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Welcome to your ultrasound rotation!
Welcome to your ultrasound rotation!
The goal of this rotation is to build a core knowledge base in POCUS, develop skill in acquiring and interpreting ultrasound images, and to construct a framework for clinical integration to allow you to effectively use bedside ultrasound in your daily patient care. The focus of this rotation will be on the foundational ultrasound applications:
EFAST
Cardiac
Thoracic
AAA
Biliary
Renal/Urinary Tract
Ultrasound-guided vascular access (with goal of performing and documenting 5 US-guided IVs),
however, majority of rotation scanning time should be devoted to diagnostic ultrasound
ROTATION REQUIREMENTS
ROTATION REQUIREMENTS
(1) CLINICAL
(1) CLINICAL
Attend faculty-led scan shifts
(refer to schedule e-mailed to you)Self-scheduled independent scan shifts to gain further experience.
-You must complete >60 approved independent scans in Qpath during the 2-week rotation
-This includes 30 independent scans during Week 1 and another 30 independent scans during Week 2
-See required views and how to use Qpath for submissions
Monday QA/education meetings, generally 9am-1pm either in the Bayview ED 4th floor conference room or JHH ED offices at 1830 E. Monument Street
See rotation calendar below
(2) DIDACTIC
(2) DIDACTIC
Read the following brief chapters in Soni and Arntfield's Point-of-Care Ultrasound, available free on the JHU library website:
A great alternative text is the free Introduction to Bedside Ultrasound iBook - can read corresponding chapters if preferred.
Contribute to our POCUS didactics, by either:
-Writing 2 multiple choice questions on any POCUS topic(s)
-Creating a visual abstract from an article in the POCUS literature
Faculty can help advise on topics
(3) EVALUATION
(3) EVALUATION
By the end of your rotation, complete the following quizzes online via Easy LMS and the SAEM Academy of Emergency Ultrasound website. You will be e-mailed a link to register and access the quizzes. (You can either watch or skip the introductory videos.)
Review "2024 version" where available:
-Physics-Echo I (2024 version) and Echo II
-IVC and Fluid Reponsiveness-Thoracic I
-eFAST
-Aorta-Renal-Gallbladder-US guided peripheral IV (2024)
Achieve a minimum score of 80%, and can take the exam as many times as you need to. Submit a screenshot or print out of your score reports together with:
End-of rotation checklist
(downloadable below)Please submit the above electronically to tfong3@jhmi.edu or place printouts in Dr. Fong's mailbox in the ED admin offices in Zayed
Feedback will be provided in-person at QA meetings and via New Innovations
SCHEDULING NOTES:
The POCUS rotation is a clinical rotation, and scheduling of other commitments (e.g. Step 3, personal) during the US rotation must be approved in advance by the US faculty. The rotation is designed to be flexible, and we can usually accommodate if you let us know in advance. In general, the trainee should plan to scan in the ED from Monday-Friday for at least 4-6 hours a day to be able to meet rotation requirements. Your independent scan shifts are self-scheduled and can take place anytime, as long as rotation requirements above are met.
EM residents must attend resident conference every Friday morning
EDUCATIONAL RESOURCES AND OTHER ROTATION DOCUMENTS
EDUCATIONAL RESOURCES AND OTHER ROTATION DOCUMENTS
End-of-Rotation checklist - Basic POCUS rotation - please submit to Dr. Fong at end of rotation
US measurements pocketcard - save to your Evernote or Dropbox for quick reference!
Basic US rotation checklist v.2023.docxCopy of Ultrasound Measurements Pocketcard 4x6.pdfPage updated
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