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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 is based on the SAEM and ACEP Guidelines for Ultrasound Fellowships, and it will be enhanced by training in both our Adult and Pediatric Emergency Departments through a curriculum with emergency ultrasound-trained faculty and through hands-on experience with ultrasound experts outside the Emergency Department setting.

The Ultrasound Team

Overview: Stanford Hospital

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 combines the best of both worlds: educational and clinical 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 critical care, cardiac echo, and radiology departments, who are all exceptionally supportive of our ultrasound program. They also have phenomenal high-end didactic education that is open to our fellow. We enjoy an exceptional relationship with our surgical sub-specialists as well, and have mutually benefited from each other's educational resources in ultrasound.

Ultrasound Systems & Applications

In the Emergency Department itself, we have several top-of-the-line Sonosite M-Turbo ultrasound systems (EDGE systems have also been ordered), which are loaded with multiple transducers (including endocavitary), clip/image storage and workflow solution capability, and multiple software package enhancements. Each is housed in the different zones of the ED with an extra monitor for educational purposes. Another is housed in the Pediatric Emergency Department, and has dedicated pediatric/infant linear and low frequency probes. We also have a few hand-held Vscan systems for ultrasound education and research, and frequently trial new systems that are hot on the market. An Aloka machine and Philips Optigo system are available where needed and as back-ups for international ultrasound education. We use the systems for all basic and advanced point-of-care ultrasound applications, including E-FAST, Biliary, Aortic, Renal/Bladder, Echo/IVC, Orbital, MSK, Soft Tissue, Pediatric applications, Ob/Gyn, peripheral and central line placement and all other ultrasound-guided procedures.

Ultrasound Team

Ultrasound Fellowship: Teaching

Teaching will be a fundamental part of the Fellowship. Regular workshops are carried out to train rotating residents and medical students in point-of-care 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 a part of this training, we discuss cases with residents to review their scans and provide constructive feedback. We are also incorporating ultrasound into Stanford medical school curriculum and the fellow(s) are involved in those sessions. Our ultrasound team is also involved in the education of Stanford physicians who work in internal medicine and surgery clinics.

Stanford is also very involved in CME. We direct and teach ultrasound CME courses at Stanford Hospital and have opportunities to teach at local and national conference courses, as well as private courses. We have also collaborated with our International Emergency Medicine program, assisting with courses given around the world, including India, Guatemala, and the Middle East.

Many workshops are done at the Li Ka Shing Center, a top of the line simulation center that houses ultrasound simulation gel models, computerized ultrasound simulation equipment (VIMEDIX, Sonosim and others), and eight ultrasound systems.

Ultrasound Class

Ultrasound Fellowship: Research

Stanford Emergency Medicine also performs cutting edge ultrasound research. We currently have exciting critical care/resuscitation ultrasound research underway, as well as projects in collaboration with some of our other fellowships (Cardiovascular, Wilderness Med, Disaster/EMS, International). Each fellow will be encouraged to design a project of their own and carry out to publication with the assistance of the ultrasound team. During the year there are several case reports, interesting images, and ACEP Ultrasound Section Newsletter publications that the fellow co-authors as well.

Ultrasound Fellowship: Clinical Experience

The Fellowship position has the salary and benefits of a half-time Stanford attending faculty Clinical Educator appointment, with the potential for extra income from moonlighting (as long as it augments and does not impede the Fellowship experience/requirements) and from CME and CE courses 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 (8-hour) shifts per month as an attending in the Stanford ED (high acuity adult and pediatric ED), which is a Level 1 Trauma Center that has a 60,000 patients/year volume. Ultrasound Research

Additional Information

For more information on the Medical Student and Resident Emergency Ultrasound elective, EM Ultrasound team schedule of events, and EM ultrasound journal club, please visit: emultrasound.stanford.edu.

For information about or to apply to the Stanford Emergency Medicine Ultrasound Fellowship, please visit eusfellowships.com.

Feel free to contact any of the below members of the EM ultrasound team.


Laleh Gharahbaghian, MD, FACEP, FAAEM Laleh Gharahbaghian, MD, FACEP, FAAEM
Clinical Assistant Professor
Director, EM Ultrasound Program and Fellowship
Email:  
Stanford Faculty Profile

Phillips Perera, MD, RDMS Phillips Perera, MD, RDMS, FACEP
Clinical Associate Professor
Associate Director, EM Ultrasound Program
Director, EM Ultrasound Research
Email:
Stanford Faculty Profile

Sarah R. Williams, MD, FACEP, FAAEM Sarah R. Williams, MD, FACEP, FAAEM
Clinical Associate Professor
Associate Residency Director
Past EM Ultrasound Program Director
Email:
Stanford Faculty Profile

Viveta Lobo, MD Viveta Lobo, MD
Clinical Instructor
Coordinator, Medical Student/ Resident US education
Director, Visiting Scholars Program
Email:
Stanford Faculty Profile

Division of Emergency Medicine
Stanford University Medical Center
300 Pasteur Drive, Alway M121
Stanford, CA 94305
Phone: (650) 725-9668
Fax: (650) 723-0121


Past Ultrasound Fellows and Current Employment

Fellowship Year
Name
Current Position
2004-2005 Cathy Oliver, MD Department Chief, Emergency Medicine
Past Director, Emergency Ultrasound, Queens Medical Center
2005-2006 Teresa Wu, MD Director, Emergency Ultrasound & Simulation
Associate Residency Program Director, Maricopa Medical Center
2007-2008 Laleh Gharahbaghian, MD Director, Emergency Ultrasound Program and Fellowship, Stanford University
2008-2009 Steve Crandall, MD Director, Clinical Ultrasound, community group in Corvallis, Oregon
2009-2010 Brita Zaia, MD Director, Emergency Ultrasound, Kaiser San Francisco
2010-2011 Dave Francis, MD Director, Point-of-Care Ultrasound, Portneuf Medical Center, Idaho
Assistant Medical Director, Rocky Mountain Emergency Physicians
2011-2012 Zoe Howard, MD Director, Medical Student Ultrasound, Stanford University
2012-2013 Viveta Lobo, MD Director, Ultrasound Visiting Physician Program and Medical Student/Resident Ultrasound Elective, Stanford University

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