2022-2023 M3/M4 Course Syllabi
Emergency Medicine
COURSE NUMBER:
24 02 01
TITLE:
Clinical Ultrasound in Emergency Medicine
Point-of-care ultrasound is an essential tool in the care of the undifferentiated emergency department patient. In this course, students will learn how to acquire and interpret standard images for all ACEP core ultrasound applications. This is a hands-on course during which students will complete 20-hours of supervised bedside scanning in the ED in addition to various workshops on live ultrasound models and procedural task trainers. Students will engage in a range of supplemental learning modalities including independent study, didactic, and formal case discussion.
PREREQUISITES:
The Summer and Fall elective blocks are intended for career EM-bound students. These students should all be registered for the Emergency Medicine Acting Internship from July-September and their specialty choice will be verified with Dr. Jason Nagle (M4 Clerkship Director). 

Our Spring elective blocks will be open to all students, regardless of specialty choice.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: YES
ALLOWS OVERLAP: NO
COURSE LENGTH:
2 weeks
DIRECTOR:
Patrick Minges
mingespg@ucmail.uc.edu
(513) 558-8007
MSB
ADMINISTRATIVE SUPPORT PERSON:
Kim Regan
Kimberle.Regan@uc.edu
513-558-8996
MSB, 1654
SITE(S):
UCMC
West Chester Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 06/06/2022 - 06/17/2022 2
3 08/15/2022 - 08/26/2022 2
4 08/29/2022 - 09/09/2022 2
11 03/27/2023 - 04/07/2023 2
11 04/10/2023 - 04/21/2023 2

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
40 hr/wk total: didactics 0900-1300, scanning in 4-6hr blocks during afternoons
REPORT 1ST DAY:
You will receive an email from the Course Administrator (Ms. Kim Regan) prior to your first day with your schedule for the 2-week Elective. Classes will be held in the University of Cincinnati Department of Emergency Medicine Academic Offices (MSB Suite 1654).

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
  • Journal Club
  • Patient Presentation--Faculty
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
50% Attending Physician
10% Senior Resident
20% Pattie Smith, RDMS and ED Sonographer Educator
20% Fellow Physician
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Lewiss RE. Practical Guide to Clinical Ultrasound, Volumes 1 and 2. Available free on iBooks.
Instructional Methods:
1.  Didactic
2.  Self-guided text and video-based modules
3.  Hands-on scanning workshops on live models
4.  Hands-on procedure workshops on task trainers and simulators
5.  Experiential learning during scanning shifts in the emergency department
5.  Discussion and image interpretation during weekly Ultrasound Division Conference
Knowledge/Skills:
1.  Understand principles of ultrasound safety and ALARA (keeping exposure "as low as reasonably achievable").
2.  Obtain standard images for all ACEP core ultrasound applications (Cardiac, eFAST, Aorta, Renal, Biliary/RUQ, Early Pregnancy, Soft Tissue, Procedural Guidance). 
3.  Discuss common clinical indications for all ACEP core ultrasound applications.
4.  Demonstrate knowledge of normal anatomy and pathology commonly encountered within the scope of the ACEP core ultrasound applications.
5.  Complete 20 hours of hands-on ultrasound scanning shifts with ultrasound faculty/fellows, Sonographer Educator, EM faculty, and EM senior residents.
6.  Critique ultrasound studies for adequacy, image quality, and accuracy.
7.  Gain exposure to current ultrasound research and emerging trends.
Main Course Topics :
Ultrasound
Point-of-care ultrasound (POCUS)
Clinical imaging
Diagnosis
Emergency Medicine
Procedures:
Students will perform each of the following studies on a live patient, a live model, or task trainer:
1.  Cardiac/transthoracic echo
2.  Extended FAST
3.  Aorta
4.  Renal
5.  Biliary/right upper quadrant
6.  Early pregnancy
7.  Soft tissue

Students will perform each of the following ultrasound guided procedures on a live patient or task trainer:
1.  Ultrasound guided peripheral venous access
2.  Ultrasound guided central venous access
3.  Ultrasound guided incision and drainage

SAMPLE WEEK

Monday:
10:00AM 1:00PM Ultrasound Didactic, Journal Club, and Quality Assurance
Tuesday:
2:00PM 6:00PM ED Scanning Shift
Wednesday:
8:00AM 1:00PM EM Grand Rounds
Thursday:
10:00AM 1:00PM Ultrasound Didactic: eFAST
2:00PM 6:00PM ED Scanning Shift
Friday:
10:00AM 1:00PM Ultrasound Didactic: Renal
SCHEDULE NOTE:
Each student will complete a total of 20 hours of hands-on bedside scanning in the ED. Students will be supervised by ultrasound trained faculty/fellows, our Sonographer Educator, or senior residents. Shifts will fall between the hours of 1100-2300 and may be variable by supervisor. 

Recurring sessions:
-  Monday: Ultrasound Fellows Didactic, Journal Club, and Quality Assurance every week from 1000-1300
-  Wednesday: EM Grand Rounds every week from 0800-1300

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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