Medical Student Rotation

Objectives:

To become familiar with the indications, scanning techniques, physics, image interpretation and pitfalls for the following Emergency Ultrasound Applications:

  • E-FAST/Trauma

  • Abdominal Aortic Aneurysm (AAA)

  • Echo/Cardiac/Volume Assessment

  • Ultrasound-Guided Procedures (IV Access)

  • Other applications as assigned

Curriculum:

During your elective, you will learn both basic and advanced emergency ultrasound applications. You will also form a sound foundation of knowledge in ultrasound physics principles and knobology. The rotation will consist of didactics, literature review, simulation, video tape review/Quality Assurance, reading, and hands-on experience at the bedside.

  1. Below you will find a rough outline of your schedule for the block. This may change as the faculty members’ clinical schedules are released.

  2. You will be expected to attend our weekly QA sessions on Thuresday mornings at 9 am in Classroom 5 in the GME Ocean View Building.

  3. Journal club presentation or case write up to be presented during the last Monday of the rotation. More specifics will be given on Day one, but chose a topic of interest and provide a written summary to share with the group.

  4. Weekly projects: The students may be assigned 1-2 educational activities each week of their rotation. Oftentimes these will be based on clinical scenarios that arise while on shift. These activities are to enhance the education for the student and provide a well-rounded experience during the rotation.

Intro to machine and QPath:

In your first week a faculty member will be scheduled to give a brief tutorial on the how to use the ultrasound machine and knobology. There will be a brief practice session at the end of the session.

Didactics:

Medical student should plan to attend weekly Didactics with the EM Residents every Wednesday from 7:30-11:30 am in the GME Ocean View Building. Wednesday afternoons will consist of Ultrasound Simulation sessions in the GME Simulation Center with Chris Bryant (Chris.Bryant@hcahealthcare.com).

Tape Review/Quality Assurance:

On Thursday morning of every week, a group review of all emergency ultrasound scans is completed in the GME Classroom 5. The student should submit at least 5 independently performed ultrasound studies for faculty review each week in order to obtain pointed feedback.

Literature Review:

Every week, topics of interest are discussed with the ultrasound team along with relevant, contemporary literature. Contemporary journal articles are reviewed on a weekly basis by faculty, EUS Fellows, EM and Anesthesia residents, as well as students.

Hands-on Experience:

The majority of a rotating student’s time is spent learning to perform and interpret emergency ultrasound examinations. Students will have the benefit of being under the direct supervision of an ultrasound credentialed attending, EUS Fellow, EM resident on either their Advanced or Basic Ultrasound Rotation, Anesthesia Residents, and Ultrasound Techs (Tuesdays and Wednesdays from 4-7 pm, meet in Whale Bay) and should also scan independently.

Journal Club presentation:

During your rotation keep note of any interesting topic or area of interest. Research a current emergency medicine ultrasound journal article of your choice to present to the ultrasound team. The journal should be picked by the end of the first two weeks and emailed to Dr. Wilson (Casey_Wilson@Teamhealth.com) for approval. The article will be emailed to the ultrasound faculty and residents on the rotation upon approval and the student will present the article on the last Monday of their rotation. Please view the EM Ultrasound Journal Club Format link on the Medical Student page.

-Or-

Case presentation:

You will present one interesting case in power-point or keynote format which you encountered during your rotation on the last Monday of the rotation. You may also provide a short topic discussion instead that interests you. Presentation should be about 15 – 20 min. It should include patient presentation, workup, ultrasound findings, and brief discussion on ultrasound diagnosis of the topic pertaining to the patient.

Evaluation:

The medical student will be evaluated by all faculty every two weeks of their rotation. These evaluations will be saved and can be used for recommendations letters. Please let faculty know early on if you would like a SLOE completed for the rotation.

Readings:

Rotating students are responsible for core ultrasound topic readings. Please view the EM Ultrasound Rotation Reading List link on the Medical Student page. Linked here is a great resource Core Ultrasound. Watch videos from this site on each topic linked below. A reading and resource list will be provided by the faculty, which include:

  • Ultrasound Physics

  • FAST exam

  • Abdominal Aortic Aneurysm

  • Renal

  • DVT

  • Ocular

  • Biliary

  • First trimester OB

  • Cardiac

  • Thoracic/Lung

  • MSK

  • SBO/Bowel

  • Procedures