Stanford School of Medicine
Emergency Medicine

Stanford Emergency Medicine Ultrasound Fellowship

Beginning with the 2007-08 Fellowship cycle and yearly thereafter Stanford Emergency Medicine is offering an Emergency Medicine Ultrasound Fellowship that is open to outside application. This fellowship will be based on the ACEP Guidelines for Ultrasound Fellowships, but it will be enhanced by training in both our Adult and Pediatric Emergency Departments and with ultrasound experts outside the Emergency Department setting.  

Stanford is a world-class tertiary referral center and has exceptional specialty
training in many fields; we draw on that fact to augment your training.  The Fellowship will combine the best of both worlds: ultrasound in the ED, and great depth and breadth of experience in other related fields that will deepen your knowledge base considerably.

Outside the ED, specifically related to ultrasound, we have a dedicated Children's Hospital (Lucile Packard Children's Hospital) with their own ultrasound suite, and at the main hospital, superb cardiac echo and radiology departments.  We enjoy an exceptional relationship with our Trauma Surgery service, which uses ultrasound routinely, and our Radiology Department has been exceptionally supportive of our ultrasound program. They also have phenomenal high-end didactic education.  Our Cardiology Echo Lab has also been highly supportive of our Fellowships and ultrasound research. We will be using these and other resources in our Fellowship.

In the Emergency Department itself, we have several top-of-the-line Sonosite Micromaxx ultrasound systems, which are loaded with multiple transducers, medical grade DVD players, clip storage, multiple software packages, and thermal printers. One is stationed in the Trauma Suite and has an extra monitor attached for teaching purposes.  Another is stationed in the central area of the ED for multipurpose use.  A third is housed in the Pediatric Emergency Department, and has dedicated pediatric linear and echo probes.  A 4th portable Micromaxx ultrasound, 5th Aloka machine, and 6th Philips Optigo system are available where needed; including teaching the EM residents, faculty, and rotating house-staff and students. We use the systems for many applications, including FAST, extended FAST, line placement and other
ultrasound-guided procedures, ophthalmologic, biliary, aortic, limited echo, pediatric, and ob/gyn.

Teaching will be a fundamental part of the Fellowship. Regular workshops are carried out to train rotating residents and medical students in ultrasound, as well as workshops for EM residents and faculty in our Core Curriculum.  We teach a dedicated intensive two day ultrasound workshop during new intern orientation. Educationally, as part of this training, we meet with residents to review their scans (done here at Stanford as well as the other affiliated institutions - Kaiser, Santa Clara Valley Medical Center, and San Francisco General Hospital) and provide constructive feedback.

Stanford is also very involved in CME. We hold an annual Ultrasound Seminar in Hawaii in the Spring, and will be starting a new national Emergency Medicine Ultrasound training course for EM physicians in San Francisco this year. We also teach other ultrasound courses, at Stanford Medical School, as well as ACEP, CAL/ACEP, and private courses.  We have also collaborated with our International Emergency Medicine program, assisting with courses given around the world, including Bali, Egypt, and India.

Stanford Emergency Medicine also performs cutting edge ultrasound research. We currently have exciting airway ultrasound research underway, as well as high altitude ultrasound projects in collaboration with our Wilderness Medicine Fellowship. Several other projects are in the planning stage.  Each fellow will be encouraged to design a project of their own and carry out basic research.

The Fellowship position has the salary and benefits of a half-time Stanford attending faculty appointment, with the potential for extra income from moonlighting (as long as it augments and does not impede the Fellowship experience) and possibly from teaching as well.

In addition to ultrasound learning/teaching/research time both in the ED and with our off-service ultrasound rotations, the Fellow would keep up their general emergency medicine skills by doing eight or nine 8-hour shifts attending in the Stanford E.D., which is a Level 1 Trauma Center and has a Pediatric E.D. as well as an extremely high acuity general ED.

For information about the Stanford Emergency Medicine Ultrasound Fellowship, or for questions regarding research opportunities related to emergency department/critical care ultrasound, please contact:

Sarah R. Williams, MD, FACEP, FAAEM
Director, ED Ultrasound
Director, Stanford Emergency Medicine Ultrasound Fellowship
Email:
Faculty Profile: Stanford Faculty Profile
 
Division of Emergency Medicine
Stanford University Medical Center
701 Welch Road , Suite C
Palo Alto , CA 94304-5777
phone (650) 725-9668; fax (650) 723-0121


 

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