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Obstetric and gynecologic ultrasound curriculum and competency assessment in residency training programs: consensus report

Abuhamad, A; Minton, K K; Benson, C B; Chudleigh, T; Crites, L; Doubilet, P M; Driggers, R; Lee, W; Mann, K V; Perez, J J; Rose, N C; Simpson, L L; Tabor, A; Benacerraf, B R
Ultrasound imaging has become integral to the practice of obstetrics and gynecology. With increasing educational demands and limited hours in residency programs, dedicated time for training and achieving competency in ultrasound has diminished substantially. The American Institute of Ultrasound in Medicine assembled a multi-Society Task Force to develop a consensus-based, standardized curriculum and competency assessment tools for obstetric and gynecologic ultrasound training in residency programs. The curriculum and competency-assessment tools were developed based on existing national and international guidelines for the performance of obstetric and gynecologic ultrasound examinations and thus are intended to represent the minimum requirement for such training. By expert consensus, the curriculum was developed for each year of training, criteria for each competency assessment image were generated, the pass score was established at or close to 75% for each, and obtaining a set of five ultrasound images with pass score in each was deemed necessary for attaining each competency. Given the current lack of substantial data on competency assessment in ultrasound training, the Task Force expects that the criteria set forth in this document will evolve with time. The Task Force also encourages use of ultrasound simulation in residency training and expects that simulation will play a significant part in the curriculum and the competency-assessment process. Incorporating this training curriculum and the competency-assessment tools may promote consistency in training and competency assessment, thus enhancing the performance and diagnostic accuracy of ultrasound examination in obstetrics and gynecology.
PMID: 29297616
ISSN: 1469-0705
CID: 2898452

ISUOG Practice Guidelines: performance of fetal magnetic resonance imaging

Prayer, D; Malinger, G; Brugger, P C; Cassady, C; De Catte, L; De Keersmaecker, B; Fernandes, G L; Glanc, P; Goncalves, L F; Gruber, G M; Laifer-Narin, S; Lee, W; Millischer, A-E; Molho, M; Neelavalli, J; Platt, L; Pugash, D; Ramaekers, P; Salomon, L J; Sanz, L; Timor-Tritsch, I E; Tutschek, B; Twickler, D; Weber, M; Ximenes, R; Raine-Fenning, N
PMID: 28386907
ISSN: 1469-0705
CID: 2521672

Challenges in the management of HIV and hepatitis C virus co-infection

Lee, Winston; Dieterich, Douglas
Hepatitis C virus (HCV) has become a significant contributor to morbidity and mortality to those infected with HIV since the introduction of highly active antiretroviral therapy (HAART). The presence of HIV clearly has a negative effect on the natural history of HCV, although there is some debate over whether HCV influences the natural history of HIV. Given the prevalence of co-infection and the accelerated liver damage from HCV, treatment of chronic HCV infection is an important consideration in patients co-infected with HIV. There are few studies of pegylated interferon and ribavirin in co-infected populations, but it seems that the treatment is well tolerated, although it is possibly less effective in this group. HAART in the setting of HCV infection also requires some special consideration, namely an increased incidence of hepatotoxicity. Treatment of co-infected patients requires close monitoring as current therapies are not ideal in terms of effectiveness, and toxicity may be severe.
PMID: 15025544
ISSN: 0012-6667
CID: 848562