Anesthesia/Ultrasound Rotation
Welcome to your Anesthesia/Ultrasound rotation!!! During this block you will have 3 weeks of clinical rotation and 1 week of vacation. The majority of your ultrasound experience will be in the afternoon after rotating through anesthesia in the morning. Your afternoons will consist of proctored or self-directed US shifts for 1-2 hours in the MMC ED. Proctored US shifts are scheduled on Wednesday with an ultrasound core faculty. You are required to do at least 2 of these shifts during the block.
As a part of your emergency ultrasound experience you will be involved in one US Lunch & QA session and may be required help teach ultrasound to medical students during an ultrasound interest group (USIG) during your block. Both of these sessions last around 2 hours. During the US Lunch & QA session you will meet with Dr. dela Cruz and Dr. Savage in his office to review archived ultrasounds. This will help you develop a strong foundation in image interpretation. USIG meetings happen 3-4 times a year. If one session falls during your block you will be involved in bedside instruction of a particular organ system. The date, location, and content of your USIG session will be given to you by Dr. dela Cruz. It will not coincide with your vacation week.
In addition to the above responsibilities you will also continue your participation in the USOTB curriculum. It is important to note that this block is usually your best opportunity as a PGY-1 to gain points for the competition. Ultrasound a lot and ultrasound well!!! Please use the outline below as a reference for your objectives and responsibilities for the block with regards to ultrasound.
Overview of rotation responsibilities:
Proctored EUS exams during 2 US shifts with EUS director
Keep in mind this rotation is meant for you to establish a strong foundation on sonographic principles and image acquisition. Continued involvement in longitudinal US shifts and Thursday didactic US small group sessions will aid in developing more advanced skills in emergency ultrasound. In addition to the activities above, you have been granted access to the AEUS Narrated Lecture series. You should have received a link with your login information from Dr. dela Cruz. You can log in to the website by clicking on the link below. Your ultrasound faculty has curated the lectures in a recommended order for completion. Completing 8 lectures and self assessments is a good goal (lectures 26-28 are fairly advanced and beyond the scope of this particular rotation). This would make it to where your goals and objectives for each week will include:
Week 1
- Overview ultrasound physics and instrumentation. This will help solidify some background knowledge on US
- Overview and practice the eFAST exam. This will help you hone your probe placement, orientation, and manipulation
- Overview and practice US guided PIV insertion. This will help get you comfortable with ultrasound guided needle manipulation and procedural basics
- Overview and practice MSK exams and ultrasound guided procedures. This will help expand your depth of knowledge and ability with percutaneous/superficial ultrasound guided procedures.
Week 2
- Overview and practice the RUSH exam. This will further hone your probe manipulation skills and begin introducing image interpretation and ultrasound guided clinical decision making into your skill set.
- In depth study of the components of the RUSH exam. This include review of the thoracic exam, cardiac echos, IVC & volume responsiveness, and vascular studies
- Continued practice of image acquisition involving the exams above. These exams have become the most common bedside exams our specialty performs. They are a great tool in caring for our most critical patients.
Week 3
- Overview and practice bedside exams of the abdomen. This will help expand your skill sets into assessing for surgical pathology in your patients. These exams take time and a lot of encounters to become proficient at. This will be a good introduction to help in future ultrasound shifts during your training
Please feel free to jump to a pertinent lecture depending on what you see during your scanning shifts. Try your best to cover the content. Your progress in completing the over lectures will be tracked to follow your progress. Don't hesitate to contact your ultrasound faculty with any questions.
As a part of your emergency ultrasound experience you will be involved in one US Lunch & QA session and may be required help teach ultrasound to medical students during an ultrasound interest group (USIG) during your block. Both of these sessions last around 2 hours. During the US Lunch & QA session you will meet with Dr. dela Cruz and Dr. Savage in his office to review archived ultrasounds. This will help you develop a strong foundation in image interpretation. USIG meetings happen 3-4 times a year. If one session falls during your block you will be involved in bedside instruction of a particular organ system. The date, location, and content of your USIG session will be given to you by Dr. dela Cruz. It will not coincide with your vacation week.
In addition to the above responsibilities you will also continue your participation in the USOTB curriculum. It is important to note that this block is usually your best opportunity as a PGY-1 to gain points for the competition. Ultrasound a lot and ultrasound well!!! Please use the outline below as a reference for your objectives and responsibilities for the block with regards to ultrasound.
Overview of rotation responsibilities:
Proctored EUS exams during 2 US shifts with EUS director
- Immediate feedback given during performance of each exam
- EUS director will log qualifying exams for you
- 20 exams minimum required for rotation
- Feedback will be given when reviewed by EUS director
- EUS director will log qualifying exams for you
- 30 exams goal for rotation (Goal of 50 exams total including proctored exams should be made for the rotation)
- Feedback will be given when reviewed by EUS director
- Feedback will be given during USOTB review
- EUS director will grade and score your results
Keep in mind this rotation is meant for you to establish a strong foundation on sonographic principles and image acquisition. Continued involvement in longitudinal US shifts and Thursday didactic US small group sessions will aid in developing more advanced skills in emergency ultrasound. In addition to the activities above, you have been granted access to the AEUS Narrated Lecture series. You should have received a link with your login information from Dr. dela Cruz. You can log in to the website by clicking on the link below. Your ultrasound faculty has curated the lectures in a recommended order for completion. Completing 8 lectures and self assessments is a good goal (lectures 26-28 are fairly advanced and beyond the scope of this particular rotation). This would make it to where your goals and objectives for each week will include:
Week 1
- Overview ultrasound physics and instrumentation. This will help solidify some background knowledge on US
- Overview and practice the eFAST exam. This will help you hone your probe placement, orientation, and manipulation
- Overview and practice US guided PIV insertion. This will help get you comfortable with ultrasound guided needle manipulation and procedural basics
- Overview and practice MSK exams and ultrasound guided procedures. This will help expand your depth of knowledge and ability with percutaneous/superficial ultrasound guided procedures.
Week 2
- Overview and practice the RUSH exam. This will further hone your probe manipulation skills and begin introducing image interpretation and ultrasound guided clinical decision making into your skill set.
- In depth study of the components of the RUSH exam. This include review of the thoracic exam, cardiac echos, IVC & volume responsiveness, and vascular studies
- Continued practice of image acquisition involving the exams above. These exams have become the most common bedside exams our specialty performs. They are a great tool in caring for our most critical patients.
Week 3
- Overview and practice bedside exams of the abdomen. This will help expand your skill sets into assessing for surgical pathology in your patients. These exams take time and a lot of encounters to become proficient at. This will be a good introduction to help in future ultrasound shifts during your training
Please feel free to jump to a pertinent lecture depending on what you see during your scanning shifts. Try your best to cover the content. Your progress in completing the over lectures will be tracked to follow your progress. Don't hesitate to contact your ultrasound faculty with any questions.
Feeling nostalgic? Here are some old (and somewhat out of date) lectures that were a part of the US curriculum at the very start of our residency. See what has changed!!! See what has not... Enjoy!!!
EM Ultrasound Core Curriculum Lectures (Old School SIU-SOM)
(PGY-1) EM Ultrasound - An Introduction Part 1(PGY-2) EM Ultrasound - An Intermediate Level Part 1 |
(PGY-1) EM Ultrasound - An Introduction Part 2(PGY-2) EM Ultrasound - An Intermediate Level Part 2 |
EM Ultrasound Quick Lessons (Old School SIU-SOM)
ExamsAortaCardiacDVT |
..FASTIVC IndexThoracic |
ProceduresUS Guided PIV |