integrating ultrasound curriculum into the clinical years2020 vision for sonology • standard...
TRANSCRIPT
Integrating Ultrasound Curriculum into the Clinical Years
David P Bahner MD RDMSProfessor of Emergency Medicine
The Ohio State University
Challenges with Ultrasound integration into the clinical rotations
bull Real PatientsReal Problemsbull LiabilitySupervisionbull Real standards of care ‐ CMSbull Impressions‐ ldquoFormal Scanrdquo vs rdquoInformal Scanrdquobull Educational Scans‐ Informing patients scripts of the intent of scan‐education Need for confirmatory testing during probationary period
bull EHR ndashCharting‐ How to document What to document Should you document
bull Confirmatory Studies
Ideal Clinical Exposure
bull Each Specialty has Scope of Practice with ultrasound
bull Residents perform scans on rotationsbull Attending physicians reinforce best practice and competency in ultrasound
bull Each rotation has access to equipmentprotocolspersonnel to teach
2020 Vision for Sonologybull Standard Education with Ultrasoundbull Standards for years of training (eg Med 1‐4 PGY 1‐3 fellows attendings in multiple specialties)
bull Early Integration into educational frameworkbull Link Researchers Basic Scientists with CliniciansSonographersSonologists
bull Standards for Ultrasound at UMEGMEMOC levelsbull UME‐ Undergraduate Medical Education LCMEbull GME‐ Graduate Medical Education ACGMEbull MOC‐Maintenance of Certification‐ ABMS
Bedside Ultrasound‐ Ultrasonologybull Preclinicalbull Clinicalbull Advanced Competency
bull Basic Skillsbull I AIM1 IndicationsAcquisitionInterpretationMedical Decision Making
bull Clinician Performed Focused Bedside Scans1 J Ultrasound Med 2012 Feb31(2)295‐300I‐AIM a novel model for teaching and performing focused sonographyBahner DP1 Hughes D Royall NA
Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
bull Is that a vessel Is it a vein Is it an artery
bull Is the heart beating What is the size of the chambers
bull Is the IVC full Is it collapsible
bull Is there fluid in that potential space
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Challenges with Ultrasound integration into the clinical rotations
bull Real PatientsReal Problemsbull LiabilitySupervisionbull Real standards of care ‐ CMSbull Impressions‐ ldquoFormal Scanrdquo vs rdquoInformal Scanrdquobull Educational Scans‐ Informing patients scripts of the intent of scan‐education Need for confirmatory testing during probationary period
bull EHR ndashCharting‐ How to document What to document Should you document
bull Confirmatory Studies
Ideal Clinical Exposure
bull Each Specialty has Scope of Practice with ultrasound
bull Residents perform scans on rotationsbull Attending physicians reinforce best practice and competency in ultrasound
bull Each rotation has access to equipmentprotocolspersonnel to teach
2020 Vision for Sonologybull Standard Education with Ultrasoundbull Standards for years of training (eg Med 1‐4 PGY 1‐3 fellows attendings in multiple specialties)
bull Early Integration into educational frameworkbull Link Researchers Basic Scientists with CliniciansSonographersSonologists
bull Standards for Ultrasound at UMEGMEMOC levelsbull UME‐ Undergraduate Medical Education LCMEbull GME‐ Graduate Medical Education ACGMEbull MOC‐Maintenance of Certification‐ ABMS
Bedside Ultrasound‐ Ultrasonologybull Preclinicalbull Clinicalbull Advanced Competency
bull Basic Skillsbull I AIM1 IndicationsAcquisitionInterpretationMedical Decision Making
bull Clinician Performed Focused Bedside Scans1 J Ultrasound Med 2012 Feb31(2)295‐300I‐AIM a novel model for teaching and performing focused sonographyBahner DP1 Hughes D Royall NA
Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
bull Is that a vessel Is it a vein Is it an artery
bull Is the heart beating What is the size of the chambers
bull Is the IVC full Is it collapsible
bull Is there fluid in that potential space
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Ideal Clinical Exposure
bull Each Specialty has Scope of Practice with ultrasound
bull Residents perform scans on rotationsbull Attending physicians reinforce best practice and competency in ultrasound
bull Each rotation has access to equipmentprotocolspersonnel to teach
2020 Vision for Sonologybull Standard Education with Ultrasoundbull Standards for years of training (eg Med 1‐4 PGY 1‐3 fellows attendings in multiple specialties)
bull Early Integration into educational frameworkbull Link Researchers Basic Scientists with CliniciansSonographersSonologists
bull Standards for Ultrasound at UMEGMEMOC levelsbull UME‐ Undergraduate Medical Education LCMEbull GME‐ Graduate Medical Education ACGMEbull MOC‐Maintenance of Certification‐ ABMS
Bedside Ultrasound‐ Ultrasonologybull Preclinicalbull Clinicalbull Advanced Competency
bull Basic Skillsbull I AIM1 IndicationsAcquisitionInterpretationMedical Decision Making
bull Clinician Performed Focused Bedside Scans1 J Ultrasound Med 2012 Feb31(2)295‐300I‐AIM a novel model for teaching and performing focused sonographyBahner DP1 Hughes D Royall NA
Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
bull Is that a vessel Is it a vein Is it an artery
bull Is the heart beating What is the size of the chambers
bull Is the IVC full Is it collapsible
bull Is there fluid in that potential space
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
2020 Vision for Sonologybull Standard Education with Ultrasoundbull Standards for years of training (eg Med 1‐4 PGY 1‐3 fellows attendings in multiple specialties)
bull Early Integration into educational frameworkbull Link Researchers Basic Scientists with CliniciansSonographersSonologists
bull Standards for Ultrasound at UMEGMEMOC levelsbull UME‐ Undergraduate Medical Education LCMEbull GME‐ Graduate Medical Education ACGMEbull MOC‐Maintenance of Certification‐ ABMS
Bedside Ultrasound‐ Ultrasonologybull Preclinicalbull Clinicalbull Advanced Competency
bull Basic Skillsbull I AIM1 IndicationsAcquisitionInterpretationMedical Decision Making
bull Clinician Performed Focused Bedside Scans1 J Ultrasound Med 2012 Feb31(2)295‐300I‐AIM a novel model for teaching and performing focused sonographyBahner DP1 Hughes D Royall NA
Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
bull Is that a vessel Is it a vein Is it an artery
bull Is the heart beating What is the size of the chambers
bull Is the IVC full Is it collapsible
bull Is there fluid in that potential space
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Bedside Ultrasound‐ Ultrasonologybull Preclinicalbull Clinicalbull Advanced Competency
bull Basic Skillsbull I AIM1 IndicationsAcquisitionInterpretationMedical Decision Making
bull Clinician Performed Focused Bedside Scans1 J Ultrasound Med 2012 Feb31(2)295‐300I‐AIM a novel model for teaching and performing focused sonographyBahner DP1 Hughes D Royall NA
Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
bull Is that a vessel Is it a vein Is it an artery
bull Is the heart beating What is the size of the chambers
bull Is the IVC full Is it collapsible
bull Is there fluid in that potential space
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
bull Is that a vessel Is it a vein Is it an artery
bull Is the heart beating What is the size of the chambers
bull Is the IVC full Is it collapsible
bull Is there fluid in that potential space
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Anatomy and Physiology in Primary Care
bull Is the aorta dilated
bull Is there a baby and does it have a heart beat
bull Is this a soft tissue injury fluid collection
bull Can I monitor this patientrsquos condition
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Flexnerian Medical Education+ Ultrasound
bull Years 1 and 2bull Years 3 and 4bull Preclinicalbull Clinicalbull Knowledgebull Practicebull Indication Acquisitionbull InterpretationMedical Decision Making
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
The Story at OSUbull Differentiation of Care (DOC) ndashClinical yearsrotationsbull The Undifferentiated Patient (EM) ndash SHOCKbull Integration of Ultrasound into SHOCK assessmentbull TRINITY‐ A hypotensive ultrasound protocolbull Evidence Based Learning‐ Teaching 1st years to focus on academics ndash Clinical experiences ‐ Education grand rounds Research projects ‐ Administration of programs
bull Ultrasound taught to first years TRINITY 1
bull BQUIET2 used as a quality tool for obtaining images1 Teaching bedside sonography using peer mentoring a prospective randomized trial Jeppesen KM Bahner DP
J Ultrasound Med 2012 Mar31(3)455‐92Brightness mode quality ultrasound imaging examination technique (B‐QUIquantifying quality in ultrasound imagingBahner DP Adkins EJ Nagel R Way D Werman HA Royall NAJ Ultrasound Med 2011 Dec30(12)1649‐55
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
DOC 1 Workshop Ultrasound in Shock
bull Cardiac windows and normalabnormalsbull Abdominal Aorta viewsbull FAST hands on practiceclinical scenariosbull Volume Assessment of IVC collapsibilitybull Practical Hands On StationsChecklistsbull Exposure to ultrasound best practice
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Pericardial Effusion
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Volume Status
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Patient Safety- Vascular Access
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Clinical Rotations‐ 3rd Year
bull Enhanced Ultrasound Experiencebull MULTI‐ responsible students peer to peer ultrasound instruction in skills lab during rotations
bull CSIE‐ Skills Immersion‐ Intro to Ultrasound Basicsbull Core Rotations‐Medicine Surgery OB Peds Neuro Psych
bull Electives ndash ENT Urology Emergency Radiology
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
US ICU Roundsbull StudentsResidentsFellowsAttendingsbull Interesting Cases in the Unitbull FATE ExamFluid DetectionVolume Statusbull Real time scanning focusing on positioningpreparingtroubleshooting
bull Examine FindingsReview CaseCompare and Contrast with normal signatures
bull Debrief turns into email summary to participants
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Integrate ultrasound into a 4th year longitudinal elective
bull Longitudinal Elective‐ Advanced Competencyndash Meet monthly to administrate curriculumndash Curriculum ndash AsynchronousSynchronousHands On
bull Project‐ Geared toward Specialty Interestndash Education projects‐ LSI part 1 Anatomy Blocksndash Clinical Projects‐ ICU Roundsndash Surveysndash Technology ‐ EDUltrasound Edultrasound QA POCUS App
Acad Med 2013 Feb88(2)206‐13 Advanced ultrasound training for fourth‐year medical students a novel training program at The Ohio State University College of Medicine Bahner DP Royall NA
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
One month3 2 1 Week Rotation
bull Curriculum of online materialquizzessurveysbull QA review with residents and fellowbull Clinical Time with Ultrasound Team
ndash Emergency Departmentndash Simulation Labndash ICU‐MICUSICUCardiothoracic
bull Cadaver Labndash Procedural Competency
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
How to get ultrasound training reinforcement opportunities to scan
into the Clinical Rotationsbull Mentors for studentsbull Using ultrasound in the clinical settingbull SupervisionExpertisebull Barriers EquipmentLiabilitybull Overcome Inconvenience of compliance system to perform save document point of care ultrasound images
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Difficulty getting Attendings to learn UltrasoundldquoTeaching an old dog new tricksrdquo
bull MotivationDedication to Sonologybull Ambiguity of competency _How many does it take to gain competencyproficiency in various fields
bull Attendings to get Credentialed‐ Compliancebull Compliance of Process‐ PrivilegesSupervision
ndash Indications for exam ndash performing and saving exams ndash documenting examndash quality assurance
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Train the Trainers
bull Basic Course (4 8 16 hour)bull ObjectivesTimelinebull Online MaterialSurveys Content Examsquizzes Tracking ndash Digital Portfolio
bull Refresher Course ndashPeriodicScheduledbull RecertificationRecredentialingbull Adult Learning Strategies ndash Online Pedagogy+ Flexible synchronous opportunities‐ Skills lab Deliberate Practice
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Local Experience‐ Columbus Ohio
bull Community of Practicebull FacultyResidentsStudentsSonographersOthersbull Focused on Content AreaExpertiseMentorshipbull Academic Goals‐ Clinical CareEducation of Operators‐learnersResearch of new knowledge Administration of InnovationQualitySafety
bull Framework for groups to start the crucial conversations to implement ultrasound
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Communities of Practice
bull MSKbull Critical Carebull Proceduralbull OBGYNbull Anesthesiologybull Others ndash Education Research
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Emergency Medicine
bull Embedded in their practice and clinical experience on the rotation‐ Students observe ultrasound used for 11 indications and performed in all traumas and most critically ill patientrsquos care
bull QA process to participate in review educationbull Simulation lab with phantoms and TSUP modelsbull Online materials in lectures test banks images tweets apps websites and learning management systems
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Current Challenges ‐ Locally
bull US Simulation Experience‐ Top Notchbull Clinical Experience‐ Sporadic exposure to equipmentsupervisioninstruction with bedside ultrasound
bull More Consistent residency experience with central venous access in the use of US but still with variability in standard technique of procedure
bull Increasing places with new operatorsclinicians using ultrasound but needs coordination
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Clinical Rotations
bull Use Community of Practice concept to invoke engagement from faculty
bull Use resident and student governance of ldquofaculty developmentrdquo to research academic advancement with ultrasound
bull Clinical Rotations are opportunities to implement ndashclinical service US with real patients
bull Logistics of implementing students into patient care where supervision has not kept pace
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Lead Serve Inspire Curriculum at OSU 2012
bull LSI 1bull LSI 2bull LSI 3
bull Advanced Competencybull Gradation of Core Enriched Competency
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Advanced Clinical Management
4 Years
18 months 12 months 12months
Longitudinal Projects
InterprofessionalSystems Based
ThinkingLongitudinalHealth Coach
CommunityHealth
EducationPatientSafety
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
What You Need To Know Clinical Applications
bull Ground School
bull Rings organized for integration of clinicalexperiences
bull Small group activitiesfacilitate application ofclinical and foundational science concepts
bull Longitudinal Projects
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Advanced Management inHospital Based Care
Advanced Management in Ambulatory amp Relationship Centered Care
Advanced Competencies Track
Advanced Clinical Track
Elective
Flex
Intersession
AdvancedClinical
Management
Four week thematic rotations in association with advanced competencies amp advanced clinical experiences
Elective time for international amp away experiences
Timeline Label
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Part OneClinical Foundations
Part ThreeAdvanced Clinical Management
Part TwoClinical Applications
Comprehensive
Evaluation
Evaluation
EvaluationExploration
Evaluation
Endocrine and Reproductive Disorders
Gastro‐intestinal and Renal Disorders
Host Defense
Clinical Foundations Review
Break
Break
Orientation
Evaluation
Evaluation
Exploration
Evaluation
Bone and Muscle Disorders
Medical Practice and
Patient Care
Neurological Disorders
Cardio‐pulmonary Disorders
Break
Break
Evaluation
Exploration
ProjectsSmall GroupDiscussions
Step IPart 2 O
rientation
Break
Host Defense
Intersession
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Ground School
bull Introduction to Clinical Scanning
bull PatientProbePictureProtocol
bull Knobologybull Probe Motionbull Image Interpretation
bull Basic Skills‐KnobologyScanning
bull Vascular Accessndash NALTA
bull North Starbull Anglebull Leap Frogbull Tentingbull Aspiration
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Enriched Competency
bull CardioVascularbull Fluid Collectionsbull FASTbull FATEbull AAA screeningbull SOFT TISSUEbull Specialty Specific
bull Knobologybull Scanningbull Peer to Peerbull Proctor to Studentbull Separation by skillsbull Opportunities for Advanced Study
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Distribution‐ clinical years
bull Ground School‐ Basic Skills ndash Small Groups
bull LectureHands Onbull ProctorModelEquipment
bull ProtocolArticulate Online modules
bull Handoutsbull Guidesbull LinksSocial Mediabull Checklistsbull Quizzesbull Tracking
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Flipped Classroom
bull Come preparedbull Preassigned Requirementsbull Online preparationbull Performance of skillsbull Competency based on attitudeknowledgeskill
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Advice
bull Collaborate with other local experts bull If possible align basic scientists with clinicians‐ Cadaver labs‐ procedures
bull Let the clinical challenges and barriers be the stimulus for new ideas to provide better care and opportunities for students
bull Coordinate the preclinical and clinical UME US goals
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Clinical Scans not used for Medical Decision Making
bull Patient consent for an EDUCATIONAL scanbull Site specific number not linked to patientpersonalized health information (PHI)
bull Saved on server remote from patient recordsbull Able to be reviewed for education but not part of legal record
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-
Conclusions
bull Find Way to prepare students to be readybull Train the Trainers so able to supervisebull Maintenance of Certification in Ultrasoundbull Student Learning best with Hands On bull Keep pushing the learning curve bull Ultrasound Competence is based on Deliberate Practice
bull Administrate processes to ensure patient safety
- Integrating Ultrasound Curriculum into the Clinical Years
- Challenges with Ultrasound integration into the clinical rotations
- Ideal Clinical Exposure
- 2020 Vision for Sonology
- Bedside Ultrasound- Ultrasonology
- Ultrasound Anatomy and Physiology in Clinical Scenariorsquos
- Anatomy and Physiology in Primary Care
- Flexnerian Medical Education+ Ultrasound
- The Story at OSU
- Slide Number 10
- DOC 1 Workshop Ultrasound in Shock
- Pericardial Effusion
- Volume Status
- Patient Safety- Vascular Access
- Clinical Rotations- 3rd Year
- US ICU Rounds
- Integrate ultrasound into a 4th year longitudinal elective
- Slide Number 18
- One month3 2 1 Week Rotation
- How to get ultrasound training reinforcement opportunities to scan into the Clinical Rotations
- Difficulty getting Attendings to learn Ultrasound ldquoTeaching an old dog new tricksrdquo
- Train the Trainers
- Local Experience- Columbus Ohio
- Communities of Practice
- Emergency Medicine
- Current Challenges - Locally
- Clinical Rotations
- Lead Serve Inspire Curriculum at OSU 2012
- Slide Number 29
- What You Need To Know
- Slide Number 31
- Slide Number 32
- Ground School
- Enriched Competency
- Distribution- clinical years
- Flipped Classroom
- Slide Number 37
- Slide Number 38
- Advice
- Clinical Scans not used for Medical Decision Making
- Conclusions
-