Departmental leadership may consider both static and dynamic factors such as resource allocation, local culture, provider training and levels of experience with EUS to make decisions as to the final APP EUS program architecture. EUS program leadership is encouraged to incorporate APPs into EUS training programs when feasible and support the credentialing of APPs in EUS when competency standards have been met. 5 APPs who have demonstrated adherence to these guidelines may be considered eligible for credentialing in EUS according to institutional and regional practices. 1-4ĪPPs seeking to integrate EUS into their practice should follow the same education and competency standards outlined in ACEP’s Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine. Given both the substantial contribution of Advanced Practice Providers (APPs) in the provision of emergency care, and the 2016 Model of the Clinical Practice of Emergency Medicine recognizing emergency ultrasound (EUS)* as a skill integral to emergency medicine, it is important to consider the value of APP-performed EUS, and how EUS can be safely, efficiently, and effectively employed by all clinicians providing care in the emergency setting.
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