ME534M.3

Emergency Ultrasound

Sites: MGH, BWH, BIDMC, MTA, BCH
Director(s): Calvin Huang, Andrew Liteplo, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: No (HMS only)
Description: Students may add themselves to the waiting list for this course during add/drop periods but not during lottery periods. Prior approval required, please email Dr. Huang; ckhuang@partners.org, forward approval to registrar@hms.harvard.edu. Emergency Ultrasound is increasingly becoming an indispensable clinical tool to every emergency medicine physician. The Emergency Ultrasound elective is a four week advanced elective that introduces students to the basics of emergency ultrasound. Students will be learn the essentials of emergency ultrasound, including types of studies performed, indications and limitations of these studies, the evidence behind clinician-performed ultrasonography, minimal criteria of imaging, and incorporation of emergency ultrasound into clinical practice, and spend a significant amount of time practicing and perfecting their ultrasound scanning abilities. Learning modalities include narrated didactic lectures, scan review, independent reading, computer-based didactic modules, hands-on scanning of emergency patients, scanning in the simulation lab, an independent project, and reading of selected literature. Location: This elective represents a collaborative effort amongst all of the Harvard-affiliated hospitals, including Massachusetts General Hospital, Brigham and Women's Hospital, Beth Israel Deaconess, Mount Auburn Hospital, and Children's Hospital. Residents will rotate at different sites throughout the rotation for expanded exposure to different patients and faculty. Exact schedules will vary from rotation to rotation and will be dependent on sites abilities to accommodate rotators. Student preferences will be considered but cannot be guaranteed.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science, normal anatomy and anatomic relationships, and pathophysiology are reinforced through direct visualization of internal organs and structures. Evidence-based practice is investigated through analysis of clinical protocols and critical review of recent literature.
Grade Criteria:
Honors with Distinction:
Participation: attends every scheduled learning activity and spends significant additional time reading, reviewing, researching, and scanning.
Image acquisition: has mastered all of the basic views and uses multiple windows and approaches to thoroughly interrogate structures of interest; is able to easily obtain all necessary images (when available); is able to optimize images through patient positioning and skilled manipulation of majority of machine settings.
Image interpretation: demonstrates mastery of normal landmarks and able to identify nearly all pathologic findings; able to deftly describe types and grades of various pathologic findings.
Scholarly project: completes a high-quality project, exceeding the expectations discussed with the faculty advisor.
Honors:
Participation: attends every scheduled learning activity and spends considerable additional time reading, reviewing, researching, and scanning.
Image acquisition: has mastered all of the basic views and is beginning to use multiple windows and approaches to interrogate structures of interest; is able to obtain nearly all of the necessary images (when available); is able to optimize images through patient positioning and manipulation of many machine settings.
Image interpretation: consistently recognizes normal landmarks and is able to identify most pathologic findings; able to outline types and categories of various pathologic findings.
Scholarly project: completes a high-quality project, meeting all expectations discussed with the faculty advisor.
Satisfactory:
Participation: attends every scheduled learning activity and spends some additional time reading or scanning.
Image acquisition: proficient with all of the basic views to evaluate structures of interest and beginning to consider alternative or additional views; is able to obtain majority of the necessary images (when available); considers patient positioning and can manipulate basic machine settings.
Image interpretation: consistently recognizes normal landmarks and is able to identify many pathologic findings; able to outline types and categories of various pathologic findings.
Scholarly project: completes a project in a timely fashion, meeting most expectations discussed with the faculty advisor.
Unsatisfactory:
Participation: does not attend every scheduled learning activity and spends no additional time reading or scanning.
Image acquisition: unable to obtain each of the basic views to evaluate structures of interest; is unable to obtain the majority of the necessary images (when available); fails to consider patient positioning and is unable to manipulate basic machine settings.
Image interpretation: unable to recognize majority of normal landmarks and fails to appreciate pathologic findings.
Scholarly project: does not complete a project, fails to meet the expectations discussed with the faculty advisor.