Physical Diagnosis Group #2
3/7/2015
WALLER, HYDE, OYEDELE, BERND,
SWENSON, MARTINEZ, RAMEN,
SCHWINDINGER, TALWAR
FORNARI, BAHNER, HENNEMAN
OUTLINE
 Goal
 Learning Objectives
 Nuts & Bolts
 Assessment
GOAL
 To create a curriculum for UGME
(first 2 years) to focus on venous
anatomy, physiology (CVP) and
pathology -- in the context of
physical exam and ultrasound
correlation.
LEARNING OBJECTIVES
 PHYSICS AND ULTRASOUND BASICS

Demonstrate ability to visualize/quantify vessels (size, flow rate) & optimize the image using
appropriate modalities (probe choice & mode) & technical settings (gain, depth et al)
 ANATOMY / PHYSIOLOGY


Compare and contrast veins / arteries utilizing histologic, gross anatomical, physiological,
and US characteristics while linking these features.
Predict the effect of normal physiologic changes on venous flow and capacity
 CLINICAL SKILLS & COMMUNICATION



Explain the information needed to obtain informed consent from a patient for an ultrasound
procedure (diagnostic)
Acquire images of central veins and utilize various modalities to estimate CVP
Predict volume status by measuring CVP using ultrasound and correlate to the physical
exam
 PATHOLOGY


Explain the effects of decreased intravascular volume, obstructive shock, and right sided
heart failure on the size/appearance/resp. variation of the IVC
Describe the pathophysiology of a DVT and its local and systemic effects
NUTS & BOLTS (strategies)
 Utilize various pedagogy  Learning/Teaching
for each LO grouping
 Independent Learning
 Lecture / TBL / Flipped
 Physics/US-Basics
 Small Group / Practicum /
 Anatomy/Physiology
PBL
 Clinical
 Deliberate Practice
Skills/Communication
 Direct Observation /
 Pathology
Assessment
ASSESSMENT
 General Principles:

Formative Assessment: after each sub-section w/ some MC
questions on Physics/US-Basics; more short essay and standardized
pt encounters for anatomy/clinical/path
Physics/US-Basics: 1-on-1 demonstration of ability to find vessels,
visualize in 2 views w/ flow; measure flow/diameter; various
modalities
 Anatomy/Physiology: shown images or clinical context; answering
short essay & oral exams
 Clinical Skills/Communication: direct observation / portfolio
(ability to visualize vessels)
 Pathology: shown images or clinical context; answering short essay
& oral exams


Summative Assessment: includes portfolio; practice
demonstration (simulation w/ clinical context and scanning w/ post
encounter essay)
?