POCUS (Point of care Ultrasound)

The residency Ultrasound/POCUS curriculum is an asynchronous, longitudinal "rotation" geared at helping our residents graduate with competency in a variety of ultrasound applications, including in outpatient, inpatient, obstetrics, and underserved and international global health settings.

The Ultrasound/POCUS curriculum is built around the following core components:

PGY-1:

1. Orientation to inpatient POCUS during orientation

2. Orientation to Outpatient POCUS during FMC 2 week block

3. Full day POCUS Workshop featuring interactive didactics mixed with live-model lab time, reviewing ultrasound basics/knobology and practicing common inpatient and outpatient family medicine applications

4. ICU Rotation - Residents should observe and attempt to perform placement of a central line/a-line using ultrasound guidance.

PGY-2

1. POCUS 1:1 precepting: 2-hour sessions scheduled during various rotations (Surgery, TCH ER, Ortho, other).

2. Inpatient POCUS precepting on B Team Wednesdays and on a case-by-case basis as the schedule allows, through the teaching of IP attendings and senior residents during rounds or admissions

3. Inpatient POCUS conference every 2 weeks to review key inpatient heart and lung applications (CLUE, etc)

4. Cardiology Rotation - Residents should observe one performed echocardiogram during their cardiology month and review the interpretation of one echocardiogram by a cardiologist.

PGY-3

1. Urgent Care - During this 2-week senior rotation, residents are “on call” during their Fast Track shifts in the TCH Emergency Room Ultrasound to provide POCUS scans for the TCH ER physicians.

Additional longitudinal POCUS learning opportunities:

1. FMC Patient Care - Throughout residency, residents should utilize the FMC Ultrasound to enhance their physical exam in the FMC.

2. Maternity Care/OB - All residents are encouraged to utilize their maternity care experiences in the FMC, PNC, and on L&D to practice OB ultrasound

3. Global Health Guatemala - Residents typically have opportunity to use POCUS during the Wuqu Kawoq Field Experiences throughout residency.

4. Online learning modules (20 hours total) completed longitudinally during multiple designated rotations.

POCUS Elective Opportunities:

1. Ultrasound/POCUS elective (or mixed with Radiology elective)