/14/3/313 VIE WPOINT Do we need a critical care ultrasound certi? cation program? Implications from an Australian medical-legal perspective Stephen J Huang and Anthony S McLean* echocardio graphy was initially used in patients following Abstract cardiac surgery; soon it expanded to include diagnosis Medical practitioners have a duty to maintain a certain standard of care in providing their services. With critical care ultrasound gaining popularity in the ICU, it is envisaged that more intensivists will use the tool in managing their patients. Ultrasound, especially echocardiography, can be an‘easy to learn, di?cult to manage’skill, and the competency in performing the procedure varies greatly. In view of this, several and monitoring in the ICU [1,2]. While critical care ultrasound is seen as an indis- pensable tool in the ICU nowadays, proper training and assessment modules are still lacking in many countries. e level of competency of practitioners varies greatly - some are very experienced and knowledgeable, while others have little practical experience. International state- ments (guidelines) specifying the requirements for di? er- recommendations for competency statements have been published in recent years to advocate the need ent levels of competency and the scope of knowledge have been published ese statements acknowledge for a uni?ed approach to training and certi?cation. In this paper, we take a slightly di?erent perspective, from an Australian medical-legal viewpoint, to argue for the need to implement a critical care ultrasound certi?cation program. We examine various issues that can potentially lead to a breach of the standard of care, hence exposing the practitioners and/or the healthcare institutions to lawsuits in professional negligence or breach of contract. These issues, among others, include the failure to use ultrasound in appropriate situations, the f