Univeristy of Califormia, Davis

Program Description

Type of Program

UC Davis Medical Center is a Level 1 trauma and pediatric trauma center with >86,000 pts/yr. UC Davis is a 3 year EM residency with 54 residents.

Year Fellowship Started:

2007

Ultrasound Program Status

Fellowship is part of the Department of Emergency Medicine.

Number of Ultrasound Faculty:

6

Notable Faculty

Lisa Mills, MD-Director of Emergency Ultrasound
Ken Kelley, MD-Fellowship Director
Michael Schick, DO- Co-Director Technology Enabled Active Learning (TEAL) & Global Health Ultrasound Fellowship Director
Sarah Medeiros, MD- Co-Director Technology Enabled Active Learning (TEAL)
Leslie Palmerlee, MD- Intern Ultrasound Bootcamp Director
John S. Rose, MD
Aman Parikh, MD

Ultrasound Fellowship Education

Ultrasound curriculum:

Mastering core/advanced applications: Fellows are required to perform 1000 approved documented scans over the course of their fellowship. The fellow will have 5 scheduled scanning shifts per month with the fellowship director. Our core ultrasound faculty include 5 who are fellowship trained and are available for additional scanning shifts. In addition to our emergency department faculty we have a strong relationship with our radiology/cardiology departments and fellows are encouraged to spend time with extra departmental ultrasound personnel as well.

Ultrasound equipment is state of the art. In our ED:
4 Zonare z.one ultra machines (one dedicated pediatric)
1 Sonosite Xporte
2 Sonosite S-FAST machines

In our Center for Virtual Care:
Sonosite Xporte, Mindray M5, Zonare z.one ultra, Sonosite S-ICU

Teaching:

Teaching is one of our strengths at UC Davis. Previous fellows have all commented on the strength of the teaching opportunities that the fellowship provides. Annual teaching opportunities include:

Academic Forum- Grand Rounds Ultrasound Didactic Lecture Series (fellow lectures quarterly and coordinates our annual pelvic ultrasound workshop)

EMR 445- Medical student emergency ultrasound rotation. Fellow coordinates orientation lectures, scanning shifts, and additional medical student education sessions (SonoSim/Heart Works trainer TTE/TEE) as needed.

Center for Virtual Care- UC Davis Medical Center recently opened a state of the art simulation center. The ultrasound fellow works in coordination with our simulation fellow to develop a lecture series for advanced procedures and ultrasound applications for medical students. Previous fellows have also worked to develop point of care ultrasound educational content for other hospital wide initiatives.

UC Davis Medical School Ultrasound Curriculum- Drs. Michael Schick and Sarah Medeiros (previous ultrasound fellows) are actively implementing point of care ultrasound education into the medical school curriculum. Fellows are involved in US workshops for anatomy, doctoring, and 3rd year clerkships.

Faculty Ultrasound Course (FUSC)- The emergency ultrasound core faculty are part of a medical center wide push to formalize basic training in point of care ultrasound. Fellows are active lecturers as part of a quarterly workshop series .

ED Nurse Ultrasound Guided Peripheral IV workshop: Fellow coordinates and teaches triennial nursing PIV ultrasound workshops.

Outside teaching opportunities- Drs. Kelley, Mills, & Schick all teach ultrasound workshops at international/national/regional conferences. Fellows frequently accompany faculty when able. Last year’s fellow assisted teaching workshops in San Diego, CA, South Lake Tahoe, CA, and Park City, UT.

Global Health:

UCD ultrasound faculty are actively involved in various global health projects. We offer a 2 year Global Health Ultrasound Fellowship that includes MPH training from the International Health and Tropical Disease program at University of Oxford - see Fellowship Position for details. Active long term project participation is underway in Uganda, Belize, Laos, Honduras, and Nepal. To our knowledge this unique program is one of the first of its kind and is led by Dr. Schick.

Research:

UC Davis Emergency Department has a strong commitment toward clinical research in emergency medicine. Emergency ultrasound fellows are expected to participate in ongoing departmental ultrasound research projects in addition to submitting a unique study of their own to design. Additionally, fellows are expected to submit an abstract to a national meeting (ACEP, AIUM, SAEM). In order to support fellows in their research endeavors the department of emergency medicine pays for fellows to attend a clinical epidemiology and research methods course held annually on campus during July at the beginning of the fellowship year. Fellows are also supported by monthly Research in Progress meetings that provide feedback and advice to fellow’s research questions by core emergency medicine research faculty.

In addition to original research, emergency ultrasound fellows organize and facilitate a monthly ultrasound journal club with rotating residents, medical students, and faculty. Journal club meetings focus on current and foundational literature for core ultrasound applications as well as novel and advanced uses.

Professional Development:

Fellow Lecture Series

UC Davis offers a variety of different fellowships in addition to ultrasound. Other fellowships include toxicology, research, simulation, advocacy, and geriatrics. A monthly fellow lecture series has been developed to provide continued professional development and collaboration between the various fellows in our department. In addition to a formal lecture series there are informal dinner gatherings held throughout the year by the various fellowship directors.

Do you bill for ultrasounds?

Yes

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

case-dependent

Other Information

Clinical Experience:

Fellows typically work 75 hrs clinically per month which averages to 7-8 shifts. Shifts are done at UC Davis Medical Center and fellows work both adult and pediatric shifts. Fellows work as attending physicians and supervise emergency medicine residents, off-service residents, and medical students while on shift. Salary is based on 51% FTE and benefits are provided as well. In addition to clinical shifts at UC Davis there are ample moonlighting opportunities at other local hospitals.
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