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Welcome to your ultrasound elective!
Welcome to your ultrasound elective!
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 procedures
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, obtaining a total of >75 approved scans in Qpath during the 2-week rotation (see required views and how to use Qpath)
Thursday QA/education meetings, generally 9am-12pm 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 Noble's Manual of Emergency & Critical Care Ultrasound, available free on the JHU library website:
A great alternative text is the free Introduction to Bedside Ultrasound iBook - read corresponding chapters
*Note that there are 2 major conventions for acquiring echo images, and we follow the cardiology convention. The referenced chapter in Noble's book is short and and a great overview, but describes the EM technique for image acquisition (as does the AEUS videos). To read about what we will teach you on rotation, see Soni & Arntfield's Point-of-Care Ultrasound, Ch 14 (Cardiac Ultrasound Technique)https://catalyst.library.jhu.edu/catalog/bib_8042932
Contribute to our POCUS didactics, by either:
-Writing 3 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.)
PhysicsEcho I and Echo II*
IVC and Fluid ReponsivenessThoracic I and Thoracic II
EFAST
AortaRenalGallbladderPeripheral IV
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 Thursday QA meetings and via New Innovations
SCHEDULING NOTES:
The POCUS rotation is a clinical rotation, and scheduling of other commitments (e.g. Step 2/3, interviews, 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 below are met.
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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