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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 Ultrasound Education In The American College Of Surgeons A History Presentation Transcript

    • 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
    • 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
    • DISCLAIMER ! Recollection ! Sources of data ! Apologies
    • MAJOR FACTOR: SYNERGISM ! European experience ! ACS perception of its role in education ! CESTE leadership ! Technological evolution of ultrasound ! Surgical persona
    • 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
    • ! Confirmed observations in Europe & Asia " Ultrasound was accurate for hemoperitoneum " Surgeons & residents can acquire & interpret images ! Recommended that surgeons become proficient ! Proposed a curriculum
    • ! Coined the term “focused” exams ! Called attention to uneven “playing field” of practice domain ! Called for educational programs " Similar to Emergency Medicine, Cardiology, OB
    • 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
    • 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
    • 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”
    • First General Session: 1995
    • 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
    • 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 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
    • 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
    • INITIAL MODULES AND DIRECTORS ! Basic: Shackford ! Acute Setting: Rozycki ! Breast: Staren ! Vascular: Pilcher ! Abdominal: Machi & Schirmer ! Head and Neck: Harness & Staren
    • 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
    • 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
    • Clinical Congress 10 8 6 PG Courses 4 2 0 95 96 97 98 99 00 01 02 03 Year
    • Spring Meeting 7 6 5 4 PG Courses 3 2 1 0 95 96 97 98 99 00 01 02 03 Year
    • 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
    • ACKNOWLEDGEMENTS ! ACS staff " Gerry Strauch " Jim Carrico " Olga Jonasson " Ajit Sachdeva ! Tom Russell ! Vendors and their staff ! All the 2600 students