INTRODUCTION

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The Department of Emergency Medicine at Palmetto Health Richland has been a leader in emergency ultrasound since 1997. Residents in our emergency medicine program are trained in the use of ultrasound to facilitate the diagnosis and management of a wide variety of serious and life-threatening pathologies.

The mission of the Emergency Ultrasound Fellowship is to develop highly motivated emergency physicians into future educators and researchers with expertise in the wide application of ultrasound technology to direct patient care. Working closely with the University of South Carolina School of Medicine, the curriculum not only provides fellows with the opportunity to work side-by-side with experts in emergency ultrasound, echocardiography, and vascular ultrasound, but also develop educational skills through lecturing and bed side teaching to residents, medical students, and practicing physicians. Unique to this experience is that the fellow will be an integral component to the development and function of the clinical ultrasound curriculum at the USC School of Medicine.

To achieve these goals, we offer the following:

• State-of-the-art facilities
• Dedicated support on the department, hospital, and university levels
• Four ultrasound systems
• Nationally recognized leaders in emergency ultrasound
• Great compensation and benefits
• Tremendous opportunities for travel with national and international exposure to other leaders in emergency ultrasound

FELLOWSHIP DETAILS

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Length of Training
The fellowship will be twelve months in length. The start date is negotiable, but will typically begin on or about 1 July of each year.

Applicant Qualifications
All applicants must have graduated from an ACGME accredited emergency medicine residency and be board-certified or board-eligible with the American Board of Emergency Medicine. In addition, the applicant must qualify for South Carolina Medical Licensure. Applicants must complete an application and submit three letters of recommendation for training. One of these letters must be from the applicant’s residency program director. Applicants are not required to have prior experience with clinical ultrasound use, but previous experience will be considered in the selection process.

Fellowship applications will be accepted after September 1 of the year preceding the year of training. An interview is required prior to selection for training. Selection for training is determined by the emergency department faculty.

Completion of Training
Upon completion of training the fellow will receive a certificate of fellowship training from Palmetto Health Richland and the University of South Carolina.

FELLOWSHIP PERSONNEL

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	Patrick Hunt, MD, MBA Fellowship Program Director Year of appointment: 1999 EM Residency: Palmetto Health, Class of 1999 Medical School: University of North Carolina, Class of 1996
Class of 2007
	Hunter Louis, MD   Medical School: University of Louisville, Class of 2003 Residency Training:  Palmetto Health, Emergency Medicine Current Position:  Ultrasound Director, Roper Saint Francis Healthcare, Charleston, SC, Department of Emergency Medicine
Class of 2008
	Matthew Ahern, DO  Medical School: Ohio University College of Osteopathic Medicine, Class of 2003 Residency Training:  Ohio University College of Osteopathic Medicine Current Position:  Ultrasound Director, University of Utah, Salt Lake City, UT, Department of Emergency Medicine
Class of 2009
	Jeremy Johnson, DO Medical School: Kirksville College of Osteopathic Medicine, Class of 2002 Residency Traning:  Madigan Army Medical Center, Emergency Medicine Current Position:  Ultrasound Director, Darnall Army Hospital, Fort Hood, TX, Department of Emergency Medicine
	Richard Preston Wendell, MD Medical School: Medical University of South Carolina, Class of 2005 Residency Training:  Palmetto Health, Emergency Medicine Current Position:  Ultrasound Director, Summerville Medical Center, Charleston, SC, Department of Emergency Medicine
Class of 2010
	Rob Ferre, MD Medical School: University of Wisconsin, class of 2003 Residency Training:  Maine Medical Center, class of 2006 Current position:  Ultrasound Director, Vanderbilt University, Nashville, TN, Department of Emergency Medicine
	James Palma, MD Medical School:  Uniform Services University of the Health Sciences, class of 2000 Residency Training:  Portsmouth Naval Hospital, Emergency Medicine, class of 2006 Current Position:  Ultrasound Director, Bethesda Naval Hospital, Bethesda, MD, Department of Emergency Medicine
	Jeremy Smith, MD Medical School:  Albany Medical Center, Class of 2006 Residency Training:  Baystate Medical Center, Emergency Medicine, Class of 2009 Current Position:  Ultrasound Director, Univ. of Texas Southwest, Dallas, TX, Department of Emergency Medicine
Class of 2011
	Laura Nolting, MD Medical School: Wright State University, Class of 2007 Residency Training:  Wright State University, Emergency Medicine, Class of 2010 Current Position:  Faculty, Dept. of Emergency Medicine, Palmetto Health Richland, Columbia, SC
	Jared Marx, MD Medical School: University of Texas Health Science Center at San Antonio, Class of 2007 Residency Training:  University of Nebraska, Class of 2010 Current Position:  Ultrasound Director, Univ. Kansas, Kansas City, MO, Department of Emergency Medicine

Class of 2012
	Matthew Flannigan, MD Medical School: Michigan State University College of Osteopathic Medicine, Class of 2004 Residency Training:  Michigan State University - Grand Rapids, Class of 2008
	Brad Presley, MD Medical School: Univesity of Kentucky, Class of 2008 Residency Training:  Medical University of South Carolina, C;ass pf 2011

Curriculum Objectives

• Develop clinical expertise in EUS
• All primary applications of EUS
• Secondary applications including:
  • Ultrasound-guided procedures
  • Critical Care ultrasound
  • Advanced Cardiac
  • Pulmonary
  • Musculoskeletal
  • Vascular ultrasound
• Develop educational skills to instruct clinicians in ultrasound techniques
  • Educational software skills
  • Video and Image management skills
  • Public speaking
• Develop administrative skills to direct EUS program
  • Image archiving
  • Physician credentials
  • Equipment maintenance
  • Curriculum development
• Involvement with National Organizations that promote EUS
  • American College of Emergency Physicians
  • Society for Academic Emergency Medicine
  • American Institute of Ultrasound in Medicine

Responsibilities

• Ultrasound Examinations
  • Perform a minimum of 800 reviewed studies over the course of fellowship
  • Monthly shift with echocardiology
  • Monthly shift with vascular ultrasound
• American Registry of Diagnostic Medical Sonograhers Certification (ARDMS)
  • Physics
  • Instrumentation
  • Abdomen
  • One other area of choice
• Research
  • One original research project ultimately resulting in publication & presentation in which the fellow is first author
• Education and Lectures
  • One original lecture for presentation to residency
  • Monthly M&M CQI case related to ultrasound
  • Semi-annual lecture to USCSOM students
  • Annual journal club assignment (with EUSF director)
  • Optional participation in outside CME course (The Emergency Ultrasound Course)
• Clinical Instruction
  • Sixteen hours per month of bedside instruction in the emergency department
    EM resident on ultrasound rotation
    USC medical students on ultrasound rotation
• Quarterly skills lab with USCSOM medical student
• Sixty-six hours per month as clinical attending in the emergency department
• Administrative Duties
  • Departmental ultrasound QA and exam review
  • Working with EUSF director to administer resident EUS rotation
  • Scheduling
  • Resident and Medical Student Testing Professional Organization Participation
  • Attendance at the following national meetings (funded by program)
    American College of Emergency Physicians
    Society of Academic Emergency Medicine
    American Institute of Ultrasound in Medicine
• Resources
  
  Ultrasound Equipment
  • Sonosite M-Turbo (3 systems)
  • General Electric Logiq e (1 systems)
  • Ultrasonix Sonix Touch (1 system)
  • Fellowship Office
  • Education Assessment Center – USC School of Medicine Campus
    
    • Clinical Ultrasound Training Center