Page 105 - Ultrasonography in Prehospital and Emergency Medicine - Rein Ketelaars
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Implementing ultrasound in Dutch emergency departments after a two-day training 103
Results
Participants’ characteristics
A total of eight EPs (3 males, 5 females) were interviewed, employed by eight different Level 2 hospitals.
Data analysis and themes
Coding resulted in 225 open codes. These were combined into 13 categories. Next, we iden- tified four themes as displayed in Table 4.2. Some codes were associated with multiple cate- gories and themes.
Themes
Development of the Emergency Medicine specialty
ঌ Importance of US on the ED and the recognition of EPs as a medical specialty
EPs are relative newcomers in Dutch healthcare. Ever since their introduction, skills and responsibilities have begun shifting.
Participants have stressed the importance to improve the recognition of their medical spe- cialty and wanted to show their added value to the hospital. According to some, implement- ing US clearly contributes to these goals. They experienced criticism from other specialties:
“However, in the Netherlands there are some scientific associations, such as anesthesiology and internal medicine, that still express some criticism regarding the presence of EPs. And yes, I believe this has to do with a feeling of land grabbing.” (p.2)
“And then it is difficult to bring into the limelight that we also largely fill in a new area. And are taking over a non-existent area.” (p.3)
In addition to recognition of the specialty, implementation of US on the ED would yield independence, time saving, and logistical advantages.
“And I think it is super convenient no longer having to depend on radiologists that I have to call into the hospital or to have patient undergo US examinations in places that are not safe for them
4
