Emergency Medicine Ultrasound Fellowship

 

Mission

To train motivated emergency physicians in the application of advanced ultrasound technology and techniques to guide patient care and to develop these physicians into future academicians and researchers.

Vision

To evolve into a world-class fellowship program providing training in cutting edge ultrasound technologies, ensuring mastery of emergency ultrasound techniques, engaging in ground breaking research, and inculcating best practice instructional techniques.

Values

  • Excellence - clinical excellence is the cornerstone of our fellowship program and the very reason for its existence.  Without clinical excellence at the point of care, all else is moot.
  • Education - is revered in all its facets from a lifelong quest for self-development to a commitment to educate all levels of learners seeking knowledge of emergency medicine.
  • Innovation - is expressed through clinical and educational research to continue to push the boundaries of what is known and what is possible.
  • Service - selfless service to all those in-need who present for care regardless of social or economic status.

Aim:  Emergency ultrasound (EUS) fellows are expected to develop the knowledge, skills, and abilities necessary to perform the full range of point of care ultrasound and integrate their findings into their care of Emergency Department patients.  EUS fellows will also cultivate their own scientific interests and give back to the medical community by effective teaching of ultrasound to all interested learners.   While there will be sufficient facilitated learning by the faculty, the EUS fellow is expected to maintain a strong sense of self-directed, autonomous learning.

Core Fellowship Faculty

  • Donald V. Byars, M.D., RDMS, RDCS, RVT, RPVI, RMSK - Fellowship Director  
  • Matthew H. Jones, M.D., RDMS - Fellowship Assistant Director
  • Barry J. Knapp, M.D., RDMS - Fellowship Associate Director
  • Felicia Toreno, PhD, RDMS, RDCS, RVT - Adjunct Faculty
  • Bruce Lo, M.D., RDMS - Adjunct Faculty

Context & Structure

  • All Emergency Ultrasound Fellows will be trained and certified as Registered Diagnostic Medical Sonographers (RDMS)—Abdominal Specialty and as Registered Diagnostic Cardiac Sonographers (RDCS)—Adult Echo Specialty.
  • We follow the American College of Emergency Physicians (ACEP) guidelines for Emergency Ultrasound Fellowship training.
  • The current curriculum undertakes a blended approach, combining both traditional and asynchronous didactics with practice in a simulation environment to the bedside under mentored practice, and finally to independent practice under quality assurance and quality improvement oversight.
  • Eastern Virginia Medical School recently opened a 25,000 square foot Center for Simulation and Immersive Learning with state of the art facilities, classrooms, phantoms, simulators, and over a dozens of modern ultrasound machines.
  • Each clinical site where the emergency ultrasound fellow works, ranging from Level 1 & 2 Trauma Centers to Free Standings Emergency Departments, has a state of the art bedside ultrasound unit with a full array of probes, with several sites having multiple machines.
  • All of our fellowship graduates have gone on to academic or teaching positions in prestigious universities or large commercial group practices.
  • The number of learners in our fellowship program will always be small, and this is by design. We only take a few ultrasound fellows per year. This cap on the number of learners allows us to be very focused and dedicated to the education our individual fellows. This structure also allows for a significant amount of flexibility in the curriculum.
  • Flexibility is built-in to the curriculum to obtain additional training and credentials in MusculoSkeletal or Vascular Ultrasound as desired.

Requirements

The prerequisites for applying to the fellowship program include:

  1. Eligible to hold a license to practice medicine in the State of Virginia.
  2. Graduate of an MD or DO medical school.
  3. Graduate of a three year ACGME accredited emergency medicine residency program.
  4. Board Eligible (BE) or Board Certified (BC) by the American Board of Emergency Medicine (ABEM).

Curriculum Overview

The fellowship year is broken down into three macro-blocks which include Physics and Instrumentation, Cardiac and Critical Care, and Abdominal and Pelvic Ultrasound. Each of the macro-blocks has a monthly focus for the didactics, simulation and scanning sessions.  Each month also has a symposia topic that allows us the flexibility to branch out into more specialized applications in a one day symposium style format to maintain excitement and broaden the fellow's skill set with truly novel, cutting edge ultrasound applications.  Each month is further subdivided into weekly educational sessions, simulation sessions, clinical shift and scanning shifts.  There is a global skills assessment on the first day of fellowship, an interim mid year, and a final end of year evaluation.

 

Learning Outcomes

  • Understand and apply the principles of ultrasound physics and instrumentation (Knowledge, Comprehension, Skill)
  • Perform a complete abdominal ultrasound according to AIUM guidelines (Skill).
  • Perform a complete echocardiogram according to ASE guidelines (Skill).
  • Performs the full range of limited point of care ultrasounds according to ACEP guidelines (Skill).
  • Design and execute an independent research project (Knowledge, Skill).
  • Critically appraise the medical literature for new ultrasound concepts and applications (Knowledge, Cognitive).
  • Effectively administer an ultrasound program (Knowledge, Skill, Attitude).
  • Teach ultrasound concepts and skills to a variety of learners (Knowledge, Skill, Attitude).
  • Maintain a mindset of patient safety at all times (Attitude).

Length of Training

Our program runs for one year with a traditional start date on or about July 1.