SonoCredentialing: ACGME ultrasound milestones summarized by @Takeokun

@Takeokun is not only one of the authors for the CORD article on this topic, but also has summarized the ACGME milestones’ ultrasound portion quite nicely on his site. It is well deserving of mention -

Go here for the full post.

Some Downloadables from his post:

  1. Core vs Advanced Emergency Ultrasound for Residents
  2. Assessment methods with skills tested, limitations, and associated milestones
  3. CORD US-SDOT Forms
  4. New Innovations version of the JMTF US milestone evaluation form

SonoLectures: Free lecture on Ultrasound in the Critically Ill -by Dr. Cliff Rice (& other free lectures)

Got an email from ACEP and thought it was too good not to share: Hear Dr. Cliff Rice, an ultrasound extraordinaire and emergency physician speak about bedside ultrasound and its use in critical care medicine. At the end of this post are even more lectures that are free. As you will hear, he states “Think about how you would use it in some of our sickest patients that come to the emergency department….. where the differential diagnosis is quite broad, and the treatment for shock might be detrimental if we are wrong.”

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As ACEP states in the email: “Practicing emergency physicians need to be able to utilize ultrasound effectively in the evaluation of the critically ill patient. In this free audio recording from the 2012 ACEP Scientific Assembly, Dr. Rice highlights the use of ultrasound to perform a FAST scan, to dynamically monitor and measure the IVC in the setting of hypovolemic shock, and to detect pericardial effusion and perform ultrasound guided pericardiocentesis [in 45 minutes]. This [lecture] explains where you should start scanning, narrows your differential and guides your resuscitation.”

Other free lectures for your viewing/hearing pleasure on bedside ultrasound:

Dr. Chris Fox’s comprehensive emergency ultrasound lectures in iTunes

Dr. Phil Perera comprehensive emergency ultrasound lectures on Sound-Bytes

AIUM UltrasoundFirst lecture series on various ultrasound topics

UltrasoundPodcast with a variety of lectures on bedside ultrasound

UltrasoundVIllage website on a variety of ultrasound topics

Vanderbilt’s excellent lectures library on bedside ultrasound

SonoSocial: Social Media in EM Ultrasound Education – check out what’s out there!

Happy Monday everyone! Im sure you love mondays as much as we do, so i thought I would post something that would be a bit of positivity and highlight a group that I believe in: ACEP Ultrasound Section. 2013 is the YEAR OF ULTRASOUND – and for good reason – there are only a few tools that give us such immediate information that can save a life. The ACEP US Section is the go-to site for everything you want to know about starting an US program, credentialing in ultrasound, the policies and politics, and is the home of SonoGuide – an amazing educational resource for bedside ultrasound, and the EMSONO: Ultrasound Test. It is also where we add our entries for their newsletter that goes over tips and tricks, cases, and all things ultrasound in the news. We recently wrote an article for the ACEP Ultrasound Section Newsletter - which is available for all members of the ACEP US Section – and I highly recommend becoming a member – it’s totally worth it. It is my go-to guide for all things bedside ultrasound. I thought to entice you, i would include our latest entry below – with a few additions in the end as it was written a few months ago and there have been more educators/bloggers since it’s publication: For a set of links to online education in bedside ultrasound, go here.

Social Media in EM Ultrasound Education by Drs. Viveta Lobo, Laleh Gharahbaghian

Stanford University Medical Center

In a realm where the access to free education, is becoming the mantra and expectation across learners, the emergence of social media is fast gaining popularity. A quick Google search, defines social media as, “a media for social interaction, using highly accessible and scalable publishing techniques.” As a physician, educator, and learner in an academic institution, this modality of education promises to bestow unending means. Being able to have a presence 24/7 and allow access to learning at the convenience of learners is almost too good to be true. It is no wonder why higher education across the globe, and now even primary education has adopted social media as the forefront modality to reach and connect with learners.

The medical field is no exception. As we begin to recruit the most “tech savvy” group of students in our medical schools and residencies, the expectation to continue learning “on the cloud” is ongoing. Tweeting anatomy pearls, sharing Dropboxfiles on physiology notes, and joining Google hangouts for journal clubs – is quickly becoming the theme for most educational sites. And why shouldn’t it be? Being able to remotely participate in learning and connect with peers anywhere in the world, from your home, office, or emergency department, can only lead to extraordinary things.

Emergency medicine has rightly developed a reputation for being progressive and innovative. Emergency ultrasound lends itself to be the perfect subset to thrive with social media, and it has taken off! Being able to upload ultrasound clips online and teach anatomy, highlight pathology, and reward “great saves” for not just your own institution, but the entire ultrasound community goes way beyond the classroom. Websites, Blogs, Podcasts, Facebook group pages – whatever your fancy, its there – and it’s free. Our goal, has always been to try, learn, fail, succeed – but at the end, share. There is no better way to share than by using social media. Being able to connect all across the globe with other EM US enthusiasts, interact and discuss various topics and strategies has only helped us all do better, within our sub specialty and beyond. So don’t be skeptical, and give it a try! We’ve listed some of our favorite FREE picks, in no particular order, to help you get started…. There are plenty more out there….Until next time – see you on the cloud!

Websites for Online Education/Didactics in Bedside Ultrasound:

Sonoguide: Ultrasound Guide for Emergency Physicians – offers a description of each bedside US application, ultrasound images and videos – all to train and review US utility for aiding diagnosis, management and treatment by Dr, Beatrice Hoffman

SonoWorld – a comprehensive site that includes hundreds of lectures, cases, videos, and articles that includes basic bedside ultrasound applications, but goes beyond that to satisfy the needs of all US enthusiasts.

Emergency Ultrasonography – a comprehensive website geared to emergency physicians that contains many lectures, cases, and educational content that can be used by residencies for the didactic portion of ultrasound education by Dr, Geoff Hayden.

SAEM Ultrasound Narrated Lectures – just as it states, a library of lectures on bedside ultrasound with a link to a free pdf of ultrasound guides on that same site.

Sinai EM Ultrasound – a complete site of free online lectures, cases, research articles, and news on bedside ultrasound topics by Dr. Bret Nelson.

Society of US in Medical Education – learning modules and curriculum databases with a long lecture list on all basic bedside ultrasound topics that allows the learner to control the pace of the lecture.

Vanderbilt’s EM Ultrasound – a collection of brief lectures on each bedside ultrasound topic in a well-organized way with quizzes that can be taken to test your knowledge by Dr. Jim Fiechtl

ICU Sonography lectures for Echo/IVC and more by: Beth Israel, Stanford, and Yale

Online Textbooks on Bedside Ultrasound:

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB)– a free and comprehensive European full textbook found online for free on each ultrasound application

Partners In Health Textbook for Ultrasound in Resource Limited Areas – by Drs. Sachita Shah, Dan Price, Gene Bukhman, Sachin Shah, Emily Wroe

iBook for the iPAD – a new textbook brought from the Ultrasound Podcast guys and written by many US educators sure to bring a new concept to the world of online education – The iBook and all it’s glory: http://www.youtube.com/watch?v=mB7_omzi8Cc

Podcasts on Bedside Ultrasound:

Ultrasound Podcast – one of the best, and funniest ways of teaching ultrasound to all learners. This podcast discusses all ultrasound applications, keeps it easy, and makes it engaging by Drs. Mike Mallin and Matt Dawson, with Stone’s side excerpts from Dr. Mike Stone.

UC Irvine’s iTunes lecture series – an excellent and comprehensive lecture podcast library of all bedside ultrasound applications by Dr. Chris Fox.

Soundbytes – a collection of free lectures for all bedside ultrasound applications in a concise and free format by Dr. Phil Perera.

Blogs on Bedside Ultrasound:

SonoSpot: Topics in Bedside Ultrasound – a blog that discusses tutorials, cases, tips/tricks, research, links/sites, and people in the ultrasound community by Dr. Laleh Gharahbaghian (yes, shameless plug here).

Bedside Ultrasound – Ultrasound teaching updates with tips/tricks and brief video lectures of the hot topics in bedside ultrasound and interviews with US enthusiasts by Dr. Mike Stone.

Highland Hospital ED Ultrasound – a collection of blog posts that focus on procedural US guided applications in addition to the basic US application by Dr. Arun Nagdev and Andrew Herring

Ultrasound videos & clips:

Sonocloud – the ultimate library of ultrasound clips – an amazing free image upload and download site where you can find any ultrasound clip you need to review, place in your lecture, or use to learn and teach others by Drs Mike Mallin, Matt Dawson, and Mike Stone.

Vimeo: US in Emergency Medicine and Critical Care group – a large collection of ultrasound clips for your viewing pleasure of pathologies, normal anatomy, and more by the HQMedEd (high quality medical education) team at Hennepin County Medical Center

There’s an App for That! – free Smartphone apps for bedside ultrasound

1-Minute Ultrasound – by the Ultrasound Podcast guys for your iPhone, with 1 minute reviews of all applications in an easy to learn way.

SonoAccess – a list of lectures and images in a smartphone app by SonoSite

Twitter accounts to follow for bedside ultrasound teaching topics: 123SonographyAIUM_Ultrasound, AllUltrasound, Bedsidesono, BMUS_Ultrasound, ECCUltrasound, EchoCardiac, EDUltrasound, EDultrasoundQA, EM Res, GeriaSonoMD, SAEMAEUS, Sinai EM Ultrasound, SonoSpot, SUSME, UltrasoundFirst, UltrasoundMeme, UltrasoundPod, Ultrasound Training, Ultrasound Quarterly, USEDCDN

Other SonoBelievers who contribute to ultrasound education through their blogs/tweets:

Academic Life in EMLife in the Fast Lane, EMCRIT, CriticalCareNow, HQMedEdSonoCaveSonoIntensivist, WesternSono, TeresaWuMD, ChrisPartyka, AriKestler, CurroMiralles, Radiopaedia, EMCurrents, Jason T Nomura, Squartadoc, AndyNeill, EMManchester, EMBasic, AllUltrasound, BroomeDocs, M-Lin, EMEducation, EMChatter, Precordialthump, I_C_N, MDAware, EMIMDoc, jvrbntz, SandnSurf, IMEducator, keeweedoc, LWestafer, ERCast, DocWagz

A new, up and coming site for free, fun-incentivized global medical education through cases, questions, images (including ultrasound): Global Medical Education Project

I know…. a big family!… and I guarantee you Im missing a few, but there will be even more in 2013: The Year of Ultrasound.

SonoLinks: new links to awesome US educational sites/texts/apps

Since the last installment of SonoLinks, there have been several more awesome US related websites/links that 1) I have found in my search for more, 2) are new ones that just came on to the horizon or 3) I totally forgot to add before – - –  They are all free! They are all listed on our Blogroll (scroll down, on the right of the screen) that we keep updated. If anyone knows of any other great sites, send them on over!

SonoCloud – a new and excellent website for free and easy visualization, downloading, uploading, and learning of US clips and images – by Matt & Mike (of Ultrasound Podcast) and Mike Stone (current ACEP US Section President). Can you say A-W-E-S-O-M-E! You can help fill up their library of clips by downloading your own on there too.

WikiSpaces to De-identify/Crop/Edit your image/Clip – thanks to Ben Smith for creating and sharing! A great way to post/share your stills and clips without violating HIPAA by cropping out the MRN/patient name. A simple way to keep you out of HIPAA jail.

EchoBasics – Mereles, a cardiologist from Paraguay, has an excellent website of all things cardiac echo, from basic to advanced evaluations, including explanations and clips, and even 3D and 4D clips! very cool.

ICU Sonography – along the same lines as above, there are a couple sites that are worth mentioning for ICU Sonography: Beth Israel’s website and Stanford’s website. Great review/images of critical care US and echo/IVC.

Yale’s Atlas of Echo – a complete site of everything you need to know about cardiac echo

Neuraxiom – A great website for US guided regional nerve blocks!

Sonic Nerve Blocks – another excellent website by Sanjay Sinha, an anesthesiologist at the University of Connecticut, to review all US guided nerve blocks

EFSUMB – free US textbook reviewing US applications (and includes resource limited US utilization and HIV related views)

Partners in Health book – an excellent manual for US use in resource poor/limited settings by Sachita Shah et al.

SonoWorld – an all-inclusive website that has cases, lectures, images, and articles

Ultrasound Village - another all-inclusive site with from our colleagues in Australia filled with lectures, images, and quizzes!

Qstream – a great free way to test your US skills through email question and answers by Sam Ko.

Other organizations that deserve mention in addition to ACEP include:  SAEM (who have narrated lectures),  AIUM (which is an organizer of the UltrasoundFirst project), WFUMB, and WINFOCUS

Emergency US Fellowships – in the time of application review, I thought I would send out the link for those interested in applying for emergency US fellowships

Emergency US Research articles – Chip Schmier does a GREAT job in sending out the new US related research articles every month; allows us to feel “in the know” when our colleagues ask us questions about it.

And… a website for free medical education testing and media sharing using a social networking and incentive paradigm: GMEP  – Global Medical Education Project – as you can see SonoSpot has already created a folder and adding to it with US images of all applications.

SonoLinks: The websites, smartphone apps you need to know for Bedside US

A list of awesome sites and apps for bedside US: whether that be for viewing lectures, US videos/images of normal/abnormal pathology, learning the technique for each application, or to get all that you need to know on your smartphone – you’ll love these! This is not a complete list, but ones that I have found to be great! If you know of any others, feel free to list in the comments.

ACEP US Section – for all the needs of emergency physicians who perform US, credential others, direct US programs and much more!

SAEM US Academy - is a community within the Society of Academic Emergency Medicine. AEUS provides an international forum bringing together bedside clinician sonologists with the common goal of advancing patient care

Bedside US and the Stanford 25 – The Stanford 25 is a list of 25 dependent physical diagnosis maneuvers to help with the physical exam and medical education, one of which is bedside US

Society of US in Medical Education – this link takes you to the learning modules, but if you press “Home” you will see how amazing this society is for enhancing US education.

Emergency Ultrasonography – this site is a great go-to for providing the foundation for a basic understanding of Emergency Ultrasound through lectures, modules, testing

EMSono – a great site which is a comprehensive emergency ultrasound education website that also provides you with free teaching modules through the SonoBridge. It also provides the ACEP test for bedside US.

SonoGuide – An excellent free online site to learn all that there is to know with regard to bedside US

SoundBytes – a great CME download and set of lectures !

Ultrasound Podcast – a very fun and cool way to learn bedside US through two very funny guys! They also bring you the iPhone app: 1-Minute Ultrasound

Ultrasound SHARE – a great site for a library for all the US videos/images you ever want to see!

US Guided Nerve Blocks – a complete source for all you want to knwo in regard to US guided Nerve blocks.

ViewSono – great video tutorials are short format case based reviews of core ultrasound procedures in emergency medicine, critical care and regional anesthesia

Vimeo US images and videos – an awesome site to see every US related video you’ll ever want to see!

There are quite a few smart phone apps and iTunes videos that can help while you are on the run, train, plane, or riding in the back of a harley:

1-Minute Ultrasound

Emergency Medicine Ultrasound

Dr. Chris Fox’s Emergency US lectures

Pocket Atlas of Emergency Ultrasound

SonoAccess

An Excerpt from LITFL today: a Cheap way to Make an US Simulator!

An excerpt from Life in the Fast Lane (LITFL): VERY cool US simulator that you can make cheaply!!! Just need hardware….The guys from Saskatchewan, Paul Kulyk and Paul Olszynski (http://www.edus2.com/) have developed a trainer for using in simulation which they explain very well in their project summary: “The Emergency Department Ultrasound Simulator (edus2TM) is a portable bedside ultrasound device that allows for the seamless integration of Emergency Department Ultrasound (EDUS) into high fidelity simulation scenarios (HFS). Trainees using the edus2 gain the opportunity to determine whether to use bedside ultrasound (indications), how to properly hold and place the probe (image generation) and finally how to assess scans (image interpretation) as displayed on the edus2 screen all within the context of an HFS scenario.”