Focused Emergency Ultrasound is now a core requirement for resident learning as mandated by the RRC-EM. Focused emergency ultrasound is widespread both in the academic and community setting and has developed an increased role in the out-of-hospital setting. ACEP first approved the core-competency guidelines, in June 2001, for use of ultrasound in emergency medicine. Since those guidelines were published, the use of ultrasound has increased in emergency conditions to include shock assessment, lung ultrasound and soft tissue ultrasound. ACGME has also instituted core guidelines for ultrasound education in emergency medicine training as a core competency for graduation.
In addition to using ultrasound during their ED shifts, our residents spend 2 weeks dedicated to ED Ultrasound, one during first year and one during their second year. The goal of this rotation is for the Emergency Medicine resident to obtain the minimum number of ultrasounds required and to develop experience in acquisition and interpretation in the core areas of ultrasound imaging as dictated by the 2008 ACEP guidelines. The residents will also gain experience with advanced ultrasound applications. Residents are also encouraged to use elective time to gain additional ultrasound experience.
By graduation, residents will be expected to have performed at least 150 exams in the various core areas as defined by ACEP. They will be required to provide documentation of their interpretations. Video images will be downloaded and reviewed by the ultrasound director or other ultrasound credentialed faculty members and feedback to residents will be given after review. While on rotation, residents will participate in QA review during which time there will also be didactic sessions and article reviews. They will be also expected to submit an interesting case which will be presented to the Department of Emergency Medicine.
Additional Ultrasound Resources: