Nuvance Health - Vassar Brothers Medical Center

Program Description

Type of Program

We are a one year ultrasound fellowship home at Vassar Brothers Medical Center (VBMC), a 350-bed facility that has served New York's Mid-Hudson Valley since 1887. We are a community-based tertiary care hospital in Poughkeepsie, NY with approximately 76,000 visits annually, and high levels of acuity. The Emergency Department is an American College of Surgeons verified Level II trauma center, STEMI center, and designated New York state stroke center. It is home to Emergency Medicine, Internal Medicine, Family Practice, Anesthesia, Transitional Year, Neurology, Psychology, and Surgical residencies. Fellowships include EMS, Ultrasound, Critical Care, Pulmonary, Sports Medicine, and Infectious Disease.

Year Fellowship Started:

2022

Ultrasound Program Status

Division of Advanced Clinical Ultrasound

Number of Ultrasound Faculty:

3

Notable Faculty

Stephanie Midgley, MD, FPD, is the director of the Ultrasound Division and US Fellowship director. She went to medical school at SUNY Downstate Medical Center, followed by residency and US fellowship at Brown University at Rhode Island Hospital. After completion of fellowship, Dr. Midgley joined Vassar Brothers Medical Center in 2013, taking the position of director of Emergency Ultrasound. Under her guidance the division has grown to encompass additional faculty members and now teaches all point of care and clinical ultrasound for Emergency Medicine, Internal Medicine, Family Practice, Anesthesia, and Transitional Year residencies as well as medical students, physician assistant students, nursing, and fellow attendings.

Joseph Felice, MD is the director for residency ultrasound education. Joey Felice graduated from SUNY New Paltz with a degree in psychology in 2008. Before earning his MD from SUNY Downstate in 2015, Joey worked for several years as a paramedic in his native Hudson Valley. Since completing his residency in Emergency Medicine at Yale-New Haven Hospital in 2019, he has dedicated much of his non-clinical time to teaching POCUS at the bedside. He also maintains a passion for prehospital medicine and currently serves as the medical director for two ALS EMS agencies. His primary POCUS interests revolve around the critical care & prehospital applications of ultrasound.

Melissa Hazlitt, MD is the director for student ultrasound education. She completed her undergraduate training in International Relations in 2006 and her Masters in Diplomacy in 2009. She graduated from Meharry Medical College in 2014 and completed her residency in Emergency Medicine at Yale-New Haven Hospital in 2018. She has since worked in building her not-for-profit, ECHO Medical group, with a focus on point-of-care ultrasound training in Peru. She has conducted multiple workshops for Peruvian physicians and maintains an interest in bidirectional POCUS education.

Ultrasound Fellowship Education

Program Information:
Fellows will learn advanced clinical ultrasound skills, as well as, hone their educational style by teaching to a multitude of different residencies and student learners. You will also learn administrative skills needed to run an Ultrasound Division including drafting protocols/guidelines, performing image Quality Assurance/Quality Improvement, and much more. In addition to these program components, our fellows are required to complete a research project and will be guided through the process by VBMC's research division.
Our fellows will have the unique experience of 1 full month of 1:1 bedside US teaching without any additional learners by our US faculty. This will be followed by 4 weeks of shadowing US teaching sessions prior to running any US teaching sessions. Once a week there will be image review. Every month there will be a fellows' educational conference dedicated to journal club, case conference, and lecture on advanced US topics. There are opportunities to learn Transesophageal Echocardiography (TEE) on a simulator, followed by TEE training with the Department of Anesthesia. Additional regional anesthesia opportunities are available with the Department of Anesthesia as well. Finally, there are opportunities for international ultrasound education with ECHO medical group in Peru if interested.

Academic Offerings:
Our Fellows' Conference will occur once a month. This conference will involve the presentation of a patient case followed by point of care US images and their clinical interpretation that aided in the diagnosis and management of the case. Fellows will then present a journal article pertinent to the case discussed. Lecture reviewing the advanced US topic will then follow the case presentation and journal club. Following the clinical case presentation, will be image review of the fellow's US images obtained during the month.

Simulation days will occur bimonthly. These will include TEE simulation as well as US scanning practice on standardize patients for advanced US applications.

The Core Curriculum Conference Series will include weekly 1:1 US scanning sessions with faculty followed by a mini-lecture with a concentration on the various advanced clinical US applications.

Ultrasound Teaching Sessions will be fellow run once a week after completion of the first two months of the fellowship. These teaching sessions include scanning time with the various residents and students rotating through the Point of Care Ultrasound Elective, followed by a lecture on one of the core clinical ultrasound applications, and review of the rotators independently performed US images.

Ultrasound Faculty Teaching Conferences: Fellows will also be involved in planning, executing, and teaching at the yearly US Faculty Conferences for Emergency Medicine, Internal Medicine, and Critical Care physicians.

Do you bill for ultrasounds?

Yes

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

Only if provider was not granted privileges for bedside ultrasound during the credentialing process.

Other Information

Website for more information: https://learning.nuvancehealth.org/fellowship-programs/advance-clinical-ultrasound-fellowship/

Division of Clinical Ultrasound Home Website:
https://sites.google.com/view/emusdivision/home

Informational video about our fellowship program: https://bit.ly/3qS5KPh
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