University of Pennsylvania Medical Center

Fellowship Program

Length of Fellowship:

Applicants can choose between 1 year and 2 year programs. The 1-year position offers the opportunity to enroll in the Center for Clinical Epidemiology and Biostatistics (CCEB) certificate program for physicians who seek a career as a collaborative researcher. The 2-year position will afford the opportunity through the CCEB to obtain a Master of Science in Clinical Epidemiology for a future career as an independent researcher, a Masters in Public Health, a Masters in Health Policy, a Masters in Medical Education, or any other of the numerous specialty degrees offered at Penn.

Salary:

Competitive

Additional Funds

* 2 CME / and 4 weeks vacation time
* $3,500 CME support for 1st-year fellow. $5,000 CME support for 2nd-year fellow.
* Standard faculty-level health insurance coverage and benefits

Number of Clinical Hours:

19hr/wk, 46wk/yr

Other Duties

* 46 weekly "sonography shifts" per year
* Medical Student and Resident Education
* At least 1 IRB approved project
*Participation at least one national EM meeting
*Weekly QA of scans performed in the HUP ED

Number of Sites

The primary site is the Hospital of the University of Pennsylvania (HUP). Fellows may do moonlighting shifts in other EDs with the approval of the Director.

Number of Positions per year:

2EM and 2IM though is flexible

Additional Opportunities

The Division of EM Ultrasound has robust relationships with many of the specialties at HUP. A fellow with specialized interests will find that there are ample opportunities for training in but not limited to advanced echo, critical care, medical education, advanced OB/GYN care, pediatrics (we have the best children's hospital in the country next door), and procedural ultrasound.

The fellow is permitted to moonlight 2 shifts per month during the first half of the year, and 3 shifts per month thereafter at the approval of the fellowship director.
Fellows are encouraged to assist in ultrasound training sessions inside and outside the institution (see "Educational Experience", below).

Educational Experience

One-year curriculum
Ultrasound performance, experience, and accreditation Goals
• 920 completed, technically adequate, ultrasound exams. The fellow will record key segments of all studies on videotape.
• Attendance of weekly video review sessions on Tuesday of each week.

Teaching Goals
• The fellow should have working lectures in all EMBU topics by graduation. The fellow has access to all the fellowship Director’s PowerPoint and Keynote presentations as well as the Division's EMBU multimedia archives as a starting point for their own lectures.
• Development of resident and faculty sonography skills during weekly dedicated “sonography shift”.

Academic Goals
• Development, submission and completion of at least 1 IRB-approved sono project.
• At least 1 abstract presented at national / international level EM or Sono meetings per year.
• At least 1 publication in completed manuscript form, including one piece of original research to be submitted for peer-review.
(Note: Previous fellows have had no difficulty in exceeding these goals.)

Overview of the fellowship year
The year will fall into sections with evolving emphasis on different components of the fellowship.
In the first quarter of the year, the fellow will concentrate on attaining a high level of proficiency in scanning in the entire range of emergency sonographic applications, and becoming familiar with the inner workings of the department and residency. Projects will be submitted to the IRB. One student / resident lecture will be given by the end of the 2nd month. The fellow will perform the QA review of ultrasounds performed in the department from the start but with supervision.

In the second quarter of the year, research projects will get under way. Typically, this is when fellows take the written Boards, and begin looking for a job. At least four additional student / resident lectures will be given by the end of the 4th month. One abstract will be submitted for a local specialty meeting, SAEM/ACEP/ AIUM/WINFOCUS/SUSME meetings. The fellow will review all scans performed in the department.

In the 3rd quarter, the fellow will concentrate increasingly on teaching and research. Investigations should be coming to a conclusion, and paper outlines will be drafted for publication. The fellow will have a complete lecture and video library and the administrative resources for becoming an Ultrasound Director.

Deadline for fellowship application:

Rolling but should occur before the mid-November deadline.

Fellows chosen:

As detailed above.