Approved by the ACEP Board of Directors, June 2014
The American College of Emergency Physicians (ACEP) believes that certification by non-emergencyÂ medicine external bodies, organizations, societies or other medical specialties or upon short courseÂ completion is inadequate to demonstrate comprehensive training, knowledge, and skill in the practice ofÂ emergency ultrasound.
Emergency ultrasound comprises a set of focused applications utilized to diagnose life-threateningÂ conditions, guide invasive procedures, and treat emergency medical conditions. Both residency-basedÂ and practice-based pathways exist for emergency physicians to demonstrate competency in emergencyÂ ultrasound as detailed in the ACEP policy statement, â€œEmergency Ultrasound Guidelines.â€
Any non-emergency medicine external certification process would impede the use of this critical clinicalÂ skill and adversely affect patient care.
ACEP strongly opposes the use of any non-emergency medicine external certification process to validateÂ competency in the use of emergency ultrasound. Furthermore, any such process should not be utilizedÂ as a requirement for hospital privileges or credentialing, nor for reimbursement by accountable careÂ organizations (ACOs), managed care organizations (MCOs), the Centers for Medicare and MedicaidÂ Services (CMS) or other third-party payers.
For the past two years, Boston University has taken home the Sonocup.Â This year we are dedicated to at least coming a little bit closer to bringing the cup home. Hertz so Good, our sonoteam, is George Lim, Raashee Kedia and Jeremy Faust.Â Indomitable.
Except in Round one of our Mock Sonogames, where the Sonoteam answered fewer multiple choice questions correctly than the three teams that tied for first: the Endocavitary Probes, The Spice Girls and R2D2.
Round 2 brought us to the 8th floor conference room, where Amy Sanghvi, Dan Lakoff, Liz Dei Rossi, Tish Harper and Raashee Kedia had set up four hands on challenge stations.
George Lim dominating Dan Lakoff in Beat the Expert.
Aldo Gutierrez with some pericompetition in-line vascular access teaching for Jeremy Kim.
Head to Head Blinded team v-scanningÂ by Brendan Milliner (i think)
After Round 2 the Spice Girls jumped out to a big lead with 42 points.Â But the head to head competition favored the prepared.Â The Sono Team, who memorized the five articles distributed for the national sonogames competition, rocketed past all adversaries to win the grand prize of a dinner in Dallas.
Congratulations Raashee, George and @jeremyfaust.Â Now bring home the cup.
The Mount SinaiÂ DepartmentÂ of Emergency Medicine hosted its annual ultrasound CME conference on April 25.Â Faculty, fellows, nurses and PAs from a number of institutions and specialties took part in our tenth annualÂ course.
The course was directed by Bret Nelson, MD who introducedÂ ultrasound physics and machine controls, followed by lectures on assessment ofÂ airway and breathing (Jim Tsung, MD, MPH), cardiovascular ultrasoundÂ (JenniferÂ Huang, DO), trauma evaluationÂ (Phil Andrus, MD) and procedure guidance (Amy Sanghvi, MD).
After lunch an intensive hands-on session with live models, task simulators and sim cases rounded out the experience.
Every year in DecemberÂ my ARDMSÂ renewal would arrive. Â It was only $75 to renew, so I did. Â My enthusiasm for this badge steadily declined from the early heady days after taking the Edelman course (which I thought was awesome). Â But this year, I burned my card. Â Resa LewissÂ and Mike StoneÂ have a great “clinical controversies” editorial in this month’s Annals of Emergency Medicine.
You should read it… and then burn your card.*
* unless you are Bret Nelson MD RDMS FACEP and you’ve embroidered RDMS on all of your custom white coats.