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Ultrasound Course Level Three

Level 3

Advanced Ultrasound Competency Program for Physicians  / Specialists/Sonologists

Duration: 6 months

Award; Certificate of Competency in Advanced Ultrasonography

Award; Certificate of Competency in Advanced Doppler Ultrasonography and Vascular Interpretation

Requirement / Prerequisite; MBBS Degree/ PMDC Registration Number.

Course A.

Topics:

  • Imaging Fundamentals
  • Abdominal Anatomy/Scan Techniques
  • Abdominal Aorta
  • Liver Sonography & Pathology
  • Gallbladder & Biliary Tree Sonography & Pathology
  • Spleen, Pancreas, and Renal Sonography
  • Scrotal / Testicular
  • Evaluation of the Appendix & GI Tract
  • Thyroid Ultrasound
  • E-FAST Exam
  • RUSH Exam
  • Soft Tissue & MSK Applications
  • Ultrasound Evaluation of the Appendix & GI Tract
  • Female Pelvic and Case Studies
  • First /Second/Third Trimester Ultrasound and Case Studies
  • OB Doppler for IUGR and Diagnosis of Preeclampsia.
  • Doppler & Color Fundamentals
  • Venous Anatomy, Scan Techniques and Normal Characteristics
  • Duplex/Color Evaluation of Lower Extremity DVT
  • Duplex /Color Evaluation of Upper Extremity DVT
  • Lower Extremity Arterial Anatomy & Duplex
  • Ultrasound Guided Vascular Access
  • Breast Imaging
  • Ultrasound Guided Paracentesis.

Objectives:

  • Increase participant’s knowledge to better perform and interpret ultrasound examination according to ACR (American College Of Radiology).

 

Course B.

Doppler Ultrasound Program

Introduction to Peripheral Vascular Duplex/Color Flow Imaging

  • Fundamentals of Color and Spectral Doppler
  • Venous Anatomy, Scan Techniques & Normal Characteristics
  • Duplex/Color Evaluation of Lower Extremity DVT
  • Duplex/Color Evaluation of Upper Extremity DVT
  • Evaluation of Venous Insufficiency
  • Duplex/Color Evaluation for Venous Ablation Procedures
  • Pre-Procedure (Ablation) Mapping
  • LE Arterial Anatomy & Physiology & Diseases
  • Upper Extremity Arterial Anatomy & Scanning
  • Lower Extremity Graft Evaluation and surveillance
  • Evaluation for AV Fistula formation for Dialysis

Objectives:

  • Perform all Doppler ultrasound exams according to ACR( American College of Radiology) protocols.
  • Recognize Doppler waveforms for arterial and venous evaluations of the upper and lower extremity.
  • Demonstrate vein mapping techniques to identify suitability as a potential arterial bypass graft.
  • Perform pre and post vein ablation evaluation.
  • Perform evaluation for venous insufficiency and patency of perforators for vein therapy treatment.

Abdominal Doppler

  • Ultrasound Evaluation of the Abdominal Aorta
  • Ultrasound Evaluation of Aortic Endografts
  • Ultrasound Evaluation of Renal Artery Stenosis
  • Mesenteric and Porto-Hepatic Duplex Sonography
  • Renal Doppler
  • Renal Transplant Doppler
  • Liver Transplant Doppler
  • TIPS evaluation

Objectives

  • Increase the participant’s knowledge to better perform and/or interpret Abdominal Duplex examinations.
  • Perform evaluation of the transplant organs.

Introduction to Carotid Doppler

  • Carotid Anatomy & Physiology
  • Normal Spectral Analysis
  • Disease Progression & Stenosis Assessment
  • Carotid Imaging Pitfalls
  • Objectives : Increase the participant’s knowledge to better perform and interpret Carotid Duplex examinations.

Course: C

FOCUSED Adult Echocardiography

  • Performing Echocardiographic Imaging
  • Valvular Heart Disease
  • Ischemic Heart Disease & Cardiomyopathies
  • Pericardial Disease, Cardiac Tumors & Aortic Dissection
  • Systemic & Pulmonary Hypertensive Heart Disease and Congenital Heart Defects

Objectives

  • Increase the participants’ knowledge to better perform and/or interpret cardiac ultrasound examinations.
  • Differentiate normal and abnormal imaging characteristics of the adult cardiac ultrasound examination.

 

Course: D

Introduction to OB/GYN Ultrasound (For obgyn Physicians)

  • Imaging Fundamentals
  • GYN Anatomy
  • Scan Protocol (TAB & TV)
  • GYN Pathology/Case Studies
  • First/second/Third Trimester Ultrasound & Case Studies
  • Fetal Survey & Biometry, Twins, Placenta, Cervix
  • Ob Doppler for IUGR
  • Uterine Artery Duplex for Preeclampsia
  • Neonatal Brain

Objectives:

  • Increase the participants’ knowledge to better perform and/or interpret gynecology and obstetrical ultrasound examinations.(TAB and TVS)
  • Outline routine scan protocols for performing 1st, 2nd, and 3rd trimester obstetric ultrasound exams.

 

Course: E

Advanced Emergency Medicine & Critical Care Ultrasound

  • Sonography in Shock & Source of Sepsis (Gallbladder, Biliary Tree, Appendix, Bowel Obstruction, Peritonitis & Abscess, Pylonephritis)
  • Fluid Responsiveness in the Critically Ill
  • Advanced Non-Cardiac Chest ( Larynx, Trachea, Lung & Pleura)
  • Ultrasound Guided Peripheral Vascular Access
  • Interactive Case Studies
  • CRITICAL CARE TRACK:
  • Cardiac Doppler & Focused Calculations
  • Echo Assessment of Cardiomyopathies & Heart Failure
  • Mitral Insufficiency & Complications
  • EMERGENCY MEDICINE TRACK:
  • Sonography of the Acute Scrotum
  • Nerve Blocks in the ED (Forearm, Femoral, and Ankle Blocks)
  • Advanced EM Applications (Evaluation of Soft Tissue for Abscess, Foreign Body Detection, MSK Applications, Evaluation of Bony Cortices)
  • Ocular Point Of Care Ultrasound

Objectives

  • Increase the participant’s knowledge to better perform and/or interpret Emergency and Critical Care ultrasound examinations.
  • Increase competence to incorporate protocols, scan techniques & interpretation criteria to improve diagnostic/treatment accuracy.

Course: F

Introduction to Musculoskeletal Ultrasound

For Rheumatologists/ Orthopedic Doctors / Physical Medicine/ sport medicine

Topics:

  • Shoulder Anatomy & Scanning Techniques
  • Ultrasound Evaluation of Shoulder Pathology
  • Elbow Anatomy & Scan Techniques
  • Ultrasound Evaluation of Elbow Pathology
  • Ultrasound Guided Injection Techniques
  • Wrist Anatomy, Scan Techniques and Pathology
  • Ultrasound Evaluation of Hand and Pathology
  • Ultrasound Evaluation of the Ankle & Foot/Pathology
  • Ultrasound Evaluation of the Hip
  • Ultrasound Evaluation of the Knee and Pathology
  • Nerves Ultrasound

 

Objectives:

  • Increase the participant’s knowledge to better perform and/or interpret MSK ultrasound examinations.
  • List the indications, benefits, and limitations of MSK ultrasound for sports medicine injuries, physical medicine & rehabilitation, and rheumatology applications.

Course: G

Ultrasound Guided Vascular Access

  • Ultrasound Imaging Fundamentals
  • Fundamentals of Ultrasound Guided Vascular Access
  • “Direct” vs. “Indirect” Techniques
  • “In-plane” vs. “Out-of-plane” Techniques
  • Ultrasound Guided Central Line Placement
  • Principles of Vessel Differentiation
  • Internal Jugular & Axillary/Subclavian Approach
  • Femoral, Antecubital Vein Access

Objectives:

  • Demonstrate the participant’s knowledge to better perform ultrasound-guided vascular access procedures.
  • List the advantages and disadvantages of the “In-Plane” and “Out-of-Plane” and the “Direct” vs. “Indirect” ultrasound-guided vascular access techniques.
  • Differentiate venous vs. arterial anatomy by ultrasound.
  • Cite ultrasound imaging characteristics of vascular pathology that would indicate a vessel is not suitable for vascular access.
  • Demonstrate the use of ultrasound guidance for Central Line vascular access.
  • Demonstrate the use of ultrasound guidance for Peripheral Line vascular access.

Course: H

Ultrasound Guided Nerve Blocks in Emergency Medicine

Topics:

  • Ultrasound Imaging Fundamentals: The Basics
  • Ultrasound Guided Regional Anesthesia: Getting Started
  • Upper Extremity Nerve Blocks
  • Lower Extremity Nerve Blocks
  • Miscellaneous Nerve Blocks

Objectives:

  • Increase the participant’s knowledge and competence in performing regional nerve blocks.
  • Demonstrate imaging techniques for proper nerve identification and needle delivery of local anesthetics.
  • Cite the anatomic territories covered by specific regional nerve blocks.
  • Incorporate tips that improve block success and enhance patient safety.

Course: I

Pediatric Emergency Medicine & Critical Care Ultrasound

Topics:

  • E-Fast
  • Pediatric Urinary Tract
  • Pediatric GI Applications
  • Pediatric Abdominal Case Studies
  • Soft Tissue & MSK Applications
  • Scrotal Ultrasound
  • Advanced Thoracic Applications; Lung Imaging, Trachea, BLUE/FALLS
  • Ultrasound Guided Procedures; Vascular Access & Lumbar Puncture
  • Focused Cardiac Assessment of the Pediatric Patient
  • Shock & Hypotension: RUSH Protocol
  • Head & Neck

Objectives;

  • Identify normal imaging characteristics of the pediatric urinary tract and recognize commonly seen pathology associated with renal disease and the GI tract in infants and children.
  • Demonstrate protocols for evaluation of the trauma patient (FAST).
  • Perform a focused cardiac ultrasound examination on a pediatric patient.
  • List the benefits of soft-tissue and MSK ultrasound in the pediatric patient.
  • Perform testicular ultrasound and recognize commonly seen abnormalities..
  • Demonstrate protocols for the evaluation of shock and hypotension (RUSH).

 

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