Riverside Community Hospital

Program Description

Type of Program

We are a fellowship program training at Riverside Community Hospital (RCH) which routinely has one of the highest volume emergency departments among California academic medicine centers and teaching hospitals with >100,000 adult and >20,000 pediatric patient visits a year. We are a level 1 trauma center, interventional stroke and STEMI receiving center that is home to a 3 year EM residency. Our one-year fellowship program is accredited by EUFAC through 2025.

The fellowship is available to graduates of ACGME-accredited Emergency Medicine residency programs who are board certified or board-eligible. We also accept graduates of Internal Medicine, Family Medicine, and other residency programs. We are currently accepting applications for the 2023-2024 academic year.

Year Fellowship Started:


Ultrasound Program Status

Department of Emergency Medicine

Number of Ultrasound Faculty:

We currently have 3 emergency ultrasound fellowship trained faculty

Notable Faculty

Eva Tovar Hirashima, MD, MPH, AEMUS-FPD
Ultrasound Fellowship Director
Residency: Harvard Affiliated Emergency Medicine Residency
Fellowship: University of Maryland
Interests: Border Health, EMS, FOAMed

Nhu-Nguyen Le, MD
Ultrasound GME Director
Residency: Los Angeles County/ University of Southern California
Fellowship: Denver Health
Interests: Medical education

Lucas Friedman, MD, M.Ed., AEMUS-FPD
Ultrasound Division Director
UCR SOM Ultrasound Director
Vituity Ultrasound Education Co-Director
Residency: University of Arizona
Fellowship: University of Arizona
Interests: Pediatrics, Medical education

Ultrasound Fellowship Education

The primary components to our fellowship program develop a portfolio that includes:

1. POCUS mastery through image acquisition, interpretation, and clinical integration.
2. Educational design and instruction innovation.
3. Administrative expertise.
4. Scholarly activity.

POCUS mastery:
Acquisition: Ultrasound fellows are expected to complete 1000 scans throughout their fellowship. Additional incorporation of advanced ultrasound simulation equipment (e.g. TEE SImbionix and Transvaginal ScanTrainer) is included into the fellowship curriculum.

Interpretation: These scans are archived in Qpath-E for review and interpretation. These and the additional POCUS scans that are also recorded each week are reviewed with ultrasound faculty on a weekly basis for a minimum of 3 hours.

Clinical Integration: Our fellows will be practicing in a high-acuity, high-volume emergency department with diverse pathology. An ideal setting to understand the clinical implications of POCUS.

Educational Innovation: Fellows are required to teach ultrasound at the bedside as well as by lecturing faculty in other departments, residents, and medical students. Fellow opportunities to participate in local, regional, national and international ultrasound courses.

Administrative Expertise: Ultrasound workflow, equipment procurement, QA, credentialing, billing, policy development, and accreditation.

Scholarly: Research project development and implementation, as well as FOAM and other scholarly collaborations.

Do you bill for ultrasounds?


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


Other Information

Competitive salary and benefits
Wireless image transfer
Emergency ultrasound privileges
Qpath-E POCUS archival system
Billing for POCUS exams
PACS archiving for billed POCUS exams