UCSF CME: Point of Care Ultrasound for the Hospitalist 2021

Overview:

The UCSF Point-of-Care Ultrasound (POCUS) for the Hospitalist Workshop is a hands-on experience to learn the techniques of bedside ultrasound. Live demonstrations, case review, and didactics will complement hours of hands-on practice sessions. Participants will gain the skills, knowledge, and confidence to integrate bedside ultrasound into clinical practice.

The workshop is designed to maximize the participant’s time practicing ultrasound skills on live models. The groups will have a small ratio of participants learning (3:1 or less at hands on stations) from experienced instructors who utilize POCUS daily in the hospital medicine clinical environment. The curriculum will be based on practical skills needed for the hospitalized patient with a focus on protocols and cases that underscore how POCUS can be applicable in the real world. Specifically the participant will learn to obtain imaging of the heart, lungs, abdominal organs, and vascular structures as well as appropriate ultrasound guided technique for procedures such as thoracentesis, central venous access, and paracentesis. The workshop also includes a special session on program development and economics of POCUS.

Objectives:

At the end of the workshop, a participant will have enhanced skills and strategies to:

1. Apply the fundamental principles of ultrasound technology and perform basic operation of a portable ultrasound machine;
2. Utilize techniques to perform bedside ultrasound for the purpose of procedural guidance (paracentesis, thoracentesis, central venous catheter placement, and lumbar puncture);
3. Utilize techniques to perform focused diagnostic ultrasound examinations at the bedside, including imaging of the heart, lungs, and major abdominal organs;
4. Recognize the indications for basic point of care ultrasound exams and protocols, in light of the clinical utility and limitations of bedside ultrasound imaging;
5. Practice interpretation of normal and abnormal ultrasound images.

Accreditation:

The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Course Outline:

November 4, 2021

8:00am-8:30am Breakfast & Pre-Test

8:30-9:00 Welcome 
Trevor Jensen, MD/Brandon Boesch, DO

9-9:45 Focused Cardiac UltraSound 

9:45-10:00 Break

10:00-12:00pm Scanning Live Models (4 stations)

1. Parasternal Long/Short
2. Apical 4 Chamber
3. Subcostal 4 Chamber and IVC
4. Abnormal Image Interpretation 

12:00-1:00 Lunch

1:00-1:30 Lung & Thoracentesis 

1:30-2:00 DVT, Central Venous Access, Skin/Soft Tissue 

2:00-2:15 Break

2:15-4:15 Scanning Live Models 

1. Lung (BLUE Protocol)
2. Cardiac/Shock Protocols
3. Leg DVT/Soft Tissue
4. Abnormal Image Interpretation 

4:15-5:00pm Competency & Clinical Integration 
Trevor Jensen, MD/Brandon Boesch, DO

November 5, 2021

8:00am-8:30am Breakfast 

8:30-9:50 Abdominal UltraSound 

9:50-10:00 Break

10:00-12:00pm Scanning Live Models 

1. Aorta and Branches, LUQ
2. RUQ, GU
3. LP, Paracentesis
4. Abnormal Image Interpretation 

12:00-1:00 Lunch

1:00-2:00 POCUS HM Program Management + Q&A

2:00-2:15 Break

2:15-4:00 Free Scan (+ Pathology) 

4:00-4:45pm Wrap Up & Post Test

Chairs:

Brandon Boesch, DO
Chief of Hospital Medicine,
Department of Medicine
Division of Inpatient Medicine Alameda Health System,
Oakland, California

Trevor Jensen, MD, MS
Associate Clinical Professor of Medicine
Division of Hospital Medicine
University of California, San Francisco
San Francisco, California

Faculty:

Travel & Lodging:

UCSF Parnassus Heights
Medical Sciences Building
513 Parnassus Ave (Room S-20/22), San Francisco CA 94143