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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.

Overview

The 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 weekly 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.

The ultrasound faculty is comprised of world-renowned dynamic and engaging physician-sonologists who are dedicated to the dissemination of ultrasound education and research, and include:

  • Dr. Vicki Noble, Director of the Division of Emergency Ultrasound. Former ACEP Ultrasound Section Chair, AIUM and WINFOCUS Board member, and author of the critically acclaimed ultrasound textbook, Manual of Emergency and Critical Care Ultrasound.
  • Dr. Andrew Liteplo, Emergency Ultrasound Fellowship Director. Past-president of the Academy of Emergency Ultrasound of SAEM. Co-creator of SonoGames.
  • Dr. Dana Sajed, Director of Ultrasound Education.
  • Dr. Calvin Huang, Director of PA Education
     

The goal of the ultrasound fellowship is to provide you with all the tools you would need to become an Ultrasound Director of any Emergency Department, and a leader in the field.  The educational component of the Ultrasound Fellowship involves both a large amount of learning and teaching ultrasound.

Requirements

Fellows Weekly Conference
Fellows Weekly Conference

Applicants 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 fall. Decisions are usually made in November.

 

Our Emergency Ultrasound Research Fellowship is a parallel program designed for foreign emergency physicians to learn about point-of-care ultrasound. Interested applicants should contact Dr. Liteplo as above.

Curriculum

Fellowship Training
Fellowship Training

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 directors
  • Independent reading
  • Opportunities with sonographers hospital-wide to learn regional anesthesia, musculoskeletal ultrasound, 1st trimester Ob, echo lab
  • Independent scanning
  • Completion and review of a minimum of 1000 scans

 

Teaching Highlights

  • Resident rotation -4-week rotation as PGY-1
  • Develop and give core lecture series to HAEMR residents
  • Teaching to other services (surgery, ICU, PAs)
  • Outside courses to community hospitals
  • Harvard CME courses
  • Faculty credentialing process
  • International courses
  • Other teaching initiatives
  • Rotation for visiting residents
  • Medical student elective
  • Opportunities for international rotations though MGH Center for Global Health & Disaster Response,  PURE, or many other international contacts
  • Simulation opportunities through Institute for Medical Simulation at MGH, STRATUS with access to SonoSim, Medaphor, Vimedix simulators (with TEE)

Clinical Experience

Thanksgiving with 2011 Boston Course Faculty
Thanksgiving with 2011 Boston Course Faculty

The MGH Emergency Department is a busy high acuity Level 1 Trauma Center, Burn Center, and Pediatric Trauma Center with an annual census of >100,000 patients. The fellowship is designed as a part-time attending position in the MGH ED, working approximately 16 hours a week, supervising EM (PGY1-4), pediatric, internal medicine, and physician assistants.   In addition, fellows are expected to devote approximately 20 hours a week to ultrasound related activities. Responsibilities 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). There are 7 ultrasound machines in the Emergency Department from a variety of manufacturers for a diverse scanning experience.

Research Experience

Fellow Dave Mackenzie lecturing in Rwanda
Fellow Dave Mackenzie lecturing in Rwanda

There 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 ten years, faculty and fellows have produced research and published of 70 articles on point-of-care ultrasound. Previous work has focused on lung ultrasound for pulmonary edema, 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 the impact of analgesia on the sonographic Murphy’s sign, biliary ultrasound test accuracy, and many other topics.

 

In addition, MGH Emergency Ultrasound Fellows have taught extensively in many resource-limited international settings such as Rwanda, Malawi, Zambia, Uganda, and Kenya. We believe in the valuable impact that point of care ultrasound can make 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 Apply

And We Know How to Bowl Too!
And We Know How to Bowl Too!

Interested applicants should contact the Fellowship Director, Dr. Andrew Liteplo at aliteplo@partners.org

A CV, letter of interest, and three letters of recommendation are required.

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