Monthly Rotation Objectives 

PGY1

  • Understand basics of Qpath (worksheets, submitting for QA, deleting images, splitting studies)
  • Proficiency in most frequently used applications: eFAST, pelvic (transabdominal and transvaginal for early pregnancy), renal, IVC, basic cardiac, abscess/cellulitis
  • see minimal image criteria and emergency ultrasound core vs advanced skills documents(below) for clarification of each application
  • Proficiency in procedural applications of ultrasound: PIV access, CVL access, paracentesis/thoracentesis, LP
  • Understand basic ultrasound physics and concepts such as gain, depth, artifacts; be able to utilize these concepts to improve your images

PGY2

  • Ability to utilize ultrasound to help work up patients with undifferentiated hypotension
  • Ability to utilize ultrasound to help work up patients with undifferentiated dyspnea
  • Proficiency in applications necessary for first 2 objectives  (including more advanced cardiac, thoracic, IVC, aorta)
  • Proficiency in other core/advanced applications: gallbladder, DVT, ocular
  • Ability to teach/supervise PGY1s in vascular access, pelvic ultrasound, and eFAST

Learning Assignments

  • Use the tabs on this webpage as guidance for assignments prior to each day of the rotation with both podcasts, video lectures, and guidance of POCUS topics that need to be reviewed

Scanning Schedule

  • There are 2 four hour scanning sessions per day in the ED that will occur with an instructor or inidividually
  • Wednesday: Go to regular EM Conference and scanning is scheduled for the afternoon
  • Thursday: Come to the weekly division meeting at the ultrasound office at 250 W 57th Street from 9:30 am to 1:30 pm
  • Friday: Presentations + OSCE + scanning

Friday Wrap-Up

OSCE

PGY-1: 3 cases where you will be expected to demonstrate proficiency in the applications listed in the monthly rotation objectives (eFAST,first trimester pelvic, IVC, vascular access)

PGY-2: 3 cases where you will be expected to demonstrate proficiency in the applications listed in the monthly rotation objectives (undifferentiated hypotension, undifferentiated dyspnea, gallbladder, ocular)

Case Presentation Objectives

Ultrasound topic: Your choice

Deadline: Friday of your rotation week

Length: 5 minutes

Still images/Videos: Your own original or from Q-path E

Differential diagnoses: Include the u/s differential diagnoses

References: Use the u/s literature, websites/podcasts

Wrap-up: Present your final conclusions

Pearls

Your case presentation should focus on u/s

Include teaching the u/s application and technique, normal and abnormal

Ask the u/s faculty for help/ideas prn

Consider going to fast track, the ICU, pediatrics, or other areas to find interesting cases

Be creative!