Our division is grounded by 4 pillars: Clinical excellence, Education, Administration, and Research. These pillars translate to components of the division which make it active and intersectional. As an extension, we have created an innovative fellowship curriculum where the fellow selects a track on which to focus for learning and scholarly achievement. Each track has a track mentor who works closely with the fellowship director.
Administration serves as the backbone of any ultrasound program. Purchasing and maintenance of machinery, development of an ultrasound workflow and database, credentialing, quality assurance and billing are key to the sustained success of point of care ultrasound. We have built a wireless ultrasound workflow that integrates directly with EPIC and PACS ensuring that all of our clinical ultrasounds are properly stored and interpreted in the patient medical record. @jeff_sono and the Department of Radiology leadership are spearheading a system wide Clinical Ultrasound committee and policy process.
The value of ultrasound is most evident when treating our most critically ill patients. @jeff_sono collaborates with our colleagues in Pulm/Critical care, Cardiology, Neurology and Surgery to rapidly assess and manage our sickest patients. We work closely with the hospital’s Pulmonary Embolism Response Team (PERT) and lead educational efforts in teaching ultrasound guided central line and arterial line placement. Additionally we are in the beginning stages of starting a Transesophageal Echocardiography (TEE) program and utilize a high fidelity TEE simulator.
Contact: Mae West
We estimate that 80% of POC ultrasound fellowship trained health care providers identify as medical educators. Consequently, @jeff_sono identifies education as one of it strongest pillars and portion of its mission. We work closely with the Medical Education division and fellowship program led by Dimitri Papanagnou. We work with trainees in the medical school; we offer a 4th year medical school elective which is overbooked. We run a 3 week rotation for 1st year EM residents with many EM-2 and EM-3s rotating with us as an elective. We believe this is partially because we emphasise one:one teaching at the bedside and assess competency using SDOTs. Outside of the ED, we work closely with the ICU, the advanced practice providers in the ED observation unit, and an U/S guided peripheral IV train the trainer program for nurses.
Our fellows learn about the traditional and modern theories of education as applied to teaching ultrasound. If a fellow selects the education track, she/he works with the education fellows to design curricula and teach both residents and medical students. Fellows have the opportunity to mentor medical students in the Sidney Kimmel Medical College scholarly inquiry track. SKMC is one of 4 medical schools in the country to receive a Clarius grant.
Many of our division members are committed to integration of ultrasound in resource scarce settings. We partner closely with colleague friends at other medical institutions and outside of the United States for education, training and research. We work with the PURE initiative. “PURE is a 501(c)3 non-profit organization comprised of medical professionals and others dedicated to enhancing ultrasound education and use in the developing world. PURE works in concert with ministries of health and local leaders in education to develop tailored plans to train physicians and other healthcare practitioners to use ultrasound at the bedside in caring for their patients, as well as help them develop the tools to sustainably transfer ultrasound skills to other healthcare practitioners in their setting.”
The goal of Jefferson medicine + design programs goal: To educate the next generation to solve complex health problems through design thinking. @jeff_sono works closely with the #HealthDesignThinking team. We have made 3D models to teach advanced echocardiogram anatomy and physiology. We have made 3D printed shoulder dislocation models to teach anatomy and proper technique for intra-articular hematoma blocks.
A fellow, who selects this track, has the opportunity to mentor students in the Sidney Kimmel Medical College scholarly inquiry design track. S/he works closely with the design team to learn design thinking and use these principles to solve problems facing emergency health care providers and medical educators.
@jeff_sono is committed to research And we have dedicated the 2018-2019 academic year to writing. We are committed to contributing to the field through our research efforts and through gaining a command of the published literature in journals and on social media. We hold a weekly journal club discussion of articles. Dr. AnnaMarie Chang, the department research director, joins us for a monthly research “lab” meeting. There, we report project progress, discuss a focused research topic, and troubleshoot obstacles to research success.
Contact: Anna Marie Chang
Simulation is a key element in our medical education and competency assessment program. @jeff_sono works closely with the simulation center for workshops, instructional sessions, and competency assessment meetings. The center’s inventory includes and is not limited to: CAE simulator , Vimedix TEE simulator, US guided IVs
A fellow, who selects this track works closely with faculty organize and lead simulation education sessions. S/he learns how to write simulation cases and how to integrate simulation into a broader learning curriculum.
Contact: Dimitri Papanagnou