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Hospital Medicine Point-of-Care Ultrasonography

Hospital Medicine Point of Care Ultrasonography (HM-POCUS) is a relatively new and dynamic field. The idea is simple: bring US – a powerful, portable, real time imaging technique – to the bedside. A group of hospitalists at NewYork-Presbyterian/Weill Cornell are proud and excited to be part of this emerging field.

Our HM-POCUS program is one of the largest in the country. Our faculty spans two hospitals, has taught ultrasound at national level (ACP and SHM) and is involved in developing policy around HM-POCUS sponsored by Society for Hospital Medicine. All of our core POCUS faculty have completed certification pathways by American College of Chest Physicians (ACCP) and/or Society of Hospital Medicine (SHM). Our qualified faculty now has hospital privileges in point of care ultrasonography.

We teach on every level: medical students, medicine residents, internal medicine fellows, hospitalists, and PAs. Our one-week POCUS class is designed to train participants to proficiency. The course includes didactic material, extensive image review, and hands-on scanning of life models. During the scanning, our student-to-faculty ratio is set not to exceed 3-1, but has not yet exceeded 2-1. During our last class, learners had 15 hours of one-on-one supervised "probe time" per week. Our training course does not end with 1-2 week "boot camp." We have implemented longitudinal yearlong curriculum, which includes hands-on supervised scanning sessions and image review. Finally, in order to complete the course, participants must also complete a portfolio of images and teach entry-level POCUS to others.

Of course, POCUS did not originate within hospital medicine, but after originating within emergency medicine arrived to us via critical care. Most of our program's core faculty have completed training in ICU POCUS offered by American Society of Chest Physicians (ACCP). Although at our institution hospitalists are the main practitioners and teachers of bedside ultrasonography, we continue to learn from other groups. Our monthly POCUS conference is a forum where IM, ER, Critical Care, Radiology, and Cardiology comes together to discuss cases.

HM-POCUS Course

Dates:
February 11-15, 2019
July 29-August 2, 2019

Contact Us

hmpocus@med.cornell.edu

Why POCUS?

Be at the forefront of medicine. Bedside ultrasound gives today’s physicians an advantage in making critical decisions without the delay of laboratory testing or imaging diagnostics.

Curriculum

This five-day course in New York City will give you the skills to confidently integrate POCUS into your everyday practice. Learn through hands on scanning, image interpretation, case discussions, and evidence review. The course covers applications in cardiac, pulmonary and pleural, renal, GU, abdominal, biliary, vascular, and musculoskeletal sonography.

  • Scan with live models
  • Uniquely low 2:1 student-to-teacher ratio
  • More hours of hands-on scanning than other national course

Who Are We?

Certified by the American Chest Society, our faculty are engaged in the development of national guidelines and teach at conferences held by the American College of Physicians and the Society of Hospital Medicine. And, moreover, we love to scan!

Who should attend?

The course is specifically designed for hospital medicine practitioners. However, the content will be useful to attendings, residents, and mid-level providers (PAs, NPs) in the following areas:

  • Hospital Medicine
  • Family medicine
  • Internal medicine
  • Critical care
  • Emergency medicine

Our Faculty

Tanping Wong, M.D.
Head of HM-POCUS program.
Assistant Professor of Clinical Medicine

  • Completed joint SHM/ACCP certification course
  • IM Residency: NYU/Bellevue Hospital, 1999
  • Med School: SUNY Brooklyn, 1995

Todd Cutler, M.D.
Assistant Professor of Clinical Medicine

  • IM Residency: NYU/Bellevue Hospital, 2013
  • Med School: NYU, 2009

Elaine Gee, M.D.
Assistant Professor of Clinical Medicine

  • Completed ACCP certification course
  • IM Residency: WashU/Barnes-Jewish Hospital 2009
  • Med School: Washington University, St. Louis, MO, 2006

Gregory Mints, M.D.
Assistant Professor of Clinical Medicine
Member of the Executive Council SHM POCUS Special Interest Group.

  • Completed ACCP certification course
  • IM Residency: NYU/Bellevue Hospital, 2002
  • Med School: SUNY Brooklyn, 1999

Paula Roy-Burman, M.D., DTM&H
Assistant Professor of Clinical Medicine

  • Completed ACCP certification course
  • IM Residency: Weill Cornell/NYP, 2012
  • Med School: Keck School of Medicine, USC, 2009

Agenda

Monday

8:00-8:30

Registration

8:30-8:45

Welcome & Introduction

8:45-9:15

Review of Anatomy and Probe position

9:20-9:40

Image Review - Renal and Bladder

9:45-10:05

Scan

10:10-10:30

Image Review - GU Pathology

10:30-10:45

Break (15 minutes)

10:45-11:05

Abdominal Differentials on US

11:10-11:30

Scan

11:35-11:55

AKI cases

12:00-1:00

Lunch

1:00-1:40

Image Review - lung/pleura

1:40-1:55

Break

1:55-2:35

Scan Lung/Pleura

2:35-2:50

Break

2:50-3:30

Protocol/Cases, Integration

4:00

Day #1 ends

Homework         

Cardiac Ultrasound video

Tuesday

8:30-9:00

Review: anatomy & probe position

9:05-9:25

EF video & M Mode

9:30-9:50

Scan PLAX

9:55-10:15

Image Review EF & M Mode

10:15-10:30

Break

10:30-10:50

Color Doppler video

1:55-11:15

Scan PSAX

11:20-11:40

Image Review valve, Doppler

12:00-1:00

Lunch

1:00-1:20

3D Anatomy of the Heart

1:25-1:45

Scan A4

1:50-2:10

Image Review

2:10-2:30

Break

2:30-2:55

Volume Status

3:00-3:25

Scan S4 & IVC

3:30-3:55

Ultrasound Cases (Volume Status IVC)

4:00-5:00

Scanning Clinic (optional)

Homework         

Pericardial Effusion and RV videos

Wednesday

8:30-9:00

Image Optimization PLAX

9:00-9:20

Scan PLAX

9:20-9:40

Image Review RV

10:10-10:25

Break

1:25-10:45

Image Optimization PSAX

10:50-11:10

Scan PSAX

11:15-11:35

Image Review pericardial effusion

12:00-1:00

Lunch

1:00-1:20

Image Optimization A4

1:25-1:45

Scan A4

1:50-2:10

Shock Protocol

2:10-2:25

Break

2:25-2:45

Image Optimization S4

2:50-3:10

Scan S4

3:15-3:35

Cases

4:00-5:00

Scanning Clinic (optional)

Homework       

Watch Aorta, LE veins, and GB videos

Thursday

8:30-9:00

Review of Aorta Anatomy

9:05-9:45

Scan Aorta & GB

9:45-10:00

Break

10:00-10:45

Image Review: Aorta & GB

10:45-11:00

Break

11:00-11:45

Cases (combined)

12:00-1:00

Lunch

1:00-1:30

Review of LE veins: anatomy

1:40-2:40

Scan LE veins

2:20-2:30

Break

2:30-3:10

Image Review: LE veins & cases

3:10-3:20

Break

3:20-4:00

Evidence

4:00-5:00

Scanning Clinic (optional)

Homework        

MSK videos

Friday

8:30-9:10

Scan MSK

9:15-9:25

Break

9:25-10:05        

Cases (Nilam Soni)

10:05-10:20

Break

10:20-11:00

Cases

11:00-11:15

Break

11:15-12:00

Resources & Program planning

12:00-1:00

Lunch

1:00-2:00

Practical Exam

2:00-3:00

Written Exam

3:00-4:00

Wrap Up & Test review

4:00

Day #5 ends

Testimonials

Thanks again for this amazing course. It was very well organized and the rest of your staff were outstanding. I am looking forward to continue growing on my POCUS skills and knowledge.

Your team has created such a wonderful POCUS workshop. No regret to come to NYC all the way even though air travels are not my strongest activity.
Tanping, your caring support for learners like a mother, and your leadership that made the faculty team together created this workshop 200% worth. It was nice to experience the sound team dynamics you creates. Also, Gregg, the Russian Czar of US, was very attractive feature of this workshop. Todd was gentle and sweet like a cotton candy. Very attractive team. This workshop reminded me again and again it is very important to create attractive teaching environment. Thank you very much for everything. I learned POCUS and more than POCUS.

Thank you for an amazing week. The hard work you and Greg put into the course was evident and much appreciated. I am really grateful to have had the opportunity to take the class, and look forward to furthering my skills out on the wards.

I really appreciate the time, thinking and dedication shown by your Team to produce this excellent POCUS course. They were excellent and well tutored scanning time at bedside. The faculty is highly engaged and enjoy their skills. Open interactions.

Organized, practical and taught by people who both are very skilled at POCUS and skilled teachers

The instructors were phenomenal and really made the course wonderful.

Good size group allowing for optimal practical time. Well organized.

Disclosures

This is an in-depth introductory course. At completion of the course participants are expected to feel confident enough to start the life-time journey of learning POCUS. Successful completion of this course should be thought of as a beginning, not the end, of your training.

Teaching will mostly take one of the 3 forms: didactics, image review, and hands-on scanning, each lasting up to 1 hour. Each group will be small (no larger than 10 learners).

Scanning will be done on live models, some of them with identifiable sonographic pathology. The ratio of learner-to-instructor during hands-on sessions will not exceed 2:1.

Expect to spend 1 hour a day watching additional didactic video material which we will provide.

Aside from image acquisition, the course covers practical aspects of relevant fields of POCUS, pathology, integration into clinical practice, and evidence behind its use.

On the last day of the course there will be a written multiple-choice test and a practical skill test.

Written test: the test is in multiple choice format and includes only material specifically covered in the course.

Practical skill test: This will be administered on human models with 1-on-1 with the examiner. The following is the list of skills that will be taught in the course. For practical reasons, we cannot test participants’ performance on every task, and learners will be tested on a random subset of skills drawn from the list (by computer generated random number algorithm run on the last day of the course).

Two versions of a certificate of the course completion are available. Those who successfully pass both written and practical skill tests will receive a “certificate of successful completion of the course”. Those who do not will receive a “certificate of course attendance”. Both will be eligible for the same number of CME credits.

Only those who successfully pass both examinations will receive the certificate of completion. The passing grade on the written test is 80%.

Please note that, for the course to function smoothly, all scheduled activities will start exactly on time, regardless of the number of learners present at the time.

Contact Information

General Internal Medicine

Monika Safford, M.D., Chief

Anita Mesi, Administrator
Tel: (212) 746-3443
Fax: (212) 746-1014
GIM-Admin@med.cornell.edu

Ambulatory Medicine

Judy Tung, M.D., Section Chief

Hospital Medicine

Arthur Evans, M.D., M.P.H., Section Chief

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