Emergency Medicine Ultrasound

Our Goals

The goals of EUS fellowship training are at least threefold. 

Didactic: Clinicians need to be highly skilled educators of point of care ultrasound.

Scientific: Cutting edge research is needed to guide our progress forward  . 

Leadership:  Develop leaders with special expertise to teach and oversee administrative aspects of this new technology. Gain familiarity with the administrative and political issues of point of care ultrasound.


Penn Emergency Ultrasound Fellowship Program

The Facts

The Penn Ultrasound Division has been training fellows since 2003. Fellows train at two very diverse sites.

HUP

Emergency Department of the Hospital of the University of Pennsylvania 

  • 72,000 patients per year 

  • Major tertiary care center for the Philadelphia region. 

  • Fellows will encounter complex cardiac, cancer, and transplant patients with a high level of acuity. 

PPMC

Penn Presbyterian Medical Center 

  • Community hospital 

  • Home to the University’s Level I Trauma Center

  • Over 47,000 Emergency Department visits per year 

  • Fellows will see a large volume of high-acuity patients and bread-and-butter cases common to the community setting. 

  • Roughly 13,000 visits for injuries and complex trauma


Diverse ultrasound faculty with interests in:

  • Resuscitative TEE

  • Ultrasound in critical care 

  • Global Health

  • Medical education

  • Integration of hand-held ultrasound in multi-specialty, health system-wide practice


Education

Christy Moore Teaching

  • Weekly ultrasound conferences with didactic and video review

  • Sessions with Pediatric Emergency Medicine and Critical Care

  • One weekly eight-hour scan shift

  • Christy Moore-Our dedicated hands on sonographer educator

  • ED-Based Multidisciplinary Trans-esophageal Echocardiography Program

  •  2-year fellowship option

    • include enrollment in Masters program at Penn 

      • Master of Science in Clinical Epidemiology

      •  Masters in Public Health 

      • Masters in Health Policy

      • Masters in Medical Education

      • Any other of the numerous specialty degrees offered at Penn.

Those interested in either the one-year or two-year ultrasonography fellowship at Penn are referred to the Emergency Ultrasound Fellowship website   


Fellowship Curriculum

  • 19 hours/ week, 46 weeks per year, 6 weeks vacation, Two clinical shifts per week

  • Weekly Ultrasound Interdisciplinary Review Sessions with Pediatric Emergency Medicine and Critical Care ●

  • 1 Weekly 8 hour Scanning Shift

  • Didactic Lectures to medical students, residents, and fellows

  • Annual US Courses for Critical Care fellows, Trauma fellows, Peds EM and Critical Care faculty

  • ED-Based Multidisciplinary Transesophageal Echocardiography Program

Fellows have multiple opportunities to teach ultrasound skills:

  • Division lead medical student ultrasound course

  • Residents ultrasound rotation

  • Annual US Courses for Critical Care fellows, Trauma fellows, Peds EM and Critical Care faculty

  • Division run global health ultrasound day


Research

  • Faculty have published extensively

  • Fellows are expected to initiate at least one research project from inception, IRB application, data collection, to abstract and manuscript  writing.

  • Fellows are encouraged to apply for grant funding, and have access  to Penn faculty resources and experience to assist in their endeavors.

  • Prior research by fellows includes: 

    • US in the examination of the  patient with undifferentiated dyspnea

    • Complications of 1st trimester  pregnancy 

    • Carotid intamedia thickness as a marker for CAD

    • US assessment of soft tissue foreign bodies

    • Ultrasound in triage

    • US in nephrolithiasis (NIH funded)

    • US-guided IV access versus IO access (funded).

  • Statistician present at weekly research meetings

  • Research coordinator to help move projects along