Ultrasound

Clerkship Director: Ashish P. Wasnik, MD (ashishw@med.umich.edu, pager # 16441)

Assistant Clerkship Director: Kim Shampain, MD (kshampai@med.umich.edu, pager # 20833)

Administrative Contact: Kim Desbrough (desbroug@med.umich.edu) Ph: (734) 615-9016

WELCOME to Ultrasound clerkship! Details of your elective are listed below. Please contact Dr. Wasnik or the elective coordinator, Kim Desbrough at 615-9016, or desbrough@med.umich.edu

Introduction

This elective is designed to introduce students to abdominal and pelvic ultrasound imaging in the clinical setting. The student will have an opportunity to observe the ultrasound (US) scans being performed and also interpretation of US images. You may participate in basic ultrasound scanning.

Schedule

The first day of your rotation Kim Desbrough will meet you in Radiology library and give you orientation of the rotation. Dr. Wasnik/ Dr. Shampain will meet you and briefly go over the specifics of the ultrasound rotation.

You are expected to be in the reading room from 8:30 am – 12:00 noon (optional till 5:00 pm). The reading rooms can be busy places. Please wear white coat and your id badge at all times. Please introduce yourself to the physicians, fellows, residents, ultrasound practitioners, nurses, technologists and reading room coordinators who may be present. All have something to offer and would like to be engaged.

Please send electronic evaluation forms/link to the faculties/fellows that you may have worked for daily assessment.

General Review of Course

This specialty elective gives you an opportunity to understand the basic principle of ultrasound and its clinical application in a variety of clinical settings (emergency room, in-patients, out-patients). You also get an opportunity to observe the scans being performed. The ultrasound reading room is divided into (a) Main US reading room which provides services to ER patients, in-patients and scheduled out-patients including procedures like sonohysterogram and (b) US room-2 which provides services to 4 satellite locations of the UMHS. This elective will help you enhance your knowledge and skills related to interpretation of ultrasound images in appropriate clinical settings and formulating the diagnosis which helps direct the clinical decision and management. You will observe the residents, fellows and faculty reading the cases as well as partake in clinical and imaging based discussions and one-to-one teaching of the residents and fellows during case staffing by the faculty.

Available Teaching Conferences

Remember, all of the abdominal imaging conferences are optional, but you are encouraged to attend.

Resident Teaching Conference
Each day 12 – 1:30 pm, UH 2C108 (presented by fellows)

Body CT Conference
Every Friday, 7:30 - 8:30 am, UH 2C108 (presented by residents and fellows)

Resident Teaching Conference
Every day, 12 - 1:30 pm, UH 2C108 (presented by faculties)

Body US Conference
Every other Tuesday, 12 – 1:30 pm, UH 2C108 (presented by fellows)

End of Rotation Presentation

  • If you are in women’s imaging rotation, you are required to present 2 cases as oral PowerPoint presentation in 6 minutes and if 4 weeks Ultrasound rotation you are required to present 3 cases as oral PowerPoint presentation in 9 minutes (on the provided template) to Dr. Wasnik/Dr. Shampain and the other student(s) in the last week of the rotation. You will be informed about the date and location for your presentation in the third week. (Kim Desbrough will schedule this).
  • Choose 3 cases you have seen during your rotation. These are short succinct presentations with emphasis on imaging aspects and should NOT exceed 9 minutes for 3 cases (you may lose points for longer presentations).
  • Preparing the conference entails using webpacs to import selected images. Alternatively, images can be imported from clinical workstations (PACS) using departmental RadPix software into PowerPoint.
  • You will need help from radiology residents, fellows, or attending radiologists to get started. Review studies during the workday with any radiologist beforehand to select appropriate images. Do not use patient name. MRN for cases can be added ONLY on the first slide. Please e-mail your presentation to Kim Desbrough one day before the schedule presentation.
  • Please use original images for your presentation, although occasionally you may use web images or illustrations to augment your presentation.
  • Kim Desbrough can assist you with using the departmental resources that are needed.
  • Each teaching file case must be fully worked up, including: history, imaging findings, diagnosis, brief differential diagnosis, and discussion of disease with focus on relevance to the imaging features. Try to include ACR appropriateness criteria pertinent to the case. Information from textbooks and pertinent publications as references is expected.

Evaluation and Grading

Daily attendance and compiling the four (4) teaching file cases are required to achieve pass. A grade of honors can be achieved by completing additional work under the supervision of one of the radiology faculty/fellow and or strong recommendations from faculties you may have worked during the rotation. This may include additional teaching file cases, preparation of a case report, participation in or contribution to a research project, etc. The quality and intensity of the additional work completed will be evaluated in determining your grade. Bear in mind that extra work of poor quality may not merit a grade of high pass or honors. Similarly, a grade of high pass or honors may be also achieved on the basis of an outstanding performance during the required daily clinical activities (as recommended by faculties), attendance and the required teaching files.

Recommended Reading Material

  • Diagnostic Ultrasound: Abdomen and Pelvis by Kamaya et al
  • Diagnostic Imaging: Abdomen and Pelvis by Federle et al
  • Expert DDx: Abdomen and pelvis: Federle et al