Curriculum

Graduation Requirements:

The following requirements assist us in meeting our mission of training clinically excellent Emergency Medicine ultrasonographers with teaching and research skill sets.

1. Perform a minimum of 800 ultrasound examinations during the fellowship year.

2. Required to sit for the American Registry for Diagnosis Medical Sonographer (ARDMS) examinations for Physics and Abdominal Imaging to obtain the Registered Diagnostic Medical Sonographer (RDMS) credential. Option to also sit for the exams for either the Registered Vascular Technician (RVT) or Registered Diagnostic Cardiac Sonographer (RDCS) credentials.

3. The Fellow should design at least one research project to be submitted to the Institutional Review Board and begin data collection during the year.

4. At least one abstract should be submitted with the Fellow’s name as either first or second author and presented at a national meeting sponsored by ACEP, SAEM or AIUM.

5. The Emergency Ultrasound Fellow should be involved with at least one additional research project during their Fellowship for which publication is planned with the Fellow as a co-author.

6. The Emergency Ultrasound Fellow must deliver at least three separate lectures over the year on emergency ultrasound at weekly conference (residents and faculty).

7. The Emergency Ultrasound Fellow must demonstrates at least 20 hours per month of hands-on teaching and QA of residents and or other faculty in bedside emergency ultrasound at all hospital sites covered by our faculty.

Site Qualifications:

1. The ultrasound machines utilized for Fellowship training are controlled by the emergency department (ED) and are available on a 24-hour, seven days per week basis.

2. The ultrasound machines utilized by the Fellow are able to perform endovaginal ultrasound, linear ultrasound, cardiac, and abdominal ultrasound applications with high quality. At least three ultrasound transducers (probe) types are available at all times: linear, endovaginal/ endocavity and either curved linear for abdomen and a separate phased array cardiac probe that can be used for both abdominal and cardiac.

3. Emergency physicians complete diagnostic reports that appear as part of the patient medical record.

4. Quality assurance review of all ultrasound examinations performed by the Emergency Ultrasound Fellow(s) will be documented.

5. The Ultrasound Fellowship Director maintains a quality assurance log of all ultrasound examinations performed in the ED.

6. The type of emergency ultrasound examinations performed at the primary fellowship site include, but are not limited to: renal; biliary; acute abdominal aneurysm (AAA); pelvic (endovaginal); cardiac; trauma/FAST; vascular access; superficial/soft tissue; and lower extremity for rule out deep vein thrombosis (DVT).

7. All teaching for emergency ultrasound applications is available from the Fellowship Director. Additional experience is available from specialty ultrasound areas, including Radiology and Vascular departments. This is secondary to the instruction from the Fellowship Director and can account for up to 10% of the total minimum ultrasound examinations required prior to graduation.

8. The Emergency Ultrasound Fellow works no more than 20 clinical hours per week (seeing patients in the ED/urgent care/fast track/triage, etc. as the attending); the remainder of the time is reserved for academic/research work.

9. The Emergency Ultrasound Fellow will be in the full time employment of our private practice group, Emergency Physicians of Tidewater (EPT). The fellowship will be 12 consecutive months.

10. Video (dynamic media) quality assurance is used for all ultrasound examinations utilized for teaching of Fellow(s).

11. Emergency Ultrasound Fellows will be scheduled for at least five scanning shift equivalents per month (on average). A scanning shift is a shift that a Fellow is not working clinically, and spends the entire length of a typical clinical shift directly with the Fellowship Director scanning patients in the ED. The Fellowship Director must be present for all scans during that shift in order to give appropriate hands on training to the Ultrasound Fellow. One third of this time can be delegated to a RDMS credentialed faculty in the ED.