PGY3 Ultrasound Elective Rotation

The goals of the 2 week PGY3 US elective rotation are:

  • To become proficient in bedside image acquisition and interpretation in 11-12 US applications defined by ACEP, and reliably integrate EUS into clinical practice.
  • To reach the Level 4 or 5 Milestone competency in Emergency Ultrasound as defined by CORD-SAEM.

Prerequisites

  • Successful completion of the PGY1 and PGY2 Emergency US rotations (including required ACEP ultrasound exams).
  • Minimum ultrasound requirements for residency graduation must be met prior to the start of the PGY3 elective.
  • Interested residents should contact Dr. Rhyne at least 1 month prior to the potential start date of their elective

Clinical experience

  1. Supervised scanning shifts - please refer to Google calendar for dates/times to meet faculty in the ED for bedside scanning and teaching.
  2. Independent scanning shifts - during times when there is no supervised scanning, the resident should be scanning independently in the ED. Patients scanned independently should have a confirmatory study as a gold standard (e.g. CT abdomen, CXR, confirmatory US performed by radiology).
  3. Weekly education/QA meetings - these take place on THURSDAY at 9am in the 4th floor conference room of the Bayview ED (Room 4100 -- next to the Peds ED). You must attend all Thursday meetings during your rotation.
  4. Presentation - PGY3 Elective residents will be required to give a brief (approximately 20 minute) presentation on an advanced ultrasound topic of their choice during a Wednesday QA meeting (topic should be pre-approved by US faculty at least 1 week before the presentation).

Schedule

  • In general, the PGY-3 should be in the ED from Monday-Friday for scanning. At least 5 hours a day should be devoted to bedside US scanning to be able to meet rotation requirements.
  • The resident must attend resident conference every Friday morning.
  • The US elective is a clinical rotation, and scheduling of other commitments must be approved in advance by the US faculty.

Requirements

1) CLINICAL

  • Perform at least 90 high quality and correctly interpreted ultrasound studies and complete appropriate reports in Qpath.
  • By the end of the PGY-3 rotation, you must have > 25 scans per application (except for procedural guidance which only requires 10) in the 11 emergency ultrasound applications defined by ACEP.
  • Attend all Thursday education/QA meetings while on rotation.

2) READING

  • Review all chapters of Noble's Manual of Emergency and Critical Care Ultrasound.
  • Additional educational material (reading and videos) may be assigned during the rotation.

3) PRESENTATION

A 20 minute presentation on an advanced ultrasound topic (pre-approved by ultrasound faculty) will be required on during one of the Wednesday QA sessions during the rotation.

Contacts

Randall Rhyne, MD: rrhyne@jhmi.edu (primary contact)

Tiffany Fong, MD: tfong3@jhmi.edu