Ultrasound Course Development Guidelines Assisting State Chapters

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1 Overview: Ultrasound at the point of care has made a major impact on the practice of Emergency Medicine. The propagation of its use in practicing Emergency Physicians has been hindered by the availability of initial and ongoing training. The ACEP Ultrasound section has many physicians skilled in the use and teaching of ultrasound. However, the development of courses have been limited to a few state chapters and proprietary courses. The accessibility quality initial and ongoing training is paramount in the advancement of Emergency Medicine Ultrasound. The use of state chapters to sponsor and administrate courses has been met with mixed results. The content of the courses varies as well. The goal these guidelines is to help any state chapter or other entity in the development, administration and execution of ultrasound courses, both for initial training and continued training, consistent with the guidelines developed by the Ultrasound Section of the American College of Emergency Physicians. These guidelines are broken into the following sections: Course Proposal Course Objectives Sponsors CME Accreditation Course Instructors and Directors Course Administration Basic Course Core Content Advanced and Ongoing Course Core Content Course Evaluation Course Proposal Each course should be defined by a course proposal. This proposal should define the responsibilities of all parties involved and be secured by signatures. The specifics of the course should be defined clearly with attention to: 1. Course Dates 2. Location 3. Registration Fees a. Member b. Non-member c. Resident 4. Sponsors 5. Course Purpose 6. Course Objectives 7. Faculty a. Course Director(s) b. Instructors c. Honorariums 8. Time Line 9. Course Schedule by day 1

2 10. Resources needed a. Machines b. Models c. Facility d. AV Needs e. Handouts f. Refreshments 11. Definition of Responsibilities a. State Chapter b. Sponsors c. Faculty d. Facility 12. Evaluation Process Timeline Brochure Mailed 16 weeks(four months) prior to the course to ACEP members and other potential Attendees(all ED s in the State, neighboring states, etc) If course is not full, repeat mailing 8 weeks prior to course Web Site Advertised on ACEP s Web site 16 weeks prior to the course Registration Registration open when Brochures are mailed out 16 weeks prior to the course. Web Site set up for Registration 16 weeks prior to course. Handouts Submitted to ACEP 3 weeks prior to the course for assembly and printing Models Confirmed 2 weeks prior to the course Payments All models and Instructors will be paid within two weeks of course completion Course Objectives At the completion of the course: 1. The attendee can apply basic ultrasound knowledge, physics, and knob-ology to effectively perform EUS (emergency ultrasonography). 2. The attendee will be able to utilize EUS and enhance the diagnosis and rapid life-saving treatment in patients who have undifferentiated hypotension. 3. The attendee will be able to use sonography to perform a F.A.S.T. exam on the adult and pediatric trauma patient. 4. The attendee will be able to identify an intrauterine pregnancy and document the fetal heart rate with M-Mode Ultrasound. 5. The attendee will understand the wide variety of applications of EUS and be aware of many of the special applications such as testicular torsion, hepatobiliary disease, DVT, abscess and other fluid drainage procedures, foreign bodies, orthopedics, eye disorders, and other areas. 6. The attendee can describe the benefits and knowledge of using EUS to guide and direct invasive procedures such as central line placement for improved patient safety and more accurate and efficient completion. 2

3 7. The attendee will be able to use ultrasound for a more efficient practice of Emergency Medicine by improving the accuracy and speed of diagnosis as well as guiding procedures and treatment, leading to increased patient satisfaction and lives saved. 8. The attendee will learn the essential components of an emergency ultrasound program and be more able to incorporate and improve EUS at their institution. Responsibilities Sponsors Provide Ultrasound Machines (Gel, Probes, Cleaner) Provide Proctors for Machines Provide Snacks and Lunch Provide Phantoms or Simulated models Assist with locating Patient Models State Chapter STATE Chapter Name_ ACEP Obtain 16 CME Credits Set up Conference Rooms Provide Honorariums for Instructors/Directors Assist with locating Patient Models Newsletter, Mailers ACEP Conference Calendar/Web Site ACEP Web Site Online Registration ACEP Web Site Print Course Handout CME Accreditation Obtained from National ACEP through the state chapter. Course Instructors and Directors Faculty: Course Director Course Instructors Other Sono Techs: Provide Lectures and Course Materials and Content Set up models, phantoms Course Cost Cost to be charged per attendant: 1. Registration Fee member 3

4 a. Non Members 2. Registration a. Web b. Mail in State ACEP Chapter State and National Web Site Brochures Course Administration Coordinated with State ACEP Chapter, Course Directors and Sponsors Basic Course Core Content Advanced and Ongoing Course Core Content Needs Lecture Room with Projector and Computer maximum of students per class Live Scanning capability in Lecture Room Scanning Room with adjustable lighting. The room needs to be divided to allow for privacy and different scanning stations. Will have the room set up for US machines (Max 5 students per machine) *** arrange the sono machines so that the participants can actually have hands-on scanning and simultaneously look up at the projector screen, DVDs or Videos to reinforce with video examples Scanning Lab Sono techs Ultrasound machines Optional: Have one unproctored machine for the Students to scan with. Models Patient Models Dependent on area of course. Pregnant approximately weeks Vaginal Scanning models Blue Phantom or similar Vaginal scanning Phantom GYN Non Pregnant Abdominal Normal Peritoneal Dialysis/Ascites Gall Stones Aneurysm (stable, 4 5 cm or so) Special Studies DVT Ocular Musculoskeletal Simulated Models 4

5 Water bath Phantoms Turkey Breast for Foreign Body Vascular access model (Turkey Breast, Ham Simullab, Blue Phantom or other model) Course Evaluation 5