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Advanced Emergency Medicine Ultrasonography Fellowship Columbia - Curriculum

Ultrasound educational experiences

Objectives

  • Develop clinical expertise in EUS.
  • All primary applications of EUS.
  • Secondary applications including:
    • Ultrasound-guided procedures.
    • Critical care ultrasound.
    • Advanced cardiac
    • Pulmonary.
    • Musculoskeletal.
    • Vascular ultrasound.
    • Resuscitation.
  • Develop educational skills to instruct clinicians in ultrasound techniques:
    • Educational software skills.
    • Video and image management skills.
    • Public speaking.
  • Develop administrative skills to direct EUS program:
    • Image archiving.
    • Physician credentials.
    • Equipment maintenance.
    • Curriculum development.
  • Involvement with national organizations that promote EUS:
    • American College of Emergency Physicians.
    • Society for Academic Emergency Medicine.
    • American Institute of Ultrasound in Medicine.

Responsibilities

  • Ultrasound examinations
    • Perform a minimum of 1000 reviewed studies over the course of fellowship.
    • Rotations with echocardiology.
    • Rotations with vascular ultrasound.
  • American Registry of Diagnostic Medical Sonographers Certification (ARDMS), if desired.
    • Physics
    • Instrumentation
    • Abdomen
    • One other area of choice.
  • Education and lectures
    • Annual journal club assignment (with EUSF director).
    • Optional participation in outside CME course.
  • Clinical instruction
    • Sixteen hours per month of bedside instruction in the emergency department.
    • EM resident on ultrasound rotation.
    • USC medical students on ultrasound rotation.
    • 800 hours per year as clinical attending in the emergency department.
  • Administrative duties
    • Departmental ultrasound QA and exam review.
    • Working with EUSF director to administer resident EUS rotation scheduling.
    • Resident and medical student testing professional organization participation.

Resources

  • Ultrasound equipment
    • Sonosite Xporte
    • Philips Lumify
    • Sonosite SII
    • Clarius.
  • Ultrasound office.
  • Simulation Medicine Center – 3 Vimidex and SonoSim ultrasound simulators.
  • 2 TEE probes.
  • Qpath.

Current ultrasound projects

  • EMS ultrasound project with Kershaw EMS.
  • Global tele-ultrasound project with One World Health in Masindi, Uganda.
  • Ultrasound guided midlines in the ED to reduce CLABSI rates.