Mid-level providers demonstrate proficiency in FAST after directed training

Introduction: Focused Assessment with Sonography for Trauma (FAST) is commonly used to detect intra-peritoneal blood as part of the evaluation of trauma patients. In our level 1 trauma center, mid-level providers (MLPs) perform serial FAST exams on trauma patients. We describe our training approach and proficiency achieved. Methods: Subjects were MLPs with no previous training in FAST. The training consisted of hands-on training on live models, two on-line ultrasound (US) modules, and a video image review session. Participants were evaluated with pre-, post-, and 6-month follow-up video tests. Subsequently, they independently performed FAST exams which were reviewed by ED US faculty. Results: 11 MLPs participated, completing an average of 17 scans; 91% were technically adequate. Average scores were: pre-test 50.5% (31.7-68.3%), post-test 76.7% (65.9-87.8%), and 6-month test 77% (58.5-87.8%), for an initial improvement of 26.2% (p < 0.001) and a sustained improvement over the pre-test of 26.5% (p = 0.011) at 6 months. Conclusion: MLPs demonstrated proficiency in FAST after brief training.