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Kaweah Health, Department of Emergency Medicine

Site Qualification Requirements

1) Is the ultrasound machine used for fellowship training fully owned by the Emergency Department?

Yes

2) Is the ultrasound machine used for fellowship training available 24 hours/7 days/week?

Yes

3) Does the ultrasound machine used for fellowship training have the necessary transducers to perform cardiac, transabdominal, endovaginal and superficial examinations?

Yes - Transesophageal Echocardiogram Probes also

4) Is hospital credentialing for emergency ultrasound (EUS) available?

Yes

5) Do formal diagnostic EUS reports appear as a part of the patient medical record?

Yes

6) Does at least one other emergency medicine faculty member (aside from the fellowship director) have hospital credentials for emergency ultrasound at the primary facility for all of the applications listed?

Yes

7) Is quality assurance (QA) review documented for all ultrasound examinations performed by the emergency ultrasound fellow(s)?

No - Given the demands of the rest of the GME and Fellowship programs, this is not possible. The percentage of their scans reviewed, however, are compliant with EUFAC criteria.

8) Does the ED ultrasound director maintain a quality assurance log of all ultrasound examinations performed in the ED?

Yes - It is stored on Sonosite Synchronicity and is readily available to those who have been granted access.

9) Are the types of EUS examinations at minimum consistent with those described in the most recent ACEP ultrasound guidelines?

Yes

10) Is the EUS faculty primarily responsible for EUS fellow education, with education outside the department kept to a minimum and only supplemental to fellow education?

Yes

11) Does the emergency ultrasound fellow work less than or equal to 20 clinical (direct patient care) hours/week?

Yes - The fellow has the opportunity to, at their own discretion, pick up additional shifts. This can be done if they are in good standing with the fellowship program as determined by the PEC and CCC. These are paid at the same rate as other Vituity partners. The total compensation is estimated to be in the upper 5% of all EUS fellows throughout the country.

12) Is the EUS fellow a full-time equivalent faculty member at your institution?

Yes

13) Is the EUS fellowship a minimum of 12 months?

Yes

14) Does the EUS fellow perform a minimum of 5 scanning shifts/month, with direct supervision during scanning shifts especially early in the fellowship?

Yes - In keeping with EUFAC guidelines, there are 5 scanning shifts a month scheduled initially. Once the fellow demonstrates appropriate advancement of skills, these can be decreased to allow for other aspects of the program, e.g. administrative or research, to be pursued.

15) Does a formal fellowship evaluation process exist with at least 3 meetings and an opportunity for the fellow and fellowship director to meet during the fellowship's course?

Yes - Yes, as per EUFAC, we meet quarterly for PEC and bi-annually for the CCC.