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Fellowship Program in Emergency Ultrasound

The Emergency Ultrasound Fellowship Program at Massachusetts General Hospital began in 2007. The fellowship is designed to provide graduates of emergency medicine residency programs here in the United States with advanced training in ultrasound image acquisition and interpretation, training in how to build and develop an emergency ultrasound program, and opportunities for research in emergency ultrasound applications.

OverviewThe Emergency Ultrasound Fellowship Program is a one year program designed to give graduates of emergency medicine residency programs the skills and knowledge to become ultrasound program directors and leaders in the field of emergency ultrasound. There are four components to the fellowship program:

  1. Learning image acquisition and interpretation skills for both basic and advanced emergency and point of care ultrasound applications;
  2. Understanding the information technology applications required to run an emergency ultrasound program and how to best utilize them for image archiving and quality assurance;
  3. Understanding the state of emergency ultrasound research by participating in monthly ultrasound journal club activities and developing an independent research project from its inception to publication;
  4. Developing lecturing and teaching skills by developing an emergency ultrasound lecture portfolio and contributing to the program’s educational mission.

RequirementsFellows Weekly ConferenceApplicants must be graduates of an ACGME accredited emergency medicine residency program and have completed the program in good standing. A letter of interest, 3 letters of recommendation, including a letter from the residency program director, and a current curriculum vitae should be submitted to Dr. Andrew Liteplo, Fellowship Director aliteplo@partners.org. Interview are conducted in the late fall in Boston.

 

 

 

Fellowship Training

Fellowship Training

Curriculum The educational component of the Ultrasound Fellowship involves both a large amount of learning and teaching ultrasound.

Learning Highlights:

- Weekly sessions with director
- Lecture series covering physics, abdominal ultrasound in preparation for RDMS exams
- In-depth analysis of standard applications and advanced applications, with  a focus on the evidence behind what we do
- Journal club - review of recent literature
- Research updates
- Image and video processing
- Scan review
- Scanning shifts with director
- Independent reading
- Opportunities with sonographers hospital-wide Echo project
- Independent scanning
- Completion and review of a minimum of 800 scans


Teaching Highlights:

  • Resident rotation - two week PGY-2 and one week PGY-1 rotations
  • Develop and give core lecture series to HAEMR residents
  • Teaching to other services (surgery, ICU)
  • Outside courses to community hospitals
  • Harvard CME courses
  • Faculty credentialing process
  • International courses
  • Other teaching initiatives
  • Rotation for visiting residents
  • Medical student elective
  • International rotations--MGH Center for Global Health & Disaster Response, through Thomas Burke, MGH, or the Institute for International Emergency Medicine and Health, Brigham and Women's Hospital
  • Simulation labs--Institute for Medical Simulation, through James Gordon, MGH, or STRATUS Center for Medical Simulation, Brigham and Women's Hospital.

Clinical ExperienceThanksgiving with 2011 Boston Course FacultyThe fellowship is designed as a part-time attending position in the MGH ER, working approximately 20 hours a week, supervising EM (PGY1-4), pediatric, internal medicine, and surgical residents. In addition, the fellow is expected to devote approximately 20 hours a week to ultrasound related activities. Duties include but are not limited to image acquistion (independently, with residents, and with directors), scan review, lecturing, participation and development of outside courses, attendance at administrative and financial meetings, and research (development of an independent project and participation in ongoing studies).

 

 

 

Research ExperienceFellow Dave Mackenzie lecturing in RwandaThere are numerous research opportunities within the department as well as with faculty throughout the Massachusetts General Hospital and the Harvard Medical School. The Massachusetts General Hospital Department of Emergency Medicine supports each fellow with a research stipend to help advance scholarly projects. In the past six years, faculty and fellows have produced research and published on topics such as optic nerve sheath ultrasound and its correlation with intracranial pressure monitoring as well as optimal techniques for optic nerve sheath scanning, learning curves for performing chest ultrasound, a comparison of teaching techniques in emergency ultrasound for both residents and prehospital personnel, correlation of thoracic ultrasound findings of pulmonary congestion and natiuretic peptide point of care test results, financial implications of emergency ultrasound programs, and analgesia’s impact on the sonographic Murphy’s sign and biliary ultrasound test accuracy.

In addition, the MGH program has been fortunate enough to participate extensively in the introduction of point of care ultrasound in many resource poor domestic and international settings. Internationally, there are ongoing studies in Rwanda, Malawi and Zambia on the impact of point of care ultrasound in these settings on patient care and outcomes as well as on resource utilization. For interested applicants there are many opportunities to become involved in teaching and researching the potential in these settings.

How to ApplyAnd We Know How to Bowl Too!In July, a letter of interest, three letters of recommendation and a letter of support from an emergency medicine residency program director as well as a current CV to Dr. Andrew Liteplo aliteplo@partners.org. An application can be found through the Emergency Ultrasound Fellowships website. You will then be contacted regarding the interview date in late fall. All fellows should prepare for a start date of July 1 each year.