Beth Isreal Deaconess Medical Center Boston

Program Description

Type of Program

The Beth Israel Deaconess Medical Center (BIDMC) is one of the major Harvard-affiliated teaching hospitals and is the home for the three year ACGME-accredited Harvard Affiliated Emergency Medicine Residency Program.

The Emergency Department is a level I trauma center serving the Boston metropolitan area. Each year we provide care for nearly 58,000 patients, many with high-acuity medical problems. Our state-of-the-art facility is designed to meet these needs of a high-volume, acutely injured or ill patient population and strives to provide compassionate and efficient care. We have a very dynamic and successful academic faculty and training environment, and the Department is well-respected within the Medical Center. Excellent inter-departmental relationships and opportunities within BIDMC include the outstanding experiences available through Departments of Medicine, Surgery, Obstetrics and Gynecology, and Anesthesia.

Emergency Medicine Highlights
->55,000 patient visits/year
-High patient acuity
-Level I. trauma center
-Tertiary Care center
-3 Year Emergency Medicine Residency Program
-Simulation Center for Resident training
-Fellowship programs in Informatics, Resuscitation, Research, Administration, Education, International EM, and Ultrasound

Ultrasound Program Status
Division within the Department of Emergency Medicine

Year Fellowship Started:

2013

Ultrasound Program Status

BIDMC GME approved

Number of Ultrasound Faculty:

6

Notable Faculty

Jesse Schafer Fellowship Director
Beatrice Hoffmann (Division Director)
Daniel Balk (Fellowship trained)
John Hardin (Fellowship trained)
Tyler Beals (Fellowship trained)
Ryan Friedberg (Sports Medicine Trained including specialized MSK, Procedures, Nerve Blocks, Sports Medicine Ultrasound)

Ultrasound Fellowship Education

Our emergency ultrasound fellows will have the opportunity to train under five ultrasound fellowship trained faculty members as well as faculty that specializes in advanced ultrasound-guided procedures. Our Fellowship education includes training in all aspects of emergency ultrasound, with emphasis on advanced ultrasound applications, including advanced ECHO, advanced MSK and regional anesthesia, We have a weekly mage and clip review & QA, didactics and journal article review.

Fellows will give lectures and workshops to medical students, residents, and faculty. We provide a longitudinal fellowship curriculum which includes weekly lectures, hands-on sessions with faculty, educational and administrative teaching sessions. Our fellows participate in joint weekly research methodology and study design lectures provided by our BI resuscitation fellowship, we provide career mentoring, and helpwith finding that first job after fellowship.

International education and training opportunities are a core experience of our fellowship

Do you bill for ultrasounds?

Yes

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

No

Other Information

We have a
- very structured weekly lecture schedules
- monthly reading schedules and also a
- weekly structured hands-on scanning schedule for 1:1 sessions of fellows with faculty( including stuctured training for our 3 intracavitary probes and Trophon use)
- Materials Management team work group with Nursing/Techs support and Clinical Engineering for maintaining machines and probes and monitoring wireless data transfer, Qpath uploads, billing
- Fellow scans are reviewed weekly

The fellow is initially expected to scan about 2 four-hour blocks per week with any of the ultrasound faculty to build their initial skills.
Additional scanning with faculty trained in advanced MSK, sports medicine, procedure guidance or critical care and advanced echo is strongly encouraged.

The fellow is also expected to assist with our other educational venues, i.e. faculty, multiple resident and medical student education projects. This includes hands-on scanning sessions with faculty, ultrasound journal club, on-going research, and to give ultrasound lectures.
The fellows will have ample opportunity to teach medical students rotating at the BI ED in ultrasound, residents, faculty

We encourage the fellow to spend some time learning and teaching ultrasound internationally (i.e. in Europe) for additional advanced skill training.

We also have a high fidelity simulator with 300+ cases on abdomen, bowel, echo, pelvic, great pathology collection for education and research projects.
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