2 WEEK BLOCK

PGY 1

Description:

• In this 2-week rotation, PGY1 residents will learn the basics of point-of-care ultrasound.

Pre-requisites:

• Orientation to POCUS: Didactics (1 day), Hands-on (4 hours).

Objectives:

• As a result of this rotation, PGY1 residents will be able to:
  • •Demonstrate basic knowledge of knobology (including power, gain, depth, zoom, freeze, save, measure), including B-mode/M-mode functions on a standard ultrasound machine.
  • •Describe the indications for obtaining the 11 core applications (ACEP).
  • •Demonstrate proficiency in the acquisition and interpretation of the standard views of the following core applications - eFAST, GB, Renal, Aorta, Pelvic, Soft Tissue, Cardiac.
  • •Critically evaluate current EUS literature.
  • •Demonstrate knowledge of the minimal imaging criteria used in the quality assurance process.

Required to pass:

• a. Completion of eight EMsono modules: Practical scanning, eFAST, GB, Renal, Aorta, First Trimester, Soft Tissue, Cardiac. (www.emsono.com)
• b. Number of scans: 12 scans/shift X 9 shifts = 108 scans. Total: Performance and upload on Q-path of a minimum of 108 scans, by the last day of the rotation.
• c. Demonstrated proficiency in the following core applications: eFAST, GB, Renal, Aorta, Pelvic, Soft Tissue, Cardiac. SDOT: There will be a Direct Observation Test on the last day of the 2-week rotation. Applications: eFAST, Aorta, GB, Renal, Focused Cardiac. Grade: Fail/Competent/Master.
• d. Submission of an “Image of The Week” to the MiamiEMsono website.

Other Applications Multiple scans in the other 4 (of 12) core applications are strong encouraged.

Scan Upload

• Educational scans should be uploaded to Q-path. If positive, a note should be written in the chart. Direct patient care scans should be uploaded to Q-path and PACS. A note should always be written in the chart with macro: “Images saved in PACS.”

New Innovations

• All scans should be logged into New Innovations.

QA

• Q-path forms need to be completed on the same day as when the scan is performed. Images will be reviewed at bedside, at Sonohangout! and on-line with email feedback.

Sonohangout!

Wednesdays

• (a) Discuss pre-selected 1-2 articles.
• (b) QA/Q-path review: 10 scans.

SDOT

• There will be a Direct Observation Test on the last day of the 2 week rotation. Applications: eFAST, Aorta, GB, Renal, Focused Cardiac. Grade: Fail/Competent/Master

Leave of Absence policy:

• All leave of absence will be requested in advance and granted by Dr. Freeman, Residency Program Director. No unexcused absences will be tolerated.

PGY-1 Checklist: