Emergency Medicine Residents

  

 

    • Orientation Module

    • A Typical Day

      •  Mornings are spent either on asynchronous learning or scanning in the ED with the rotating EM resident

        •     Asynchronous learning can include: Podcasts, Journal Articles, Quizzes, Readings, Modules

      • Scanning in ED ( expect ~10 scans to be completed in AM for lunch review with  faculty)

        •  Sample Scans: Cardiac/IVC for Hypotension, Cardiac/Thoracic for dyspnea, Renal/OB for abdominal pain, Procedural

      •   Afternoon team will meet up in ED 

                            Assure machine homeostasis ( clean, memory available, plugged in, archiving/querying)     

                            Run the board looking for potential scans
                                    Dyspnea, SOB, Chest pain, Flank Pain, Pregnancy, Tachycardia, Hypotension, Trauma, Syncope     

                            Potentially ICU or Skills Lab Scanning
         

                            Some days there may be educational events we will attend or run

      •  Wednesdays Meet in room 761 

                       Wednesdays are our primary education day. We will begin Resident Case Presentations and a subsequent didactic. Time permitting                         will also cover QA Review, interesting cases,  QI Issues and may even scan in the skills lab  

             ** Curriculum, specifically articles, subject to change as new publications release

  • Residency Checklist

    • Each Residents individual Checklist will be completed in their drive folder
** Curriculum, specifically articles, subject to change as new publications release

  • PGY1 Curriculum

    • Objectives

      1. Describe safety and limitations of diagnostic ultrasound (PC, SBP)
      2. List the 11 current focused emergency ultrasound indications (SBP, PBL)
      3. Compare and contrast a focused and comprehensive ultrasound exam (SBP, PC)
      4. Report common emergency ultrasound indications and contraindications (MK, PC)
      5. Demonstrate proper ultrasound technique for holding and moving a probe (MK, PC)
      6. Complete a FAST exam and save images using naming system (MK, PC, IC, SBP, PR)
      7. Describe the appearance of a positive FAST examination and how the interpretation of a FAST is integrated into medical decision making (MK, PC)
      8. Describe, demonstrate and articulate the components of a focused transvaginal exam and how to integrate these findings into medical decision making (MK, PC)
      9. Be able to perform a focused cardiac exam evaluating entrance (IVC), Effusion, Ejection (globally), Equality of chambers, and Exit (LVOT) (MK, PC)
      10. Describe the interpretation of cardiac ultrasound findings and how to integrate these findings into medical decision making (MK, PC)
      11. Be able to guide a needle successfully to a target using ultrasound (i.e. CVC, paracentesis, thoracentesis, abscess, joint) (MK, PC, PBL)
      12. Analyze and Assess an ultrasound exam and demonstrate a knowledge of optimal settings and clarity of visualized anatomy (SBP,MK, PC, IC)
      13. Demonstrate the ability to critically and objectively review an ultrasound exam and recognize the components of a quality exam (SBP, MK, PC)
      14. Demonstrate the ability to teach basic ultrasound techniques and anatomy to other learners (MK, PC, IC, SBP)

                             
                             
                             
                             
                             
                             
                                  • Pathology/Tasks to see and do
                                    • Free Fluid in Abdomen
                                    • Intrauterine Pregnancy
                                    • Poor Contractility
                                    • Volume Responsiveness
                                    • Needle to Target (NALTA)
                                    • Basic Image Optimization
                                    • B Mode and M Mode
                                  • QA Quiz
                            • PGY 2 Curriculum

                              • Objectives

                                                 1.Demonstrate ability to identify and measure aorta in short and long axis and describe normal and pathologic measurements of the aorta (MK, PC)
                                                2.Demonstrate ability to identify kidneys and describe the sonographic appearance of hydronephrosis (                             MK,PC)
                                                3.Differentiate between normal soft tissue, cellulitis and abscess using ultrasound (MK, PC)
                                                4.Demonstrate the ability to acquire soft tissue and musculoskeletal images (MK, PC)

                                  • Thoracic
                                  • Procedures 2
                                    • Supplements -Nerve Blocks
                                  • http://5minsono.com/scp/

                                  •  

                                    http://5minsono.com/unb/

                                  • http://5minsono.com/pop/
                                  • http://www.ultrasoundpodcast.com/tag/nerve-block/
                                  • http://www.ultrasoundpodcast.com/tag/ultrasound-guided-nerve-block/
                                  • NYSORA
                                  •  

                                  • Vascular
                                      • AEUS AORTA
                                      •                                      Supplement
                                        • PGY 3 Curriculum

                                            • Objectives

                                            1. Demonstrate normal lung windows and describe the sonographic signatures of pleural effusion and pneumothorax (MK, PC)

                                            2. Demonstrate technique of scanning for DVT and describe the sonographic signatures of DVT (MK, PC)

                                            3. Demonstrate ability to identify gallbladder and describe what the sonographic signatures of cholecystitis (MK,PC)

                                            4. Demonstrate ability to scan orbit and describe the ultrasound findings of retinal detachment (MK, PC)

                                            5. Describe the sonographic appearance of normal and pathologic bowel ultrasound (SBO, appendicitis, and pyloric stenosis) (MK, PC)

                                            6. Articulate the pearls and pitfalls of documenting ultrasound findings (MK, PC)

                                            7. Demonstrate the ability to critically analyze an ultrasound by completion of required QAs (MK, PC, SBP)

                                            8. Demonstrate the ability to teach ACEP defined 11 indications for bedside ultrasound to other learners
                                             

                                          • Content

                                            • Hepatobiliary



                                        •                                  Supplements

                                        • Bowel
                                        • Ocular
                                                  • AEUS OCULAR
                                                    • QUIZ
                                                  • Readings
                                                    • Ma and Mater  Chapters 19
                                                  • Supplements

                                            • Track Requirements

                                              - Proctor 6 Sessions
                                              - Present US Journal Club x 3
                                              - Present US Case Report x 3   
                                              - US QI Project
                                              - Attend US Conference 
                                              - US Research Project
                                              - Attend 9 Track Meetings
                                              • Extras

                                               
                                              • Clinical

                                              • Scanning Protocols

                                                Fixing QPATH Exams

                                               

                                              QPATH from Home