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INTERNAL MEDICINE ULTRASOUND ORIENTATION

Supervisor: Drew Brotherston, MD, FRCPC

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OUTLINE

  • Resources/Elective information
  • Block schedule
  • Daily schedule
  • Rotation Aims
  • Work-flow
  • Consults/reporting

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Rotation Information/Resources

Basically everything is here:

www.torontoimpocus.ca

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All objectives, forms, access to resources and orientation/processes are found on the site.

The password for secure pages will be supplied separately.

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BLOCK SCHEDULE

  • Meet on 14 Cardinal Carter each AM
  • Coverage Monday-Friday 8AM-5PM
  • Rotator teaching activities
    • POCUS Bedside teaching – Every Tuesday at 1200
    • Informal teaching with us or one another is encouraged throughout
  • Final ‘Ultrasound Rounds’ will be held the 3rd/4th week of the rotation dates TBD

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DAILY SCHEDULE

0900 – Arrive

0900-1100 – Scan

1100-1200 – Review/Report to team

1300-1400 – Group QA/Image review/Teaching/Ad hoc scans

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WORKFLOW

CONSULT

ULTRASOUND

MESSAGE

REPORT

QA

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TEAM REPORTING

  • Via Seniors WhatsApp/F2F if urgent
  • Answer question and give brief recommendations
  • Picture makes the communication more powerful

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CONSULT TIPS

Clarify requests

Review/record chart, history, labs, imaging

Impression = diagnosis

Utilize clinical context

Don’t relist the findings

Give recommendations

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APPLICATION�LEARNING�GOALS

Quantitative RV/Diastology

Colour valvular assessment/

Stroke volume determination

5 Cardiac views LVF/RV strain 2D Complete Lung US

Abdomen FF

Procedural imaging

Learner Specific

    • Solid organ doppler (VExUS)
    • Biliary
    • Genitourinary
    • MSK
    • Vascular

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POCUS REPORTS

  • Use the IMPOCUS Consult Template in the ‘Submit Studies’ page on the website
  • Work on the consult as a ‘Daily Note’ in Digitall Dictation, add me as the Supervisor and save as a draft so that it won’t be published (it can’t be edited once submitted as final)

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IMAGE SUBMISSION

  • For purposes of feedback all studies/reports will be loaded on PRESUNA
  • You will receive an invite to your account
  • User guide is in the Submit Studies tab of the site

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FEEDBACK

  • You will receive feedback on all scans either in person or PRESUNA
  • A final ITER with rotation feedback will be provided at the end of the rotation

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QUESTIONS?