PGY-1 Ultrasound Rotation

LAG Med Center DEM RESIDENT PGY 1 Ultrasound Rotation

Rotation Length

2 weeks

ACGME Milestone

Uses goal-directed, focused ultrasound for the bedside diagnostic evaluation of emergency medical conditions and diagnoses, resuscitation of the acutely ill or injured patient, and procedural guidance.

Rotation Requirements

Pre-rotation assessment prior to starting your rotation

10 six-hour scanning shifts over the course of the 2 week rotation, during US faculty scanning sessions.

Completion of the day 1-10 online modules including the 10 post-module quizzes.

Completion and interpretation of at least 100 ultrasound scans.

Attendance at weekly didactic session (Wed 9am-12pm)

Presentation of assigned journal club articles.

Case presentation of interesting ultrasound case.

Presentations should be powerpoint or keynote format, 5-8 minutes, and no more than 10 slides (1 on HPI, exam, vitals, 2-3 with bedside US images, 1-2 for formal radiology if necessary, 1 follow up, and 1-2 teaching points about US findings or an interesting diagnosis).

Attend cadaver lab (if applicable during your rotation).

Completion of online self study on ACEP Sonoguide (Physics, FAST, Aortic Aneurysm, Cardiac, Gallbladder, Renal, Early Pregnancy)

Completion of post-rotation assessment.

Goals and Objectives

Demonstrate appropriate fund of knowledge regarding US “knobology.”(MK)

Obtain adequate images for the core emergency ultrasound indications, and troubleshoot/find alternate views on difficult patients. (PC)

Correctly perform and interpret the following core emergency ultrasound indications: the extended FAST exam for trauma patients, intrauterine pregnancy, aorta, cardiac (yes/no effusion), gallbladder, renal/bladder (hydronephrosis), DVT, lung (pneumothorax or pulmonary edema), ocular (retinal detachment), and procedural guidance for line placement. (MK,PC)

Recognize inadequate image acquisition and seek help from US faculty. (PBL, ICS)

Communicate important findings to patients and/or their medical team. (ICS)

Demonstrate respect, compassion and integrity towards patients and their families during US examinations. (PR)

Punctually attend all mandatory clinical and educational sessions, and complete rotation requirements. (PR)

Patient Care (PC): Patient Care: Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Medical Knowledge (MK): Residents must demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.

Practice-Based Learning(PBL): Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.

Interpersonal and Communication Skills(ICS): Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their families and professional associates.

Professionalism(PR): Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

Systems-Based Practice(SBP): Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

Feedback Mechanisms

The EM resident will receive informal direct feedback during scanning shifts and will have a formal evaluation at the end of his/her rotation reviewing: number of scans performed, QA results, and areas for improvement.