Medical Students will be required to perform a minimum of 200 point-of-care ultrasound examinations. Each scan done of the rotation is reviewed and graded for adequate image acquisition, proper documentation, and correct interpretation of the images obtained. Failure in any of these areas counts as a failed scan, which does not count against you, but also does not count towards your total 200.
The student must perform a minimum of...
25 E-FAST trauma studies
25 cardiac studies
25 abdominal aorta studies
25 biliary studies
10 soft tissue / musculoskeletal studies
25 urinary tract studies
The remaining 65 studies can be of various applications, including extra of any of the above studies, but also other studies learned and participated in during the rotation.
The studies you perform on this rotation will be of two types: training and point-of-care. Both types count towards your total scans.
A training study means the patient gave you permission to practice an ultrasound exam on them, so they are not charged for the study, it is not part of their medical record, and it is not used in clinical decision-making. Training studies include the exams we perform on each other for practice. The attending on these cases is a made up physician, "Training, Exam" in our Qpath system. This physician's username is "TRAIN," which is what you will put down on the ultrasound machine in the attending box for training studies.
A point-of-care study means the study is felt necessary and clinically-indicated by the patient's treating team, is ordered in the electronic medical record, with the report you generate ending up back in the patient's medical record, and the images you obtained ending up in PACS viewable by other providers in the hospital. The attending on a point-of-care is the primary treating attending caring for the patient in the emergency department. You are not expected to know all the attendings usernames, but you can manually select the attending in Qpath.