MetroHealth Medical Center

The MetroHealth Medical Center ultrasound fellowship is a one-year fellowship (post-EM residency).

MetroHealth Medical Center is a level 1 adult trauma center, level 2 pediatric trauma center comprehensive stroke center, STEMI center and burn center for the city of Cleveland.

The ED sees over 140,000 patients per year between the main and three community EDs. We have a 3-year emergency medicine residency (13 residents/year) established in 1991 and are a clinical site for students at Case Western Reserve University and the North East Ohio Medical Universtiy

2003

Division within the Department of Emergency Medicine

5 +

Matthew Tabbut, MD,FPD- AEMUS, FACEP - Division Director
Sandra Werner, MD, FACEP, FPD - AEMUS, Fellowship Director
Kevin Caja - Associate Fellowship Director
Robert Jones, DO, FACEP - Ultrasound Faculty, Assistant Dean, CWRU
Katherine Lang, DO - Director of Resident Ultrasound Education
Diane Gramer, RDMS - Ultrasound Educator

The goal of the emergency ultrasound fellowship is to produce future leaders in emergency ultrasound. Fellows are exposed to a high-acuity patient population with full scanning privileges in all areas of emergency ultrasound under the supervision of core faculty.

Fellows are required to work 20 hours clinically per week in the emergency department at MetroHealth Medical Center learning to integrate ultrasound into clinical care. They also supervise residents/students and teach ultrasound on shift.

Fellows are required to work 20 hours non-clinically per week. This time is spent with core faculty doing scanning shifts, QI, administrative projects, resident teaching and research.

Thursdays are dedicated Ultrasound Education Days and Include Image/case review, fellow specific didactics and Hospital-Wide US Grand Rounds


Fellows also have the ability to work shifts as a flight physician on MetroHealth's Lifeflight program at one of 3 locations. Each aircraft is equipped with its own ultrasound machine.

Since the development of technical skills are an essential part of the ultrasound fellowship, the department has hired a full-time sonographer to assist in working with residents and fellows on the development of basic and advanced scanning skills. Fellows have extensive opportunity to learn advanced scanning skills, including TEE and regional anesthesia under the direction of the core faculty. Fellows are also invited to attend the Cardiology Fellows Echo Lecture Series.

The division also has a video archive of cases that
the fellows can review in order to development their interpretive skills. ED ultrasounds are placed on the
hospital's PACS system and the fellows are required to review these studies with core faculty.

Yes

Rarely - only if an abnormality beyond the scope of our practice is found.

We work collaboratively with Cardiollgy, Critical Care, OB, Anesthesthesia, Sports Medicine, and Radiology to ensure that fellows are exposed to and receive specialized training in areas of specific interest.