Resident Curriculum

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Introduction

Welcome to the PGY-1 Emergency Ultrasound Rotation! The purpose of this rotation is to ensure competency in core emergency ultrasound applications, as well as to further develop your skill set in ultrasound guided line placement. This rotation is approximately 4 weeks long. We are excited to have you on board for the next several weeks! Please let us know what we can do to make this month enjoyable and valuable for you. As always, we will do our best to tailor the elective towards your own personal goals and objectives. Looking forward to scanning with you!

Goals & Expectations

The goal of this elective is better enhance your understanding of basic ultrasound physics, knobology, and more importantly, improve your proficiency in core emergency ultrasound applications.

1. Competency in core emergency ultrasound applications:

A. Physics/Instrumentation

B. Cardiac

C. Lung

D. Biliary

E. Aorta

F. eFAST/FAST

G. Renal

H. OB/GYN (First Trimester Pregnancy)

I. Ultrasound guided line placement

2. Utilization and basic understanding of advanced emergency ultrasonography applications including: Doppler, Echocardiography, and ultrasound guided procedures.

3. Completion of 150 scans prior to completion of residency (Mandatory). At least 75 scans should be logged by the completion of the rotation.

4. Attendance at weekly Intern Ultrasound Shift, Monday 1pm-5pm (Mandatory).

5. Self-administered test covering all core modalities (Mandatory).

• Please go to http://www.emsono.com/acep/ACEP_EUS_Exam.html

• Complete the tests for all modalities. Print your scores. If you fail the test, please try again. Print and email test scores for all modalities once completed. This is due on the last day of your rotation.

Rotation Details

Getting Started

Intern ultrasound electives are scheduled as a 4 week rotation. Please contact the Ultrasound Faculty 1 week prior to the start of your rotation.

Week 1 Orientation

Meet with one of the ultrasound faculty members during the first several days of your rotation for orientation. We will cover the schedule over the course of the 4 week rotation, as well as basic knobology, probe selection, core competencies to be covered, and how to save images to both the machine and a USB drive.

Scanning

The scanning schedule is typically Monday-Friday from 9am-5pm. While you are in radiology, you will only be scanning from 1pm-5pm. You are not expected to work on the weekends or holidays. If, however, you are unable to complete a scanning shift during the week, you will be expected to complete the shift during a weekend day. You will also be expected to attend all intern ultrasound scanning shifts on Monday from 1pm-5pm at one of three clinical sites: St. John Hospital, Detroit Receiving Hospital, or Sinai Grace Hospital.

Study Submission

Please save your scans to a USB drive for weekly QA review.

Competency Assessment

In order to assess your competency in the core Emergency Ultrasound exams, we will evaluate your performance in several areas:

1. Assessment of Ultrasound Technique

• Direct Observation by Ultrasound Faculty

• Review of selected static and dynamic scans

2. Assessment of Image Interpretation

3. Self-Administered Test covering core competencies

• http://www.emsono.com/acep/ACEP_EUS_Exam.html

The following are some great resources that you should utilize and review during your elective month. The resources below will guide you through actual examination technique, as well as provide examples of abnormal pathology. Please review at your convenience.

1.General: 

  • Sonoguide
  • http://www.ultrasoundpodcast.com
  •  http://www.sonospot.com
  •  http://www.ultrasoundoftheweek.com

2. Echocardiography:

  • http://web.stanford.edu/group/ccm_echocardio/cgi-bin/mediawiki/index.php/Main_Page
  • http://www.vhlab.umn.edu/atlas/echocardiography-tutorial-video/index.shtml

3. Musculoskeletal:

  • http://www.med.umich.edu/radiology/mskus/index.html

4. Procedural Skills:

  • https://vimeo.com/mikestone

Asynchronous Learning Curriculum

Course Content

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