DOW-RAD, DOW DIAGNOSTIC COMPLEX, DUHS TRAINING PROGRAM HANDBOOK 2013

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DOW-RAD, DOW DIAGNOSTIC COMPLEX, DUHS TRAINING PROGRAM HANDBOOK 2013 CERTIFICATE COURSE INVASCULAR/DOPPLER ULTRASOUND: Introduction: Ultrasound is an evolving technology with wide spectrum application throughout medical and surgical practice. We at Dow Rad, Dow Diagnostic Complex, Dow University of Health Sciences believe that sinologist should develop skills to perform Doppler Ultrasound. The program encourages candidates to develop their practice by reviewing and evaluating both existing and emerging knowledge. Program Length: : Three Months (12 Weeks) Eligibility: MBBS Valid PMDC Registration Must have completed six months Basic Certificate course in Ultrasonology from a reputable center Selection Criteria: Applicants will be assessed against the following Selection Criteria: Candidates have to pass the mandatory entrance MCQ test. Research experience Psychosocial medical experience Teaching and leadership experience Referee reports

Awards: 6 months Certificate as Ultrasound Technician. Timing of Training: Monday till Saturday:9 AM till 5 PM Methodology: Lectures, power point presentations and case study discussions, skills training and demonstration and audio/visual aid Evaluation: Students will receive a certificate for this course. Methods of evaluation, although determined by the individual lecturer/instructor, should include some combination of the following: 1. Comprehensive Review of Doppler Ultrasonography -------- 40% 2. Clinical Practicum -------------------------------------------------------- 60% Monthly evaluation of each trainee by written exam and clinical assessment. Final assessment at the end of three months training. Venue: Dow-Rad, Dow Diagnostic Complex, Ojha Campus, DUHS Yearly Tuition Fee: PAK RS: 1,50,000.00including Enrollment and examination fee. (Refundable as per HEC rules) Admission Fee: Rs. 25,000.00 (Non Refundable).

CURRICULUM: 1. INTRODUCTION TO GENERAL ULTRASOUND PHYSICS. 2. DOPPLER PHYSICS 3. VASCULAR/DOPPLER ULTRASOUND General Aim 1. INTRODUCTION TO GENERAL ULTRASOUND PHYSICS. Understand and describe the physics of ultrasound and relevant instrumentation. Specific Objectives A. Pulse echo imaging & signal processing Understand the principles of: Imaging, e.g. reflection & transmission of sound waves, B-mode and M-mode scanning, axial and lateral resolution, grey-scale, dynamic range, frame rates, persistence, harmonics Instrumentation Overall gain, Time Gain Compensation, digital processing, pre- and postprocessing, compound imaging, display systems Real time systems 2-D, linear, matrix & phased arrays, 3-D, 4-D B. Transducers Understand and describe the principles of: Piezoelectric effect Design & construction of transducers Pulse operation Pulse shape & length Frequency spectrum Beam pattern Transducer planes Near & far field Beam width Focusing C. Scanning techniques Understand the principles of transabdominal, transvaginal, and transrectal scanning techniques

Understand the significance and use of protective barriers for endoscanning Understand the principles of disinfection &sterilisation D. Measurement Understand and describe: Linear, area and volume measurements Limitations, equipment and performance testing Interobserver and intraobserver error The use of tissue phantoms E. Image recording and storing Understand the modalities for archiving F. Artefacts Axial resolution Lateral resolution Reverberation Refraction Attenuation, shadowing, enhancement Beam width Multipath Non uniform velocity Side lobes Electronic noise Instrumentation Scanning techniques Equipment settings 2. DOPPLER PHYSICS: Understand the principles of:. Doppler Effect, including the derivation of basic Doppler formula Pulsed Doppler instrumentation Continuous wave Doppler Basic principles Range ambiguity Spectral analysis Display and recording of Doppler signals Colour flow mapping of Doppler signals Power Doppler Understand the limitations of velocity measurement

3. VASCULAR/DOPPLER ULTRASOUND Adjustment of machine to get optimum picture in spectral Doppler, Colorflow, Power Doppler. Abdominal Doppler, Peripheral vascular Doppler, Carotid Doppler, Thyroid, Scrotal, Penile Doppler, Doppler in Gynae and Obstetrics