Abstract
I Norge finnes det ingen formelle krav til opplæring eller sertifisering med tanke på bruk av ultralyddiagnostikk i allmennmedisin. Hensikten med denne litteraturstudien er å samle kunnskap om hva som regnes som nødvendig opplæring i inn- og utland, og diskutere dette i lys av opplæringstilbudet i Norge, for til slutt å gi en begrunnet anbefaling. Problemstillingen er to-delt: Er opplæringstilbudet i Norge godt nok til forsvarlig bruk av ultralyddiagnostikk i allmennmedisin? Er det behov for å endre anbefalingen fra Legeforeningen (2010), og i så fall hvilke endringer bør vurderes?
Objective: Ultrasound is a diagnostic modality with many benefits. It doesn’t emit ionizing radiation, is readily available and can answer simple questions in a matter of seconds. This has greatly popularized ultrasound in clinical medicine. The clinician does an ultrasound scanning bedside to confirm or refute simple clinical issues. This has been deemed Point of Care Ultrasound or PoCUS in short form. In Norway there is no official guideline in how a general practitioner (GP) should learn PoCUS. In addition, there is no certification requirements to ultrasound in own practice. This paper aims to gather the knowledge what kind of curriculum is best suited to teach ultrasound to GPs and with this in mind conclude with a possible recommendation in how one can proceed to create a common standardized curriculum for all GPs. Methods: A systematic literature search was performed in MEDLINE in 13. January 2021. Inclusion criteria were based on language and whether the study had something about education, which is relevant to general practice. In addition, we added two unpublished articles about recommendations for PoCUS in Norway. We also consulted other experts in the academic community and added their contributions. Results: In total we found 260 articles. After screening for title, abstract and language, we were left with 103 articles. These were read in full text, after which we were left with 31 articles. We found 1 guideline, 2 recommendations, 1 RCT and the rest were primary research papers. Conclusions: We propose to make a training program for undergraduates, a mandatory training as part of specialization for all specialties in the LIS-1 service, learning objectives in PoCUS as part of the obligatory subject courses for ALIS, an unformal exam to assess individual competence as part of the LIS-service and maintenance of skills through either mandatory or optional courses. We need studies with more rigorous study designs to determine the place of teleultrasound and simulations in training and maintenance of skills.