University of Michigan Health System

Program Description

Type of Program

The University of Michigan Clinical Ultrasound Fellowship is a one-year post-graduate position for emergency medicine residency graduates. Graduates from both three- and four-year residency programs will be accepted. Fellows will be hired as Clinical Instructors at the University of Michigan Health and Hospital System

Year Fellowship Started:

2015

Ultrasound Program Status

Section within Department of Emergency Medicine

Number of Ultrasound Faculty:

Five core faculty plus multiple other faculty with ultrasound privileging

Notable Faculty

Rob Huang, M.D. (Clinical Ultrasound Fellowship Director)
Nik Theyyunni, M.D. (Associate Fellowship Director)
Ross Kessler, M.D. (Associate Fellowship Director)

Ultrasound Fellowship Education

Clinical Ultrasonography

By the end of fellowship, the CU Fellow will need to complete 1000 clinical ultrasound scans with particular focus to the core scans mentioned in the 2008 ACEP Emergency Ultrasound Guideline (FAST, intrauterine pregnancy, aortic caliber, focused cardiac, biliary, urinary tract, DVT, soft tissue/musculoskeletal, thoracic, ocular, and procedural guidance). The CU Fellow will be expected to achieve mastery of the above as well as considerable proficiency in a variety of other advanced modalities.

To assist with this process, the fellow will receive teaching from ultrasound faculty in the form of both a weekly lecture series and hands-on scanning of both models and emergency department patients.

Education and Teaching

The CU fellow will take a key role in the education of both junior and senior emergency medicine residents, off-service residents and fellows, and medical students and will provide an adjunctive role in the education of other fellows as well as advanced ultrasound track residents and emergency medicine faculty.

Each CU fellow is expected to be involved in the following didactic activities:
• At minimum two presentations/small groups/ultrasound sessions during the residency didactic conference
• At minimum one ultrasound presentation at weekly PEM Fellow’s conference
• Lead at minimum one recorded ultrasound lecture during weekly ultrasound didactics
• Lead at minimum one 60 minute ultrasound educational session during weekly ultrasound didactics
• Lead one evening ultrasound journal club
• Participate in at minimum two medical student ultrasound educational sessions

The fellow will also play an active role in the intern ultrasound bootcamp, medical student ultrasound labs, and other special events held during the year.

Additionally, each CU fellow will have a domain of educational excellence where he or she takes ownership over a part of the curriculum, to be defined at or before the beginning of the fellowship year.

Finally, each fellow will be assigned a faculty ‘mentee,’ who they will work with to create an individualized ultrasound learning plan to be fulfilled over the course of the fellowship year. Each fellow will be expected to meet with their faculty mentee once per month.

Administrative Leadership

The CU fellow will be expected to take an active role within the clinical ultrasound division at UMHS and will be expected to gain exposure to and be actively involved with equipment purchasing and maintenance, ultrasound billing and coding, networking between departments, writing/revising ultrasound protocols, and ultrasound privileging. Fellows will be expected to take lead on at least one administrative project during the course of the year, either in the form of heading up a particular project or acting as a point person for an ongoing group or committee.

In addition, the fellow will take an active role in Q/A of the department’s ultrasound images. Weekly Q/A will occur with oversight by the ultrasound director and ultrasound fellowship director. The fellow will be expected to either lead or help mentor an ultrasound track resident during Q+A at minimum once per month.

The fellow will be expected to attend the monthly tri-hospital ultrasound faculty meetings, ultrasound operations meetings, and ultrasound billing meetings, in order to assist with the overall management of the ultrasound program.

Additionally, each CU fellow will have a domain of administrative excellence where he or she takes ownership over a part of the curriculum, to be defined at or before the beginning of the fellowship year.

Research and Scientific Discovery

The CU fellow will be expected to participate in ultrasound-related research activities during the fellowship year. The fellow is expected to participate in research of sufficient quality that will lead to either an abstract and national presentation or peer-reviewed publication. The fellow will participate in at least two distinct research projects. He or She will be expected to take the lead in one of these research projects over the course of the year.

Advocacy

The CU fellow will be expected to get involved with the greater clinical ultrasound community on an interdepartmental, regional or national level. The CU fellow will be expected to attend the annual ACEP Scientific Assembly as well as at least one other ultrasound related conference (SAEM is strongly encouraged) and to be an active part of at least one clinical ultrasound section or committee.

Do you bill for ultrasounds?

Yes

Do you require follow up imaging for patients who get ultrasounds?

No

Other Information

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