Fellowship

Welcome! The Department of Emergency Medicine supports an Ultrasound Fellowship for interested Emergency Medicine trained physicians.

Our Department offers a one year fellowship in Emergency Ultrasound with a focus on mastering the advanced use of bedside ultrasound and its instruction, as well as administration of an Emergency Ultrasound Program, including Quality Assurance and equipment/software maintenance.

This fellowship is open to residency trained emergency physicians, who are ABEM or AOBEM certified or board eligible. The fellowship requirements will be based on the ACEP and SAEM Guidelines for Emergency Ultrasound Fellowships. In the ED, the fellow will obtain advanced education in emergency ultrasound from the EM US faculty. This occurs during regular high-yield hands-on scanning shifts in the ED with the Ultrasound Fellowship trained faculty. There are also an abundance of lectures and workshops the fellow will be involved in and be able to use to enhance their education. Currently, we have eight EM residents per year in our three-year residency program.  Funding is available for up to two Ultrasound Fellows per year.

The emergency ultrasound mission is strongly supported by emergency department leadership.  Ultrasound is fully integrated into our clinical practice and all of our credentialed faculty use it for clinical decision-making.  We currently bill for ultrasound services used in clinical decision making. We have 5 ultrasound machines dedicated to patient care (2 designated to Trauma and Resuscitation Bays, 2 designated to the general treatment area and one to the Pediatric ED), as well as one US machine dedicated for educational purposes in our SIM lab.  Bedside ultrasound is increasing in emergency medicine, as well as in other specialties who closely work with our department, including internal medicine, surgery, critical care and OBGYN.  The ultrasound faculty teach frequent courses to clinical staff from the entire hospital including emergency medicine residents, PAs, critical care residents and fellows, obstetricians, as well as RNs. In addition, we are expanding into undergraduate medical education and are coordinating the ultrasound curriculum for first and second year medical students in the University of Florida College of Medicine.

About the Fellowship

Year Fellowship Started: July 2012

Number of Ultrasound Faculty: 5

  • 3 Emergency Ultrasound Fellowship trained faculty (Drs. Nickels, Flach and De Portu)
  • 2 Critical Care faculty with expertise and interest in ultrasound (Drs. Elie and Patel)

The majority of faculty at UF Health are credentialed in the use of various bedside ultrasound exams.

Faculty:

Benefits:

  • Competitive salary
  • Generous stipend for academic enhancement and conference attendance/presentations
  • Ample moonlighting opportunities within the UF Health system at the Main ED, Pediatric ED and Springhill Emergency Department for additional income, all covered by malpractice insurance and sovereign immunity

Required Clinical Hours:

  • 40 hours (5 shifts per month)
  • Significant opportunity for additional variable compensation at a highly competitive rate

IT solutions: The Emergency Ultrasound program is strongly supported by the IT and Radiology departments, leading to state of the art EMR ordering of ultrasound studies, as well as wireless order transmission and uploading of ultrasound images to the Qpath QA system, as well as to the PACS system for review by other services and long-term storage of clinical studies.

Quality Assurance: Utilizing the QPath program we perform QA with our fellows, residents and medical students to maintain the high standard set forth for Emergency Ultrasound studies at UF and to enhance their understanding of emergency ultrasound factual knowledge and administrative skills. Images, interpretations and medical decision making are reviewed and rated. The PDF report thus generated is sent back to the resident and faculty performing the study so as to provide realtime feedback and enhance their understanding of emergency ultrasound.

 

Critical Care Ultrasound

Critical Care Ultrasonography is a new discipline with real time adaptation to the critically ill patient. Speed of decision making is very important in the acutely decompensating critically ill patient and the ability to perform serial bedside limited ultrasound examinations to answer specific emergent conditions can be life-saving. The critical care physician must be able to acquire the images, interpret the images, make the bedside clinical decision, and use it in real-time to implement changes in management. Our goal is by the end of the fellowship, the critical care fellow will feel comfortable in acquiring and interpreting bedside critical care ultrasound exams.

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