Stanford University /Stanford Health Care

Program Description

Type of Program

The Stanford Emergency Ultrasound Fellowship is a one year training program with an optional second year for obtaining an associated Masters degree (MPH, MS, etc...).

The fellowship is open to applicants who are residency trained in either Emergency Medicine or Pediatric Emergency Medicine and are either board certified or board eligible through ABEM, AOBEM, or the ABP.

Year Fellowship Started:

2005

Ultrasound Program Status

Section of Emergency Ultrasound within the Department of Emergency Medicine

Number of Ultrasound Faculty:

10 US fellowship trained faculty.

All EM faculty are credentialed in E-FAST, RUSH, and US procedural guidance. Approximately 50% are credentialed in all basic applications of emergency US.

Notable Faculty

Ultrasound Fellowship Trained Faculty:

Laleh Gharahbaghian, MD FACEP FAAEM
- Director Emeritus of Emergency US Program
- Medical Director, Adult Emergency Medicine
- Co-Chair, Professional Practice and Evaluation Committee
- Patient Safety Champion, Emergency Medicine
- @sonospot creator - sonospot.com
- US Fellowship: Stanford University 2007-2008

Viveta Lobo MD
- Director, Emergency Ultrasound Section
- Co-Director, Emergency Ultrasound Fellowship
- US Fellowship: Stanford University 2011-2012

Kenton Anderson, MD FACEP
- Co-Director, Emergency Ultrasound Fellowship
- Director, Emergency Ultrasound Research
- Clinical Assistant Professor, Emergency Medicine
- Research Interest: US guided CPR, TEE in cardiac arrest, Ultrasound in Critical Care Applications
- US fellowship: University of Pennsylvania 2009-2010

Deborah Kimball, MD
- Clinical Assistant Professor, Emergency Medicine
- Coordinator, Med Student/Resident US elective/rotation
- Instructor, EM Resident and Faculty US workshops
- US Fellowship: Cook County

Sarah Williams, MD FACEP
- Clinical Associate Professor, Emergency Medicine
- Residency Director - Stanford/Kaiser EM
- Coordinator, Resident Core Curriculum
- Founder and Director Emeritus, Emergency US Program
- US Fellowship: Stanford University 2000-2001

Phil Perera, MD RDMS FACEP
- Clinical Associate Professor, Emergency Medicine
- Part-time US faculty member

Cori Poffenberger, MD
-Clinical Assistant Professor, Emergency Medicine
- Co-Director, Visiting Physician US Program
- Co-Coordinator, Medical Student US education - Director, Faculty Development, Emergency Medicine
- Director, WISE program, Emergency Medicine
US Fellowship: Harbor

Dr. Nick Ashenburg
-Clinical Instructor, Emergency Medicine
-Interests: Medical Student Curriculum
US Fellowship: Medical University of South Carolina 2017-2018

Dr. Youyou Duanmu, MD MPH
-Clinical Instructor, Emergency Medicine
- Assistant Director, Emergency Ultrasound Research
-US Fellowship: Brigham and Women's Hospital 2016-2018

Zhara Marjan Ghazi-Askar, MD
-Clinical Assistant Professor, Pediatric Emergency Medicine
-US Fellowship: Alameda County Medical Center - Highland Hospital 2017-2018

Ultrasound Fellowship Education

This fellowship is based on the ACEP and SAEM Guidelines for Ultrasound Fellowships, but it will be enhanced by training in our Emergency Department and with ultrasound experts outside the Emergency Department setting.

Stanford is a world-class tertiary referral center and has exceptional specialty training in many fields; we draw on that fact to augment your training.

In the ED, the fellow will obtain advanced education in emergency ultrasound from the EM US faculty. This occurs during regular high-yield hands-on scanning shifts in the ED with the above US-fellowship-trained faculty. There are also a plethora of lectures and workshops the fellow will be involved in and be able to use to enhance their education. This also includes specific hands-on scanning shifts in the Pediatric Emergency Department and being the course director of the Practice of Medicine Emergency US workshops for medical students in the end of the year.

Outside the ED, specifically related to ultrasound, we have a dedicated Children's Hospital (Lucile Packard Children's Hospital) with their own pediatric ultrasound suite. We enjoy an exceptional relationship with our Trauma Surgery service, which uses ultrasound routinely, and our Radiology Department has been exceptionally supportive of our ultrasound program. They also have phenomenal high-end didactic education. Our Critical Care colleagues and the Cardiology Echo Lab has also been highly supportive of our Fellowships and ultrasound research. An echocardiologist performs one-on-one training with the fellow to become an expert in echocardiography. The fellow is involved in all of the above departments in order to advance their US education.

Do you bill for ultrasounds?

Yes

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

All trauma evaluations and emergent applications do not require follow up imaging, All physicians who are privileged in a specific application, do not need a radiology ultrasound for non-surgical conditions. However, medical ultrasounds done in the ED require follow up imaging done by the radiology department on the same day if a medical decision is being made based on the US for surgical intervention, unless a life threatening emergency exists. In true emergent cases, no follow up is necessary and appropriate consultation is obtained. This agreement was made in order to continue radiology resident's education in US as well as our own, illustrating a great collaborative relationship. As we bill for our ultrasounds, those privileged are able to make medical decisions based on their scans and it will not require radiology imaging.

Other Information

Teaching - this is one of the fundamental elements of the fellowship. The fellow is very active in teaching for resident lectures, US workshops (at Stanford as well as national conferences or private workshops, and international), and medical student lectures. This also includes their own US scanning shifts to teach other residents/medical students/NP/PAs. The fellow will also have responsibilities to teach the residents/students who are on our new US elective.

Research - The fellow is responsible to do one research project during their time here, and that is not hard to accomplish! We have several original projects/US reviews in progress at any given time. The fellow will also be coordinating the monthly ultrasound journal club (USJC) to keep them and all of us up to date on US research. The year is very productive!

Administrative - The fellow is in charge of the QA process in reviewing all ultrasound images of the department ensuring compliance and credentialing. This is with faculty support and supervision and allows for great independence/responsibility with our program. The fellow is also responsible for doing one administrative project in the year, and again, this is not hard to accomplish and is usually quite enjoyable to the fellow.

Clinical - The fellow will be responsible to attend in the ED for 8 (8 hour) shifts per month with a balance between day, evening and night shifts. During those shifts, they will have ample opportunity to continue US teaching as well as emergency care and patient management. This can be some of the most fun times you have with the residents/staff! This is a fantastic opportunity for you to 1) hone your clinical skillset and 2) be exposed to fascinating pathology and continue to teach while carving out your own academic niche.

International - During the year, the US fellow will have the opportunity to go abroad for international ultrasound education programs. So far the countries have included Guatemala, India, Honduras, and the Middle East. There are villages and sometimes entire countries that support large numbers of people with clinics that have no radiology departments but do have an US machine. There are hospitals who do have radiology but have just acquired an US machine and want our help in learning how to use it. This is a great and rewarding opportunity to the fellow and gives you skills in how to incorporate ultrasound into clinical practice from the ground up. This is a skill that is useful in many community hospitals right here in the United States as well who are just beginning to incorporate ultrasound into their practice.

For more information, please contact:
Dr. Viveta Lobo: vlobo@stanford.edu
Dr. Kenton Anderson: kentona@stanford.edu

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