Date approved or revised January 2014 Angelina College Health Careers Division DMSO 2461-Clinical-DMS/Sonographer and Ultrasound Technician Tenative General Syllabus I. BASIC COURSE INFORMATION A. Course Description: A health-related work-based learning experience that enables the student to apply specialized occupational theory, skill, and concepts. Direct supervision is provided by the clinical professional. Four hour credit. 384 clinical hours. B. Intended Audience: Students enrolled in the Diagnostic Medical Sonography Program. Clinic Hours: 8:00am-3:30pm C. Instructor: Casey Davis Autumn Conner Office Location: HC II 222 D HC II 222 B Office phone: 936-633-5268 936-633-5422 Office email: cdavis@angelina.edu aconner@angelina.edu II. INTENDED STUDENT OUTCOMES: A. Core Objectives – (Basic Intellectual Competencies-Tentative) 1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information. 2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication. 3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions. 4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal. 5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making. 6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities. 5/9/2011 B. Course Objectives for all sections – Upon completion of this course, the Sonography student will be able to: 1. Identify the anatomy visualized in all body planes. 2. Identify the anatomic place visualized and the patient position. 3. Describe protocol to complete examinations. 4. Demonstrate an understanding of the various types of ultrasound equipment and how to choose the proper type for a particular examination. 5. Demonstrate a working knowledge of equipment image optimization and transducer selection for each particular examination. 6. Explain variations in technical factors and scanning techniques for varying body habitus and uncooperative patients 7. Explain the working relationship with the ultrasound department and other departments within the hospital. 8. Describe the standard operating procedures of the ultrasound department. 9. Describe the comparison of ultrasound to other image modalities. 10. Identify the orientation of the sonogram, the annotation, instrumentation, and scanning sequence. 11. Verbalize the correct ultrasound terminology as it relates to describing anatomical structures. 12. Complete procedures necessary for producing diagnostic sonographic images. 13. Identify associated pathologies. 14. List possible exam differential diagnosis. 15. Adhere to concepts of team practice that focus on organization theories, roles of team members and conflict resolution. 16. Execute imaging procedures under the appropriate level of supervision. 17. Adapt to changes and varying clinical situations. 18. Support patient-centered clinically effective service for all patients regardless of age, gender, disability, special needs, ethnicity, or culture. 19. Integrate the use of appropriate and effective written, oral, and nonverbal communication with patients, the public, and members of the health care team (peers, physicians, nurses, administration, etc) in the clinical setting. 20. Choose patient and family education strategies appropriate to the comprehension level of patient/family. 21. Evaluate the patient’s status and condition before, during and following the sonogram to demonstrate competence in assessment skills. 22. Report equipment malfunctions to assist with appropriate corrective actions. 23. Support safe, ethical, and legal practices. 24. Integrate the sonographer’s scope of practice into the clinical practice setting. 25. Act consistently to maintain patient confidentiality standards. 26. Break down the chain of command in emergencies, disasters, and accidents. 27. Adhere to national, institutional and/or department standards, policies and procedures regarding care of patients, provision of sonographic procedures and the reduction of medical errors. 28. Describe and maintain a professional demeanor and work ethic within the clinical setting. WECM End –of-Course Outcomes: As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry. C. Course Objectives as determined by the instructor – 5/9/2011 III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Assessments for the Core Objectives – 1. Critical Thinking Skills –n/a 2. Communication Skills –n/a 3. Empirical and Quantitative Skills –n/a 4. Teamwork–n/a 5. Personal Responsibility –n/a 6. Social Responsibility –n/a B. Assessments for Course Objectives for all sections – SCANS Skills Assessments Foundation Skills Required Reading Written Assignments Decision making & Problem Solving Mathematical Calculations Demonstrated Competency in Lab Workplace Competencies Acquires and Evaluates Information Organizes and Maintains Information Applies technology Participates as a Team Member Demonstrated Competency in Clinical C. Assessments for the Course Objectives as determined by the instructor – Non-applicable IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections Methodologies utilized in this course include familiarization with examinations, procedures, image evaluation, and equipment which will occur through explanation, observation, demonstration, guided practice, and evaluation. B. Methodologies determined by the instructor-same as above One or more of the following methods will be employed: 1. Observation 2. Laboratory demonstrations 3. Discussion 4. Demonstration/Performance 5. Communication through web enhancement using Blackboard 6. Individualized instruction (as needed) V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – Clinical Notebook Pocket Notebook Sonography Program Handbook Ultrasound Scanning: Principles and Protocols, 3rd Edition Clinical Sonography A Practical Guide-4th Edition, Sanders Clinical Guide to Ultrasonography-Henningsen Ultrasonography in Obstetrics and Gynecology, 5th Edition, Callen Diagnostic Ultrasonography, 6th Edition- Hagen-Ansert 5/9/2011 B. Assignments – 1. Log onto Blackboard and post the Clinical Orientation Statement no later than January 27th. 2. Work Trait Evaluations- must be completed by sonographers who have the student in the clinical setting and/or completed competency exams with the student. The number of student Work Trait forms may vary according to student rotation assignments. The college clinical instructor will also complete a work trait evaluation. The evaluations will be done at mid semester and at semester end. The total number of points reflects the overall professional judgment of the evaluator. 3. Clinical Notebook- A program clinical examination log sheet as well as all semester appropriate forms is to be maintained by the student and checked during the Work Trait Evaluation by the assigned clinical instructor. The notebook must be in an area accessible at the clinical site (not in a personal backpack/bag) for the clinical instructor. 4. Pocket Notebook-A program pocket notebook is to be maintained by the student and may be checked at any time by the preceptor or clinical instructor. The pocket notebook should include anything that deviates from the AC sonography exam protocols, notes regarding workflow, supplies, special procedure set ups, etc. 5. Clinical Objectives- These objectives must be met by the specified due date. If the objectives are not met there will be a 14.3 point deduction for each section that is incomplete. (ACDMSO Form 26) a. Journal entries (ACDMSO Form 35) (two per week) will be included in the weekly clinical objectives requirements. 6. Eight (8) Clinical Competencies- After sufficient practice, students will demonstrate competency in performing the selected sonographic examinations: (1) Complete Abdomen – advanced, (2) Liver/Gallbladder, (2) Renal, (1) Pelvis, (2) Obstetric (2 nd or 3rd trimester) Evaluation of each competency is achieved through the use of the appropriate form. Competency is achieved when the student attains a passing grade of 85 or above. 7. Mandatory/Elective Competencies-Must be completed this semester. Check ACDMSO Form#17 for a list of elective competencies. 8. Clinical Goals-The student will complete a Clinical Goals form during the first week of clinic. These goals must be specific and measurable. 9. Video Project-You will be assigned in groups for a video project. There will be 2 groups of 2 and one group of 3. Details will be provided on a separate sheet. Due date: 4/30/14 10. Student Evaluations: The student will complete a self-evaluation and an evaluation of the clinical site/preceptor at semester end. Important Dates 1/22 3/7 1st clinical day Spring Break—Early Dismissal--Noon 3/21 3/24 4/25 4/30 5/2 5/7 Mid semester First day at new clinical site All semester competencies must be complete. Complete learner survey on Blackboard. Video projects due. Last clinical day 9 a.m. Work Trait Evaluations given on campus Bring completed self-evaluations, clinical instructor evaluations, daily procedure log and attendance sheet. 5/9/2011 C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College Bulletin and Sonography Program Handbook.) Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must selfidentify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. Angelina College admits students without regard for race, color, creed, sex, national origin, age, religion, or disability. Inquiries concerning sex equity, disability or age should be directed to Dr. Patricia McKenzie at (936) 633-5201, Angelina College Administration building, Room A105. Attendance – NOTE:**If you are going to be absent from clinical, you MUST call the assigned Clinical Instructor (AC Office #) and assigned hospital BEFORE 8:00 a.m. Leave a voice mail** You may not leave clinic early unless approved by your clinical instructor. If your preceptor dismisses you early it MUST be approved by your clinical instructor. If you leave without verbal approval from your instructor an absence will be recorded. Additional Policies Established by the Individual Instructor – It is the policy of the instructor that the student be responsible for knowing and understanding the information contained in the AC and Program Student Handbooks. The student is advised to carefully and thoroughly read the handbooks and to review them periodically. Students having any questions regarding rules, requirements, or policies as stated in the handbook should contact their clinical instructor for clarification. If the need arises, information in this course syllabus may be altered by the instructor. Students will be given adequate notice of any schedule changes. VI. COURSE CONTENT: A. Required Content/ Topics – I. Course Syllabus, Program Handbook II. Sonographic Equipment Orientation III. College and Hospital Regulations and Procedures IV. Performs required clinical progressive/competencies. B. Additional Content -none VII. EVALUATION AND GRADING: A. Grading Criteria I. Competencies: All attempts of a required competency will be averaged together for a final grade for that specific competency. You must achieve an 85 or above to pass each competency. Ex. If you attempted an Abdomen competency and failed with a 75, and on the second attempt you passed with an 87. Then you would pass that competency but the grade recorded would be an 81. The more attempts the lower you recorded grade will become. You must independently perform the exam and meet the required standards without the assistance of the preceptor. II. Work Trait Evaluations: The following grading scale only applies to the work trail evaluations. a. 80-100pts = A b. 70-79pts = B c. 60-69pts = C d. 40-59pts = D e. 20-39pts = F III. Competencies (8) 45% Work Trait Eval. (2) 25% Bi-Weekly Clinical Objectives 15% Video Project 15% 100% 5/9/2011 B. Determination of Grade 92-100 = A 70-74 = D 83-91 = B 0-69 = F 75-82 = C VIII. SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. 5/9/2011