Emergency Medicine Residents

  



 Mornings are spent either on accompanying rotation (PGY1) or doing asynchronous learning
    Asynchronous learning can include:
   

     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
    

    Reading Assignments
    

    Completing Quizzes
   

     Skills Lab Scanning

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

WednesdaysMeet in room 761 @ 0130
   QA Review
    Interesting Cases
    Quality or Administrative Issues
    Didactic
    Skills lab scanning

  • 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)

                            • 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
                                  • Vascular
                                            • Ma and Mater  Chapters 9 & 17
                                            • Quiz

                                  • 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

                                        • Hepatobiliary

                                    • Will require ACEP Login
                                            • Ocular

                                                • AEUS OCULAR
                                                • Readings
                                                  • Ma and Mater  Chapters 19
                                                • Supplements

                                          • Track Requirements

                                          Ultrasound Track



                                          • Ultrasound Handbook
                                          • QA Handbook