Dubrovnik International University – DIU
Sv. Dominika 4, 20000 Dubrovnik, Croatia
Phone: ++385 20 414 111 - E-mail:
diu@diu.hr - www.DIU.hr
in collaboration with
Ian Donald Inter-University School of Medical Ultrasound
University specialized Fellowship study on
ULTRASOUND IN OBSTETRICS AND GYNECOLOGY
Postgraduate Fellowship program on Ultrasound in Obstetrics and Gynecology is
designed to train Ob/Gyn specialists to efficiently use different forms of ultrasound. The
objective of this unique program is to foster the rapid acquisition, integration and
application of clinical knowledge to the practice of diagnostic ultrasound in Obstetrics
and Gynecology. This program offers extensive experience in the ultrasound assessment
of high risk obstetric and gynecologic patients, as well as formal training and mentorship
in clinical and translational research. The fellowship consists of lectures, seminars and
hands on sessions. Top world experts in the field, engaged by Dubrovnik International
University and Ian Donald Inter-University School of Ultrasound will give didactic
sessions and state-of-the-art lectures on the use of basic and advanced ultrasound during
the course of 60% of the time. The remaining 40% of the curriculum is dedicated to
hands-on sessions organized in local and/or University hospitals and medical centers. The
clinical experience enables the fellow to become proficient at ultrasound application in
Obstetrics, Gynecology and Infertility. The use of various textbooks and monographies
written by educators (for example, Donald School Textbook of Ultrasound in Obstetrics
and Gynecology, 3rd edition) enhances the educational experience of the fellows. In
addition, each fellow will be subscribed to the Donald School Journal of Ultrasound in
Obstetrics and Gynecology.
The study consists of 6 obligatory and 1 elective modules with total of 300 hours and
44.9 ECTS.
1
Organizer:
Dubrovnik International University, Croatia
Duration of study:
One academic year, two semesters
Who can attend:
Those with a diploma of completed education, residents or
specialists of OB/GYN, license
If some of the applicants do not complete the program within the defined period of time,
they can continue in the next academic year. In these circumstances, they have to attend
all the missing lectures and pass the separate exam and final exam.
Practical experience assessment:
Log book and practical examinations
Practical experience: 150 examinations under supervision in gynecology including early
pregnancy
150 examinations in obstetrics
Description of 30 cases with image on 1 A4 page
Minimum 20 fetal malformations and 20 gynecology cases
This program is sponsored by
Ian Donald Inter-University School of Medical Ultrasound, and
World Association of Perinatal Medicine
Objectives of Fellowship program
After finishing this program the participants should be capable of:
1. Knowing how to use and adjust and being oriented with images produced by
transabdominal and transvaginal US.
2. Identifying and differentiating between normal and abnormal gynecological US
examination.
3. Identifying different pathology on pelvic US.
4. Performing complete US examination in all trimesters of pregnancy.
5. Learning how to write a comprehensive obstetric US report in the 1st, 2nd and 3rd
trimesters of pregnancy.
6. Performing a 1st trimester ultrasound scan.
7. Performing a complete fetal anatomy scan in 2nd trimester of pregnancy.
8. Recognizing fetal dysmorphology and knowing the significance of their presence.
9. Assessing fetal well being.
10. Knowing how and when to use color Doppler in Ob Gyn Ultrasound.
2
11. Witnessing and getting acquainted by the invasive procedures in fetal medicine.
12. Witnessing and being acquainted for the 3D/4D US application in Obstetrics and
Gynecology.
Faculty of the program
Leaders of the program
Asim Kurjak, professor, Zagreb, Croatia
Frank Chervenak, professor, New York, USA
International faculty
Aris Antsaklis, Greece
Guillermo Azumendi, Spain
Raydeen Busse, USA
Biserka Funduk Kurjak, Croatia
Ulrich Honemeyer, UAE
Sanja Kupesic Plavsic, USA
Eberhard Merz, Germany
Ritsuko Pooh, Japan
Vlatko Silobrcic, Croatia
Milan Stanojevic, Croatia
Ivica Zalud, USA
Orion Gliozheni, Albania
Selami Sylejmani, Kosovo
Assistants for hands-on
Salwa Abo-Yaqoub, Qatar
Inas Al Hameedi, UAE
Iva Lausin, Croatia
Matija Prka, Croatia
Amira Talic, UAE
Oliver Vasilj, Croatia
Apart from the quoted list most known national and international experts in the field of
OB/GYN ultrasound from all over the world will be invited each module to share in the
lectures and evaluation of the candidates.
Structure of the program
- Duration of the program is one academic year.
- It includes 6 modules covering the whole spectrum of US in OB/GYN and 1
elective module.
- Each module is delivered in a week.
- The attendance is on part time basis, i.e. the candidate should free him/herself
to complete each module separately.
- Schedule includes one module every two months (7 days of education every 2
months). Each trainee should complete 6 modules before being subjected to
examination.
3
-
-
Each module is composed of the theoretical part and practical training
(scanning demonstration and hands-on training which is almost 40% of the
curriculum).
Each module delivers 50 hours of training including the theoretical and
practical part.
Total number of hours allocated is 300 hours.
Each candidate is expected to complete his/her log book and present it at the
end of each module.
A comprehensive end of module exam will be given at the end of each
module. After completion of each module, the fellow should present or send
via e-mail the certificate proving attendance, which qualifies him/her to take
the summative (final) exam. Final exam includes ultrasound skills exam,
written essay and theoretical oral exam with committee of 3 examiners.
Detailed structure of the fellowship program
Module 1: US in Gynecology
Transvaginal US and transabdominal US
Learning outcome:
- Basic US physics
- How to perform transvaginal gynecological US
- Normal anatomy of female pelvis
- Normal and stimulated ovarian cycle
- Ovarian and adnexal masses
- Basic US in infertility
- How to write pelvic US report
- Advanced assessment of infertility by 3D and 3D power Doppler
- Screening in the first trimester
- Pelvic pain
- Advances in the assessment of early pregnancy
- The use of US in perinatal medicine
- US in postmenopause
- Breast Ultrasound
- Hands-on daily
- Slides only session
Module 2: US in the 1st trimester
Learning outcome:
- Current perspectives on gestational age assessment
- Anomalies that should not be missed by ultrasound
- Routine use of ultrasound
- 3D in the assessment of multiples
- Early human structural and fuctional development
- Ultrasound and recurrent abortion
- 3D sonoembryology
- Normal pregnancy
- Early pregnancy failure
4
-
Abnormalities in the first trimester
Ectopic pregnancy
First trimester screening
Diagnosis and treatment of multiple gestation
High order pregnancy
Echocardiography in multiple pregnancy
Module 3: Fetal well being (Fetal biometry and fetal growth)
Learning outcome:
- Fetal biometry in second and third semester
- Normal fetal growth
- Fetal growth restriction
- Detection of fetal hypoxia in IUGR babies
- Epidemiology of multiples
- Ten commands in diagnosis and management of late multiples
- Invasive procedures in multiples
- Neurodevelopment in multiple pregnancies
- Fetal abnormalities in multiples
- Assessment of fetal awareness in multiples – scientific fiction or reality
- Fetal growth changes in pregnant diabetic patient and how to monitor?
Module 4: Fetal anatomy – placenta – umbilical cord
Learning outcome: normal fetal anatomy
- US standard views for fetal anatomy
- Cranium – spine – face – neck
- Chest – heart
- GIT – renal – anterior abdominal wall
- Fetal skeleton
- Placenta and umbilical cord
- How to write an obstetric US report
Module 5: Fetal congenital anomalies
Learning outcome: understand the fetal dysmorphology from head to toe
- CNS anomalies
- Face-neck anomalies
- Chest and heart anomalies
- GIT and interior A.Wall anomalies
- Abnormalities in multiple pregnancies
- Renal anomalies
- Skeletal anomalies
- US in fetal infection
- Controversial US signs
Module 6: 3D and Doppler in gynecology and infertility
Learning outcome:
- Basics of Doppler
- 2D and color Doppler in gynecology
- 2D and color Doppler in infertility
5
-
3D US in obstetrics
3D US in gynecology and infertility
Interventional US in obstetrics and gynecology
Module 7: How to write scientific texts – elective module
Academician Vlatko Silobrcic, Croatia
CERTIFICATE AND DIPLOMA
After successful completion of the modules and satisfactory performance on final exam,
the fellow receives a certificate that he/she has successfully completed a Fellowship
program in Obstetrics and Gynecology Ultrasound, and become a Master of Ultrasound
in Obstetrics and Gynecology.
Administration
Secretary administrator: Ms Jadranka Cerovec
How to register
You can apply for the Fellowship through secretariat at jadranka.cerovec@yahoo.com
Literature
Compulsory
1. Kurjak A, Chervenak FA. Donald School Textbook of Ultrasound in Obstetrics
and Gynecology, 3rd edition. Jaypee Brothers, New Delhi, 2011
2. Kupesic S. Color Doppler, 3D and 4D Ultrasound in Gynecology, Infertility and
Obstetrics, Jaypee Brothers, New Delhi, 2011
3. Ahmed B, Adra A, Nese Kavak Z. Donald School Basic Textbook of Ultrasound
in Obstetrics and Gynecology, Jaypee Brothers, New Delhi, 2008
4. Kupesic S. Donald School video on Ultrasound in Obstetrics and Gynecology,
Jaypee Brothers, New Delhi, 2011
5. Subscription to the Donald School Journal of Ultrasound in Obstetrics and
Gynecology (Jaypee Brothers, New Delhi)
Optional
1. Kurjak A, Bajo Arenas J. Donald School Textbook of Transvaginal Sonography,
Jaypee Brothers, New Delhi, 2004
2. Carrera JM, Kurjak A. Donald School Atlas of Clinical Application of Ultrasound
in Obstetrics and Gynecology. Jaypee Brothers, New Delhi, 2006
3. Kurjak A. Donald School Atlas of Fetal Anomalies. Jaypee Brothers, New Delhi,
2006
4. Antsaklis A, Troyano JM. Donald School Textbook of Interventional Ultrasound.
Jaypee Brothers, New Delhi, 2008
6