SYLLABUS
College of Medicine
AY 2015-2016
Course title and number:
Term:
Meeting times and location:
EMED 809-00R-Emergency Ultrasound
Year round
Dr. Steve Jennings will specify date and time of your first shift.
Course Description and Prerequisites
http://www.tamhsc.edu/education/catalog/
The use of bedside ultrasound has become standard of care in the practice of emergency medicine.
Focused bedside emergency ultrasound is used for diagnostic purposes as well as to assist with various
procedures including but not limited to central line placement, fracture reductions, and incision and
drainage.
This elective will provide students with an introduction and basic understanding of ultrasound physics,
knobology, ability to acquire appropriate ultrasound images, interpretation of those ultrasound images, and
limitations of bedside ultrasound. They will be expected to demonstrate 4th year medical student level
competency in performing FAST, thoracic, biliary, aortic, cardiac, DVT, ocular, and soft tissue imaging. Dr.
Steven Jennings who is board certified in emergency medicine as well as a registered diagnostic medical
sonographer will provide 4 hours of lectures in bedside emergency ultrasound. Students will receive
additional teaching during their shifts and be expected to acquire a minimum of 50 images during 8 eighthour shifts with A&M faculty. Additional online reading and videos will be assigned as well.
Instructor Information
Elective Director
Steven Jennings, MD, RDMS
Name
214.908.4033
Telephone number
Email address
By appointment
Office hours
Name
Telephone number
Email address
Office hours
Office location
Office location
Coordinator
Katy Thaler
512.341.4994
thaler@medicine.tamhsc.edu
By appointment
3950 N. AW Grimes Blvd
Round Rock, TX 78665
Learning Outcomes & Objectives
-Learn basic physics related to ultrasound technology
-Learn technical aspects of ultrasonography including probe selection/manipulation, knobology, and image
acquisition for later review.
-Understand the indications as well as limitations related to the use of bedside ultrasonography
-Perform and record cardiac, abdominal, ocular, and extremity ultrasounds
-Demonstrate ability to obtain as well as interpret key bedside ultrasound images
Upon completion of the course, students will be able to:
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development:
http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Date Created/Revised: 3/4/2016 By: K. Thaler
Course Objective:
Demonstrate knowledge of
relevant anatomy for
bedside ultrasound.
COM Competency
Based Learning
Objectives (CBLO):
PROF1, PBLI3, PBLI4
Taught (T)
and/or
Evaluated (E):
T, E
Evaluation:
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
Review and critique of
images stored in electronic
portfolio.
Learn technical aspects
involved in probe selection
and image manipulation on
screen (gain, depth,
measurements, saving
images, etc).
PC9
Interpret normal vs.
pathologic findings on
bedside ultrasound.
PBLI, PC5, PC6, PC7
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
Review and critique of
images stored in electronic
portfolio.
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
Review and critique of
images stored in electronic
portfolio.
Understand and
communicate to patient
limitations of bedside
ultrasound.
PROF3, PBLI5, ICS2
Demonstrate awareness
and sensitivity to patient
privacy during acquisition of
bedside ultrasound images.
PROF2, PROF4,
PROF5, CC2
Maintain a portfolio of
acquired ultrasound images
on an electronic storage
device for review by
attending.
PBLI2
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
Review and critique of
images stored in electronic
portfolio.
Demonstrate awareness
and sensitivity to patient
privacy during acquisition of
bedside ultrasound images.
PROF2, PROF4,
PROF5, CC2
Date Created/Revised: 3/4/2016 By: K. Thaler
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
Create a clinical
question/study design
related to the use of
bedside ultrasound to
further develop as a
medical student or resident
(actual study will not be
designed nor completed
during this 2 week course).
PBLI6
T, E
Observation by attending of
interactions with patients.
Clinical evaluation by
attending after each shift.
Review and critique of
images stored in electronic
portfolio.
Textbook and/or Resource Material
Course materials are available online 24/7.
Students will be expected to complete web based reading from American College of Emergency Physicians
online ultrasound course at www.sonoguide.com. Another useful resource may be found at
http://www.emergencyultrasoundteaching.com/narrated_lectures.html as well as a very brief free smart
phone app entitled “One Minute Ultrasound.”
REQUIRED:
-American College of Emergency Physicians online ultrasound course at www.sonoguide.com.
RECOMMENDED:
-Dr. Geoff Hayden’s website http://www.emergencyultrasoundteaching.com/narrated_lectures.html
-Brief “One Minute Ultrasound” smart phone app
There is no required textbook, but resources for additional reading will be provided as needed.
Grading Policies
Clinical evaluation on each shift
Acquisition of 50 adequate ultrasound
images obtained and recorded by student
for review
50%
50%
100%
GRADING SCALE
Pass
Fail
Attendance and Make-up Policies
Students must attend 4 hours of lectures by Dr. Jennings. While expectation is 100% attendance, up to 2
excused absences will be allowed to be rescheduled if needed without having to remediate the course. An
absolute minimum of 50 cases must be logged on personal USB device to pass the course; otherwise
additional shifts will need to be done until minimum number images of images are obtained.
Date Created/Revised: 3/4/2016 By: K. Thaler
http://student-rules.tamu.edu/rule07
Other Pertinent Course Information
Because the schedule for this elective is dependent on faculty emergency department schedules, shifts will
be determined based on attending shifts in ED. This means that shifts may occur at anytime during the 2week rotation including weekends, holidays, and nights.
Students will use personal USB drive to store images obtained for their ultrasound images portfolio (no
identifying patient information will be stored on USB drive).
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
reasonable accommodation of their disabilities. If you believe you have a disability requiring an
accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For
additional information visit http://disability.tamu.edu.
Any student with a disability who needs accommodation should inform the instructor at the beginning of the
course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and
honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with
the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the
course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas,
processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of
another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions
can be viewed on the Aggie Honor System Office website;
http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
E-mail Access and FERPA
The College of Medicine is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources
and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering
for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any
questions, please contact the TAMU’s Office of the Registrar at 979-845-1031.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the
privacy of education records, to establish the rights of students to inspect and review their education records and to
provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also
have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education
in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
Date Created/Revised: 3/4/2016 By: K. Thaler
The College of Medicine is committed to providing a positive learning environment in which students can meet their
academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs
of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation
and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student
mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or
patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through
an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues,
please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Date Created/Revised: 3/4/2016 By: K. Thaler