University at Buffalo

Program Description

Type of Program

The mission of the Emergency Ultrasound Fellowship is to develop highly motivated emergency physicians that become future educators and researchers with expertise in the wide application of ultrasound to emergency patient care. Working closely with the University at Buffalo Jacobs School of Medicine, the curriculum not only provides fellows with the opportunity to work side-by-side with experts in emergency ultrasound, echocardiography, and vascular ultrasound, but also be able to develop educational skills through lecturing and bed side teaching to residents, medical students, and practicing physicians. Unique to this experience is that the fellow will be an integral component to the development and function of the clinical ultrasound curriculum at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences.

To achieve these goals, we offer the following:
-State of the art facilities
-Dedicated support on the department, hospital, and university levels
-Nationally-recognized leaders in emergency ultrasound

Tremendous opportunities for travel and exposure to other leaders in emergency ultrasound.

Year Fellowship Started:

2008

Ultrasound Program Status

Division of Emergency Ultrasound within Department of Emergency Medicine

Number of Ultrasound Faculty:

5

Notable Faculty

Penelope Chun Lema MD, FACEP, RDMS
Erika St. James, MD RDMS
Jennifer Caldwell, DO
H. Maxwell Bacher, MD RDMS
Brian Monaco, MD RDMS

Ultrasound Fellowship Education

The curriculum uses the guidelines for ultrasound fellowship developed by the Ultrasound Section of the American College of Emergency Physicians for most of its structure, and includes the performance of a minimum of 1,200 exams, along with directed reading and experience in ultrasound teaching and administration.
· Develop clinical expertise in EUS
· All primary applications of EUS
· Secondary applications including:
o Ultrasound-guided procedures
o Critical Care ultrasound
o Advanced Cardiac
o Pulmonary
o Ocular ultrasound
o Musculoskeletal
o Vascular ultrasound
o Pediatric applications
o OB/GYN
· Develop educational skills to instruct clinicians in ultrasound techniques
o Educational software skills
o Video and Image management skills
o Public speaking
· Develop administrative skills to direct EUS program
o Image archiving
o Curriculum development
o Billing and coding knowledge
o Physician credentials
o Equipment maintenance
· Involvement with National Organizations that promote EUS
o American College of Emergency Physicians
o Society for Academic Emergency Medicine
o American Institute of Ultrasound in Medicine

Do you bill for ultrasounds?

Yes

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

No

Other Information

Emergency Ultrasonography: Over the last several years, we have co-authored several leading textbooks on emergency bedside ultrasonography, including “Ultrasound in Emergency Medicine,” the first text in its field in 1995 with a second edition in 2002, and more recently “Ultrasonography in Trauma: The FAST Exam” published in 2003 by the American College of Emergency Physicians. The FAST Exam, Focused Assessment with Sonography for Trauma, has now been incorporated into Advanced Trauma Life Support as an integral part of the care of the trauma patient. We published the first study on the use of ultrasonography in blunt abdominal trauma by emergency physicians in the United States and the first emergency medicine study of the use of bedside ultrasound to evaluate gallbladder, aortic, renal and first trimester pregnancy pathology. An emergency eye ultrasound text that should be completed in 2008. Academic emergency physicians from all parts of the United States and Canada have participated in our mini-fellowship in bedside sonography over the last 20 years.
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