Electives PGY-4


The EMED4051 Emergency Ultrasound Elective will introduce the student to the physical principles of ultrasound, ultrasound equipment and knobology, and multiple ultrasound modalities regularly used at the bedside during clinical care in the Emergency Department. There is no permission necessary for this elective and any student may participate. Although this is an Emergency Medicine elective, the physical principles, clinical reasoning, and sensorimotor skills learned during this elective are universal in nature and applicable to almost every medical specialty. The instructors for this elective are fellowship trained in Emergency Ultrasound with extensive experience utilizing bedside ultrasound in their clinical practice. The Faculty Director for this course is also one of the Co-Discipline Directors for the UTSOMSA Longitudinal Medical Student Ultrasound (LMSU) Curriculum. Topics to be covered during this 4 week elective include ultrasound equipment and knobology, basic ultrasound physics, ultrasound-guided vascular access (peripheral, central, arterial), trauma ultrasound, aortic ultrasound, pelvic ultrasound/first trimester evaluation for intrauterine pregnancy, biliary ultrasound, bedside echocardiography, musculoskeletal ultrasound, deep venous thrombosis evaluation, ocular ultrasound, peripheral nerve identification and evaluation, thoracic ultrasound, genitourinary ultrasound, and the principles of ultrasound guided procedures. The elective includes a combination of didactic lectures, extensive supervised training within the Emergency Department and the UTSOMSA Center for Clinical Ultrasound Education, independent student scanning sessions, utilization of a haptic feedback computer based ultrasound training system, required textbook reading, weekly video review sessions, and literature review sessions. Each student will be required to complete a minimum of 100 independently recorded ultrasound examinations covering the scope of the course material. The course schedule is Monday to Friday with no weekend obligations, and there is a pre-test and post-test for this course. Pass/Fail grade will be determined by a combination of attendance, student participation in all course activities, image acquisition ability at the end of the course and a minimum score of 70% on the post-test.


Key Details:

  • Minimum of two (2) eight hour full days with ultrasound fellowship trained faculty member per week with combination of didactics, supervised bedside ultrasound scanning, and other educational activities
  • Each participating student must complete a minimum of three (3) four hour individual bedside ultrasound scanning sessions per week (all studies recorded for review)
  • There will be a minimum of two 1 hour didactic lectures per week
  • Participating students are required to read "Emergency Ultrasound" text during rotation, written by John Ma, James Mateer and Michael Blaivas (provided to student for duration of course, returned upon completion of course)
  • There will be weekly video review sessions of all student ultrasound examinations led by course faculty
  • Each participating student will be required to read, critically analyze and present one piece of ultrasound related scientific literature during the month
  • Each student will complete a 50 question pretest and posttest for this rotation
  • There will be a practical bedside examination at the end of this rotation where participating students will demonstrate the ability to acquire images for certain core ultrasound studies
  • Students will be encouraged to participate in any ongoing research activities in emergency ultrasound
  • Call: None
  • Weekend Duty: None
  • Student Evaluation: Pretest, Posttest, Practical Examination, ongoing evaluation during course of effort/application/critical thinking/overall competency

Breakdown of grading:

  • Pretest, no effect, used to access the students base knowledge to compare to Posttest and determine knowledge gained
  • Posttest, 10%
  • Practical examination 10%
  • Ongoing evaluation during course, 80%


Areas of Focus:

Future Goals:

  • UTHSCSA Ultrasound Fellowship
    • Goal to have two available ultrasound fellowship positions in July 2016
  • Expanded Institutional, Regional and State Educational Role

Wilderness Medicine

The Center for Emergency Medicine at UTHSCSA offers a Junior Wilderness Medicine Elective for medical students. Students are given enrichment credits for participation in the weekend course.

Students gain basic skills used to care for patients in a wilderness setting. These skills can be adapted for use in disaster relief, global health initiatives, humanitarian response, as well as adventure travel.

Students spend three days in a wilderness setting. Our curriculum consists of lectures, hands-on scenarios and case-based learning. Students work as a team to care for patients in the backcountry. All scenarios conclude with a debriefing by the faculty. Participants are expected to camp with the group using both provided and personal gear/supplies for the trip.


Rotation Faculty Leader:  David A. Wampler, PhD, LP WamplerD@uthscsa.edu
Contact Person:  Sonya N. Magee Jackson (best to call or email for rotation)
Emergency Health Sciences
4201 Medical Dr, Suite 120
San Antonio, TX  78229
210 567-7869

Through San Antonio Fire Department ambulance ride-outs, students will experience undifferentiated emergency patient encounters involving on-the-scene management of medical, surgical, pediatric, psychological, obstetrical, and social emergencies. Students will also be able to observe many different aspects of EMS operations, including vehicle extrication, communications systems, EMS-Police cooperation, and local trauma system utilization. During 40 requisite patient encounters, the student will make brief assessment notes and assist in the care of patients being transported to the different San Antonio Emergency Departments.

In addition, students are expected to attend weekly EMS Grand Rounds on Thursdays and provide a brief presentation based on one of their patient encounters. This will focus on the patient presenting complaint, pre-hospital differential, disease pathology, EMS treatment and Emergency Department disposition. If desired, students may also observe various aspects of the regional EMS and disaster planning process through the Southwest Texas Regional Advisory Council.

Contact: WebTeam@uthscsa.edu
Updated: 2/22/2017
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