Diagnostic Medical Sonography Programs
DMS-122 Sonographic Clinical Experience I
Facilitator: Steve Geiersbach MS, RT(R), RDMS
Office: JW-157 Whiting Hall
Fax: 517 768-7004
Clinical Experience I is the first of three clinical experiences whereby students receive
a total of 1350 hours of supervised clinical experience in an approved clinical education
center. This course covers basic scanning, patient interviewing techniques, professional
attitudes and ethics, and other patient/professional situations are experienced under the
direct supervision of a registered diagnostic medical sonographer (R.D.M.S.).
Completion of clinical competency levels and a minimum of 515 clinical hours are
required to complete this course. Please make note that clinical courses do not always
adhere to JCC's academic calendar.
This course meets the following associate degree outcome:
ADO 9 Rubric for Working in Small Groups
Student will establish a working knowledge of where other relevant departments are located with
their clinical education center. ie, central supply, clinical laboratory, radiology, CT, MRI, etc.
Student will learn the names of fellow workers in ultrasound, radiography, CT, MRI, and nuclear
medicine, including the radiologists
Student will observe clinical instructor (CI) or staff sonographer’s scanning of patients whenever
Student will assist the staff in as many ways as possible, including if necessary transporting of
patients, processing of images, restocking of supplies and linens, and disposal of used linens and
It is expected that students are observing, pre or post scanning or scanning with assistance for
most of their cases at this point in the program.
Prerequisites of this course are HOC-130 Introduction to Health Occupations, DMS-100
Introduction to Diagnostic Medical Imaging and admission to the DMS program. A pre-
requisite or co-requisite is DMS-101. A co-requisite to this course is DMS-110
OPEN LABS will be available, times and dates: TBA
1. Student will learn the names of fellow workers in ultrasound, radiography, CT,
MRI, and nuclear medicine, including the radiologists
2. Student will learn the emergency code system and protocols and procedures to
respond appropriately to any emergency situation. This includes becoming aware
of where the Crash Cart is located.
3. Student will learn the storage locations for linens and supplies utilized within the
sonography lab. Students will become knowledgeable of methods for disposing
of dirty linens and supplies.
4. Student will establish a working knowledge of where other relevant departments
are located with their clinical education center. ie, central supply, clinical
laboratory, radiology, CT, MRI, etc.
5. Student will learn individual departmental policies and procedures, ie phone
etiquette, scheduling protocols, exam preparations, image processing, filing
system, sterile procedures, patient history acquisition, scan protocols.
6. Student will demonstrate and practice appropriate body mechanics for safe
execution of sonography exams and ergonomically preventive of musculoskeletal
injuries. Students should become familiar with the SDMS’s Musculoskeltal Injury
Survey. This can be located via SDMS website under "workzone" MSI Survey.
7. Students will be introduced to knobology of departmental equipment, students
will begin using test phantoms (if available) to understand individual instrument
knobs and controls, and will experiment with technique settings when equipment
is not in diagnostic use.
8. Student will observe clinical instructor (CI) or staff sonographer’s scanning of
patients whenever possible.
9. Student will keep a log of all exams observed, pre or post scanned by student
and of all exams performed by student. Notations to whether observed, pre or
post scanned or independently scanned must be made on log sheets.
10. Student will assist the staff in as many ways as possible, including if necessary
transporting of patients, processing of images, restocking of supplies and linens,
and disposal of used linens and or supplies.
11. Student will recognize simple sectional anatomy of the human abdomen and
12. Student will practice and demonstrate proper verbal, non-verbal, and written
13. Student will learn proper interpretations of sonography requisitions.
14. Student will practice and demonstrate appropriate patient positioning including
AP, PA, Supine, oblique, upright, and lateral positions.
15. Student will recognize, practice and demonstrate appropriate scan planes as
sagittal, transverse and coronal planes.
16. Student will recognize, practice and demonstrate appropriate transducer
orientations for sagittal, transverse, and coronal planes.
17. Students will become orientated to image documentation instruments as a
camera, laser printer and or VCR.
18. Students will become familiar with and be able to utilize alphanumeric keyboards
to sonography systems within their clinical education center.
19. Students will begin scanning all abdominal studies.
20. Students will become familiar with and begin recognizing appropriate
sonographic image technique settings as proper penetration, gray scale levels,
and display controls.
21. Students should begin to differentiate cystic, solid, and complex structures.
22. Students will differentiate acoustic enhancement and acoustic shadow artifacts.
23. It is expected that students are observing, pre or post scanning or scanning with
assistance for most of their cases at this point in the program.
Course expectations reflect aforementioned performance objectives and include the
following: Each student will be evaluated on the following:
1. 32 hours attendance per week within an approved clinical education center
documented through the Attendance sheet.
a. This attendance sheet must be filled out by the student and
approved by your Clinical instructor
b. It is also required to be turned in on December 14th to receive a
2. Virtual case presentations & discussions
a. Each student will be required to turn in 2 Virtual case presentations
Failure to turn in an acceptable VCP will result in an incomplete in this
course and dismissal from the program.
Virtual Case Presentation #1 is due September 29th
Virtual Case Presentation #2 is due November 3rd
3. Completion of the Clinical Evaluation form at midterm and final.
a. Midterm Evaluation is due October 6th
b. Final Evaluation is due December 14th
i. Clinical Evaluation forms are the students responsibility.
ii. They must be submitted to the CI 2 weeks prior to due date.
iii. The latest version can be found online under course materials.
iv. Failure to meet any of the minimum standards of this evaluation will
result in a failure in clinical and the student will be dismissed from the
4. Completion of a clinical log is due at the end of this course.
a. A log of all examinations that the student was involved in must be
recorded. DO NOT use patients names as this violates HIPPA laws.
Please use medical ID number to reference each case. This log is due at
the end of the semester.
The facilitator's responsibilities include facilitate learning by providing and explaining the
necessary materials for each student to understand the assignments and develop
course goals, objectives, and performance objectives to a near mastery level. See JCC
DMS Handbook for a listing of these goals, course objectives and performance
objectives. Knowledge gained from this course should aid students in their clinical
experiences. Classes will begin on time weather permitting. Opportunities to utilize the
JCC LRC and DMS lab equipment, computers etc. will be made available upon student's
request whenever possible.
Policies and Procedures for Clinical Courses DMS-122, DMS-223 & DMS-224
It is the sole responsibility of the student to complete the Clinical Attendance Reporting
form have them signed and dated by their CI and submitted on Dec. 14th
1. Students must read the entire course syllabus carefully. If students have any
questions regarding course requirements they should inquire early in the course.
Students should make note of evaluation due dates.
2. Students will be supplied their own Personal Clinical Attendance Excel reporting form
by the instructor. This can be found under Course Materials within the Clinical Course
3. Clinical attendance must be submitted via Personal Clinical Attendance Reporting
form at the end of the semester. Time cards or other attendance reporting will NOT be
accepted, NO EXCEPTIONS please. Attendance reporting is the responsibility of each
student and not the responsibility of the clinical instructor, clinical coordinators or
the program director. Do not send attendance reports weekly or via the Assignments
folder as they must be signed by the clinical instructor and dated at midterm and at
the end of the semester at which time they must be FAXED to 517 768 7004.
Clinical coordinators do not accept attendance forms.
Process for reporting attendance:
A: Enter hours worked for each day (do not include any time spent for breaks) for
example if you work 8 hours, take ½ hour for lunch and two 15 minute breaks you submit
7.0 hours, not 7.5. If you work 8.5 hours, take ½ hour lunch and two 15 minute breaks
you submit 7.5 hours. This is not a rule set by the instructor but by the Mich. Dept. of
Education. Hours must be rounded to the nearest 15 minutes. e.g, DO NOT REPORT 8
HOURS 6 MINUTES, this would be reported as strictly 8 hours
B. Dec. 14, or before have your clinical instructor sign and date the attendance form.
Only signed and dated forms will be accepted.
C. Fax the signed form to Steve Geiersbach at 517-768-7004
4. Students should expect to complete a minimum of 515 hours during Fall and Winter
semesters. However, students cannot expect to build up excessive hours in an attempt
to complete their clinical requirements for DMS-224 prior to July 31, 2007. Students
should remember that CIs and CEC sonography departments provide students a great
deal of time and attention early in their clinical experience. The only compensation these
departments receive is the ability for senior students to function as a staff sonographer
towards the end of their program while staff personnel are taking vacations. Therefore,
students should not attempt to complete the program clinical course
requirements earlier then scheduled. NO MORE THAN 16 HOURS CAN BE
BANKED TOWARDS THE NEXT SEMESTER.
5. Clinical attire includes lab coats to be worn while working within the CEC and
removed when leaving the dept. for breaks, lunch or any other reason. Lab coats must
include the JCC patch.
6. Students must wear a name badge at all times. These are typically supplied by the
7. SCAN Proficiencies should be early in the final weeks of the course. Do NOT wait
until the last day of the semester to submit these.
8. Students should contact their CI if expected to be tardy or absent ASAP.
9. Planned absences require the absence request form to be completed and submitted
prior to the absence. These forms can be found within the course website under Course
Documents or in the DMS Handbook.
10. All students should provide their CEC and /or CI a health form to be kept on
file within the CEC. In case of a blood borne pathogen exposure students can be
treated much quicker if a health form is on file thus this is in the best interest of
the student’s health.
Students are expected to be present on time and prepared to scan on each clinical day.
It is presumed by the facilitator that assignments, including reading, will have been
completed on time and the student is thus ready to attempt new exams according to the
Syllabus for DMS-110.
It is highly suggested by the instructor that students utilize as many references as
possible to enhance their learning and understanding.
Assignments are accepted with no penalties up to one (1) class period after an absence.
After one class period, assignments are considered late! Late assignments are deducted
by 50% for each week they are late.
Grading system: totals
2 Virtual Case Presentations 25 points each 50.
Midterm Evaluation = 250
Final Clinical Eval. = 700
Total possible points: 1000
95%-100% = 4.0
90%- 94% = 3.5
85%- 89% = 3.0
80%- 84% = 2.5
75%- 79% = 2.0
70%- 74% = 1.5
65%- 69% = 1.0
Group participation or lack of participation with the virtual case presentation discussions
will be taken into consideration as described in the rubric below.
Academic Honesty Policy
Academic honesty is expected of all students. It is the ethical behavior that includes
producing their own work and not representing others' work as their own, either by
plagiarism, by cheating, or by helping others to do so.
Plagiarism is the failure to give credit for the use of material from outside sources.
Plagiarism includes but is not limited to:
• Using data, quotations, or paraphrases from other sources without adequate
• Submitting others’ work as your own
• Exhibiting other behaviors generally considered unethical
Cheating means obtaining answers/material from an outside source without
authorization. Cheating includes, but not limited to:
• Plagiarizing in all forms
• Using notes/books without authorization
• Submitting others’ work as your own or submitting your work for others
• Altering graded work
• Falsifying data
• Exhibiting other behaviors generally considered unethical
While JCC encourages students to collaborate in study groups, work teams, and with lab
partners, each student should take responsibility for accurately representing his/her own
Faculty members who suspect a student of academic dishonesty may penalize the
student by taking appropriate action up to and including assigning a failing grade for the
paper, project, report, exam, or the course itself. Instructors should document instances
of academic dishonesty in writing to the Dean of Faculty.
Student Appeal Process
In the event of a dispute, both students and faculty should follow the Conflict Resolution
Policy. This policy is presented in Student Rights and Responsibilities (Student
Handbook)and the Master Agreement.
Conflict Resolution Policy
Step #1 Student initiates conference with the instructor no later than the end of the fourth
week of the Fall or Winter semester to discuss the conflict and establish a clear
understanding of each other’s concerns. The student, as well as the instructor, may
bring one other person to the meeting, but that person must be from within JCC (a
current student, instructor, administrator, an ombudsman, etc.)
Step #2 If the conflict is not resolved in Step #1, the student then puts the complaint in
writing and submits it to the department chair in a timely fashion after step 1.
Step #3 The student, instructor, and the department chair meet within ten (10) days after
the student returns the completed Academic Complaint Form to the department chair.
Prior to this informal meeting, the chair will perform any appropriate investigation. The
student, as well as the instructor, may bring one other person to the meeting, but that
person must be from within JCC (a current student, instructor, administrator, an
Step #4 If no resolution is possible, the Academic Complaint Form, along with a
statement by the instructor, is forwarded to the Dean of Faculty for further action. Copies
of the Academic Complaint Form are then provided to the instructor and the Association.
A 2.0 or "C" is a passing grade. Only courses with passing grades count toward
graduation. Other colleges transfer in only courses with passing grades. Many financial
aid sources, including most employers, require passing grades. Additionally, earning
less than a 2.0 in a class results in not being able to participate in the next level of
courses in a discipline which requires this course as a pre-requisite. If you attempt to
register for the next course sequence and have not passed the pre-requisite course, you
will be dropped from that class.