This is a TWO DAY course, intended for practicing physicians in Winnipeg.  If space is available, spots will be opened up to rural physicians and residents. 

PREQUISITE:  Payments by cheque must be received by OCTOBER 31, 2011.  A copy of  an introduction to Ultrasound course certificate to be submitted immediately upon registering on-line, NO LATER THAN OCTOBER 31, 2011 PLEASE.  Fax (204) 789-3515, email chris_cowan@umanitoba.ca or mail to CME—Department of Emergency Medicine,T258-770 Bannatyne Ave., Winnipeg, MB  R3E 0W3.

The first 12 Winnipeg physicians who submit all documents and payment by October 31, 2011, will be guaranteed placement in this course. SORRY, SPOTS WILL NOT BE "HELD".  Due to the high demand of this course, we regret we may have to cancel registrants who have signed up but not submitted payment and necessary documents by October 31, 2011.  We appreciate your understanding, as there is a waiting list for this event.  Thank you!

Independent Practitioner Training Module

The Independent Practitioner (IP) training module is designed to facilitate the completion of the fifty (50) recommended supervised scans in three areas (FAST, cardiac, abdominal aorta) for physicians having completed the CAEP Emergency Department Targeted Ultrasound (EDTU) Roadshow or other recognized introductory ultrasound course. The bedside training provided in this module will increase the participant’s proficiency in EDTU.

Module Description

This module requires the participant to have completed an introductory EDTU course prior to starting the module. The core training will consist of 50 supervised and/or reviewed EDTU scans in three areas (FAST, cardiac, abdominal aorta). These scans will be performed on live models with 2-3 IP candidates supervised by each DEM instructor. The module may require 16 hours to complete.
Participants will be provided with feedback and further instruction during the module to enhance independent scanning skills and confidence. Upon successful completion of the training module, the participant will be provided a certificate of module completion.

Learning Objectives

1. Physics:
   1. a. Use physical principles of ultrasound in emergency targeted studies: concepts to include piezoelectric effect, frequency, resolution, attenuation and echogenicity.
   2. b. Recognize the role of proper instrumentation in image acquisition: concepts to include image mode, gain, depth and probe types.
   3. c. Recognize artifact and its role in image acquisition: concepts include reverberation, shadowing, enhancement, mirror and ring-down.
2. FAST:
   1. Integrate the indications for EDTU into clinical practice: know clinical algorithms and limitations of the FAST exam in penetrating and blunt thoraco-abdominal trauma.
   2. Describe the relevant ultrasound anatomy of the liver, spleen, kidneys, bladder, uterus, pericardium and lung bases.
   3. Understand and recognize the focused findings and pitfalls related to the detection of hemo-peritoneum, hemo-pericardium, global cardiac function.
3. Abdominal Aortic Aneurysm:
   1. Integrate the indications and limitations of targeted ultrasound in the evaluation of abdominal aortic aneurysms in the practice of clinical medicine.
   2. Identify the local anatomy including the aorta, inferior vena cava and spine.
   3. Seek and recognize the relevant ultrasound findings and pitfalls when scanning for abdominal aortic aneurysms.
   4. Use measurement techniques to augment detail of EDTU findings.
   5. Cardiac ultrasound:
   6. Apply the clinical indications and limitations of emergency cardiac ultrasound.
   7. Describe the relevant cardiac anatomy.
   8. Understand the standard cardiac windows when evaluating for cardiac activity and pericardial effusions.
   9. Understand and apply the relevant clinical implication when evaluating for cardiac activity and pericardial effusions.

 Please be sure to review the FAST and Aorta links below.

Registration:

EDTU IP training will be provided by instructors from the Department of Emergency Medicine. Please see "Links" heading below for registration link. If you have not yet used our new secury, on-line registration/payment system, you will have to create your profile for the first time.  Please keep your information on hand, as you will need it to register for any future offerings by our Department. Receipts will be automatically emailed to you upon payment.

Fees:

A fee of $1350 will be charged via our secure on-line system.  The intent is cost-recovery.  Costs include:
  - supplies
  - honorariums
  - refreshments and a light lunch for all participants and models

* Payments by cheque must be received in our office prior to the start of the course.

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