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UNIVERSITY OF
 NIVERSITY OF
V COLLEGE OF MEDICINE
M
 ERMONT
  ERMONT
   COLLEGE OF MEDICINE

 ULTRASOUND EDUCATION IN
 THE...
WHY IS THIS IMPORTANT?

!   Ultrasound education was unique for ACS
    "   New initiative for the College
!   Create a du...
DISCLAIMER
     ! Recollection

     ! Sources of data
     ! Apologies
MAJOR FACTOR: SYNERGISM

              !   European experience
              !   ACS perception of its
                  r...
ROOTS
!   Europe
    " Germany: Tiling 1976

       ! First course for surgeons: 1982
       ! Board requirement (Urology,...
!   Confirmed observations in Europe & Asia
     " Ultrasound was accurate for
       hemoperitoneum
     " Surgeons & res...
!   Coined the term “focused” exams
!   Called attention to uneven “playing field” of
    practice domain
!   Called for e...
NASCENT EDUCATIONAL
             PROGRAMS
!   No coordinated effort to educate surgeons
!   Surgical residents
    " Washi...
STATUS OF U/S EDUCATION: 1993
!   Ultrasound: not in the practice domain of
    surgeons
     " Perception that only radio...
EARLY ACS EDUCATION
!   Roger Foster # Gerry Strauch
!   21st Spring Meeting: Montreal, 1993
    " “New Frontiers in Traum...
First General Session: 1995
ULTRASOUND USERS GROUP
!   Surgeons with an “interest” in ultrasound
    "   1st meeting 10/24/95; facilitated by Strauch
...
1st POSTGRADUATE COURSE
24th Spring Meeting, New York
            4/15/96
1st USERS GROUP
USERS GROUP
ACCOMPLISHMENTS 1995-1998
!   Developed basic and modular concept
    "   Standardized the course of instructi...
ACS VERIFICATION PROGRAM
!   Course meets standards established by the
    College
!   Documentation
    " Level 1: verifi...
INITIAL MODULES AND DIRECTORS
 !   Basic: Shackford
 !   Acute Setting: Rozycki
 !   Breast: Staren
 !   Vascular: Pilcher...
NATIONAL ULTRASOUND FACULTY
               (approved by the Regents 1998)

!   Chair: Shackford
!   VC Education: Knudson
...
NUF ACCOMPLISHMENTS 1998-2003
!   Instructors Course developed
    " Directed by Rozycki
       st          th
    " 1 cou...
Clinical Congress

10

 8

 6
                                                    PG Courses
 4

 2

 0
     95   96   97 ...
Spring Meeting

7
6
5
4
                                                   PG Courses
3
2
1
0
    95   96   97   98    99 ...
THE FUTURE
!   Basic Course to CD
!   Incorporation of Imaging Group into the NUF
!   Develop methods to maintain skills
!...
ACKNOWLEDGEMENTS
!   ACS staff
    " Gerry Strauch
    " Jim Carrico

    " Olga Jonasson

    " Ajit Sachdeva

!   Tom Ru...
Ultrasound Education In The American College Of Surgeons A History
Ultrasound Education In The American College Of Surgeons A History
Ultrasound Education In The American College Of Surgeons A History
Ultrasound Education In The American College Of Surgeons A History
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Ultrasound Education In The American College Of Surgeons A History

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Transcript of "Ultrasound Education In The American College Of Surgeons A History"

  1. 1. UNIVERSITY OF NIVERSITY OF V COLLEGE OF MEDICINE M ERMONT ERMONT COLLEGE OF MEDICINE ULTRASOUND EDUCATION IN THE AMERICAN COLLEGE OF SURGEONS: A HISTORY Steven R. Shackford, M.D., F.A.C.S. Steven R. Shackford, M.D., F.A.C.S. Stanley S. Fieber Professor and Chairman Stanley S. Fieber Professor and Chairman Department of Surgery Department of Surgery
  2. 2. WHY IS THIS IMPORTANT? ! Ultrasound education was unique for ACS " New initiative for the College ! Create a durable record of events " Why, where, how? ! New technologies will continue to emerge " ACS ultrasound educational program can serve as a template for future teaching
  3. 3. DISCLAIMER ! Recollection ! Sources of data ! Apologies
  4. 4. MAJOR FACTOR: SYNERGISM ! European experience ! ACS perception of its role in education ! CESTE leadership ! Technological evolution of ultrasound ! Surgical persona
  5. 5. ROOTS ! Europe " Germany: Tiling 1976 ! First course for surgeons: 1982 ! Board requirement (Urology, General Surgery, Orthopedics: 1987 " Used commonly by surgeons in Scandinavia ! Urology: Torpedersen ! Asia and Indonesia " Used commonly for trauma and head and neck surgery
  6. 6. ! Confirmed observations in Europe & Asia " Ultrasound was accurate for hemoperitoneum " Surgeons & residents can acquire & interpret images ! Recommended that surgeons become proficient ! Proposed a curriculum
  7. 7. ! Coined the term “focused” exams ! Called attention to uneven “playing field” of practice domain ! Called for educational programs " Similar to Emergency Medicine, Cardiology, OB
  8. 8. NASCENT EDUCATIONAL PROGRAMS ! No coordinated effort to educate surgeons ! Surgical residents " Washington Hospital Center " Rush " University of Illinois @ Chicago " University of Vermont " Emory ! Practicing Surgeons " EAST " Rush " University of Vermont
  9. 9. STATUS OF U/S EDUCATION: 1993 ! Ultrasound: not in the practice domain of surgeons " Perception that only radiologists were capable: “took years to learn” ! Liability concerns fueled by practice domain issue ! Credentialing and “turf war” controversy ! No organized effort at the national level " Education " Support for credentialing
  10. 10. EARLY ACS EDUCATION ! Roger Foster # Gerry Strauch ! 21st Spring Meeting: Montreal, 1993 " “New Frontiers in Trauma: New Diagnostic Modalities” " Great interest ! Strauch # Jim Carrico, assist by Alex Walt " CESTE ! 80th Clinical Congress: New Orleans, 1995 " General Session: “The Surgeon and Ultrasound”
  11. 11. First General Session: 1995
  12. 12. ULTRASOUND USERS GROUP ! Surgeons with an “interest” in ultrasound " 1st meeting 10/24/95; facilitated by Strauch ! Goals and objectives: " Develop course of instruction for the ACS " Develop educational format for ultrasound " Interface with manufacturers " Interface with the ACS hierarchy " Interface with ABS and APDS ! Keep the trains running while the airport is built " Develop first PG Course: Grace Rozycki
  13. 13. 1st POSTGRADUATE COURSE 24th Spring Meeting, New York 4/15/96
  14. 14. 1st USERS GROUP
  15. 15. USERS GROUP ACCOMPLISHMENTS 1995-1998 ! Developed basic and modular concept " Standardized the course of instruction-similar to ATLS ! Developed verification program for ultrasound ! Solidified vendor assistance ! Developed liaisons with: " AIUM " ABS " APDS ! Selected an executive committee: " ACS National Ultrasound Faculty
  16. 16. ACS VERIFICATION PROGRAM ! Course meets standards established by the College ! Documentation " Level 1: verification of attendance " Level 2: verification of satisfactory completion of course objectives " Level 3: instructor
  17. 17. INITIAL MODULES AND DIRECTORS ! Basic: Shackford ! Acute Setting: Rozycki ! Breast: Staren ! Vascular: Pilcher ! Abdominal: Machi & Schirmer ! Head and Neck: Harness & Staren
  18. 18. NATIONAL ULTRASOUND FACULTY (approved by the Regents 1998) ! Chair: Shackford ! VC Education: Knudson ! VC Technology: Rozycki ! VC External Relations: Wherry ! VC Verification: Staren ! Ultrasound Imaging Group
  19. 19. NUF ACCOMPLISHMENTS 1998-2003 ! Instructors Course developed " Directed by Rozycki st th " 1 course: 84 Clinical Congress: Orlando, 1998 ! “Exportation” of ACS courses " Directed by Knudson " 18 courses to surgical residencies " 6 courses to professional societies ! Formal membership on CESTE ! Established a mechanism for the Chair, VC, Module Director & Course Director rotation ! Introduction of new modules as PG courses
  20. 20. Clinical Congress 10 8 6 PG Courses 4 2 0 95 96 97 98 99 00 01 02 03 Year
  21. 21. Spring Meeting 7 6 5 4 PG Courses 3 2 1 0 95 96 97 98 99 00 01 02 03 Year
  22. 22. THE FUTURE ! Basic Course to CD ! Incorporation of Imaging Group into the NUF ! Develop methods to maintain skills ! Develop methods to assess skills ! Develop on-line tools ! Develop “Blue Book” ! Develop new applications of ultrasound " 1st generation: Sonosite
  23. 23. ACKNOWLEDGEMENTS ! ACS staff " Gerry Strauch " Jim Carrico " Olga Jonasson " Ajit Sachdeva ! Tom Russell ! Vendors and their staff ! All the 2600 students

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