Excellence in Education

It is an honor to receive the 2017 Peter H. Arger, MD, Excellence in Medical Student Education Award. I am fortunate to know Dr. Arger and recognize his remarkable achievements in education, accreditation, and leadership in ultrasound. It’s my great privilege to work with different students, whether they are medical students, residents, fellows, sonography students, vascular technology students, or physicians of different medical specialties. I have had many great teachers and mentors toJohn_Pellerito learn from. Some of my favorite teachers like Barry Goldberg, Ken Taylor, Chris Merritt, and Peter Arger have the gift to communicate complex ideas and make them simple and easy to understand. Teachers at that level inspire me to be the best I can be.

I know there are many educators who understand that feeling when a student “gets it.” The anatomy and physiology that they’ve been studying comes to life. When the ultrasound unit is no longer a confusing mess of dials and buttons and becomes a window into the human body. When they realize that in their hands, ultrasound can make a difference in patient care.

I am lucky to work with  a team of physicians and sonographers who enjoy teaching our medical students. We meet to devise new ways to integrate ultrasound into our longitudinal 4-year ultrasound program. One of the techniques we use to engage our students is to integrate games into our classes. Our SONICS (SONographic Integration of Clinical skills and Structure) faculty has enjoyed putting together ultrasound games for our students. We find that gaming increases their excitement and takes advantage of their competitive edge. One of our latest creations, the Hunger Games (J Ultrasound Med 2017; 36:361–365), has proven very successful.

During this class, we ask one member of each student team to fast prior to a scan of the gallbladder and mesenteric arteries. Following a breakfast of a bagel and cream cheese, the students are rescanned to assess for changes in gallbladder size and mesenteric blood flow. All scanning is performed by the students with faculty guidance. One team is deemed the “winner” and awards are given. The session combines both anatomic and physiologic principles to learn about gastrointestinal and vascular function and incorporate Doppler techniques. This activity provides the foundation for a powerful integration of Doppler ultrasound into medical education.

What are some of the ways that you have engaged your students with fun and interactive ultrasound programs? Do you have any stories from your own education to share? Comment below or let us know on Twitter: @AIUM_Ultrasound.

John S. Pellerito, MD, is professor of Radiology at Hofstra Northwell School of Medicine and Vice Chairman of Radiology at Northwell Health.

SonoSlam 2017

16SonoSlam_logoIf you attended the AIUM convention the past 2 years you may have heard mention of SonoSlam in passing. So what is it? SonoSlam is a medical student ultrasound competition and educational event. It was conceived as an idea to promote medical student ultrasound and was officially born in Orlando in 2015. A few members of the medical education committee were discussing how to get students more engaged in ultrasound at the national level. A national ultrasound student interest group had been formed and got behind the idea of nationalizing ultrasound activities for medical students. Many of us had been involved in regional events such as Ultrafest or had participated in Sonogames™, an emergency medicine resident ultrasound competition. As we brainstormed, SonoSlam came to fruition. We wanted this event to be more than a game, making sure to integrate education into the proceedings. Given the diversity of exposure to ultrasound in undergraduate medical education, the faculty wanted to ensure that this event would be appealing to students of all levels of experience. In addition, the unique offering of AIUM is that this event would be multidisciplinary. With these key components of education, competition, and a multidisciplinary approach SonoSlam was created. The inaugural SonoSlam was held in New York in 2016 with the winning team awarded the Peter Arger Cup, named after the famed radiologist who championed medical student ultrasound education at the AIUM. Seventeen teams from 12 different schools participated in this inaugural event with more than 30 faculty from across the country. This year in Orlando we grew to 23 teams from 17 schools from across the country—Oregon to New York to Florida and all in between. We had more than 50 faculty from a multitude of specialties, including emergency medicine, internal medicine, critical care, obstetrics and gynecology, radiology, and pediatrics. We plan to continue to host this event annually with the lofty goal of having representation from every medical school in the country. We hope to see you in New York March 24, 2018!

SonoSlam2017

For more information about SonoSlam or if you are interested getting involved please email us: sonoslam@gmail.com.

Written by Creagh Boulger, Rachel Liu, and Dave Bahner. Creagh Boulger, MD, RDMS, FACEP, is Assistant Professor, Assistant Director of Ultrasound, and Assistant Fellowship Director of Emergency Ultrasound at Ohio State University Wexner Medical Center. Rachel Liu, BAO, MBBCh, is Assistant Professor of Emergency Medicine and Director of Point-of-Care Ultrasound Education at Yale University School of Medicine. Dave Bahner, MD, RDMS, FAIUM, FAAEM, FACEP, is Professor and Director of Ultrasound, Fellowship Director, Investigator, and Core Faculty at Ohio State University.

How do you make ultrasound education engaging? Do you have any ideas for bringing students from across the country together? Comment below or let us know on Twitter: @AIUM_Ultrasound.

Money, Politics, and Ego

The AIUM is a unique organization of professionals passionate about the capabilities and potential of ultrasound to help our patients. With the annual convention freshly over, and a long list of things to work on for next year, I’ve been thinking about the AIUM and
why it’s an important group for me.

Although the AIUM is not the primary organization for any of us, that’s what is special and interesting about the AIUM. We all belong to our separate subspecialty interest groups, our tribes, where there is familiarity and comfort in being surrounded by people who are like us, and do what we do, and think like we do. But what other society do you belong to that has the mix of medical and surgical specialties, sonographers, scientists, residents, students, and industry partners? The AIUM’s 19 communities and interest groups cover a diversity of interests and practices, and bring people together that in the “real world” of our day-to-day work may find themselves at odds with each other.

ColeyAnd that’s the challenge of the AIUM: to be our best and fulfill our mission of providing the best ultrasound imaging care to our patients means that we have to set aside (at least in part and as best that we can) issues of money, politics, and ego.

This is not always easy.

The world around us is often not encouraging toward cooperation and service to ideals greater than immediate self-interests.

But that’s what AIUM members try to do. Even if it isn’t easy.

If you attended the recent convention in Orlando, I hope that you spent some time attending sessions or talking to people from outside your main area of interest. That’s an opportunity that you just can’t get at other meetings: to exchange ideas and excitement, to challenge and provoke, and ultimately a chance to learn and advance both personally and as medical professionals.

Similarly, the next time you pick up a copy of the Journal of Ultrasound in Medicine, read an article in an area that you don’t practice. Even if you can’t appreciate the nuances, appreciate the creativity of the work and the varied applications of ultrasound in medicine. There are a lot of bright people out there doing cool things. I would especially recommend reading the basic science articles. The technology, instrumentation, and techniques that we take for granted come from here. You may not fully grasp them any more than I do, but this is where the big leaps are going to come from, and it’s good to know what could be just over the horizon.

I hope that you’ll get as much out of the AIUM as I have over the years. I hope that you’ll step out of your comfort zone and talk with people from other disciplines and interests. I hope that you’ll ask questions and get involved. I hope that the AIUM helps you learn and grow, and that you will help the AIUM to figure out how to do that well. If we can do this together, then we and our patients will be the better for it.

What about your AIUM membership do you find most valuable? How do you benefit from the diversity of medical specialties within the AIUM? Comment below or let us know on Twitter: @AIUM_Ultrasound. Interested in volunteering for the AIUM? Check out the volunteer page.

Brian Coley, MD, AIUM President (2017–2019), is radiologist-in-chief and the Frederic N. Silverman chair for pediatric radiology at the Cincinnati Children’s Hospital Medical Center, as well as professor of radiology and pediatrics at the University of Cincinnati College of Medicine.

Ultrasound in the Age of Telehealth, Telemonitoring, Telemedicine, Robots, and Kimonos

Today, there is online access to almost everything; groceries, a video chat with your grandmother across the globe, step-by-step instructions on how to fix your lawnmower, and a virtual doctor to help with pain in your abdomen. The healthcare applications of the internet have exploded in recent years with digital health and telemedicine assuming one of the highest growth areas for start-up entrepreneurs. The expansion of telehealth resources (IT infrastructure/capabilities) has allowed telemedicine to extend to isolated, inaccessible, remote spaces (maybe even your living room). And telehealth has gone beyond just a video chat with incorporation of sensing technologies including cameras, digital stethoscopes, and ultrasound.
Kat and Scott

Ultrasound imaging in austere locations is not just about access to an ultrasound system; it requires both the ultrasound operator, and the interpreter, to have specific knowledge, competency, and ultimately accountability about the quality of the examination, and the diagnosis it helps to provide. Our NASA-sponsored research team has shown that novice ultrasound operators can acquire diagnostic quality ultrasound images after a short training period with remote tele-ultrasound guidance in a space medicine environment. The astronaut operators were able to perform terrestrial standard abdominal, cardiovascular, and musculoskeletal ultrasound examinations with modest remote guidance oversight; zero gravity specific exams of the eyes, spine, and sinus were also completed. Importantly, the astronaut crewmembers quickly became more autonomous during their 6-month mission in space and were able to self-direct image acquisition.

But a major challenge with tele-ultrasound is operator training. William R. Buras, Sr, Director, Life Sciences at Tietronix Software Inc, and his team are making an augmented reality user interface for ultrasound scanning using a wearable heads-up display with imbedded guidance to improve ultrasound competency. This innovative Houston team is being funded by a NASA grant.

Unfortunately, when it gets to real-world practicality, neither the ultrasound machine nor the examination is intuitive. A team in Canada led by Dr Andy Kirkpatrick are working on a sustainable ultrasound solution using both remote ultrasound system operation and telemonitoring. They investigated the ability of non-trained firefighters to perform ultrasound in Edmonton being guided from Calgary. “We found that by using just-in-time–training with motivated firefighters, the remote examiner guiding the firefighters was 97% correct in determining the presence of a simulated hemo-peritoneum. Ironically, while this trial design also attempted to examine the utility of remote ultrasound knobology control, the firefighters were so good at the task that the remote knobology control became less of a relevant problem” said Dr Kirkpatrick.

To reduce the challenges of novice ultrasound operators, at team in France, led by Dr Phillipe Arbelle, linked a robot-coupled ultrasound device with a remote operator. The distant clinician can move the ultrasound probe with a joystick to acquire the ultrasound images. His concept has been implemented in a French ultrasound device, SonoScanner, that the European Space Agency will begin investigating on the International Space Station.

Similar work in robotic ultrasound is being done in Australia, where a team is building a robotic ultrasound machine that can perform abdominal ultrasound.

Have you seen the guy in a kimono buying a car? Online resourcing is indeed pants-optional. But if you plan on telemonitoring be suitably dressed.

Alien

What other areas have come a long way when it comes to ultrasound? What areas are poised to be next? Comment below or let us know on Twitter: @AIUM_Ultrasound.

Kathleen M Rosendahl-Garcia, BS, RDMS, RVT, RDCS, is a NASA contractor working for KBRWyle and is a senior scientist and clinical sonographer in the Space Medicine division working under the Human Health and Performance Contract. Scott Dulchavsky, MD, PhD, is the Roy D. McClure Chairman of Surgery and Surgeon-in-Chief at Henry Ford Hospital in Detroit, and Professor of Surgery, Molecular Biology and Genetics at the Wayne State University School of Medicine. He is also a principal investigator for NASA and heads a project teaching astronauts how to use medical ultrasound in space.

Life Hacks for the 2017 AIUM Annual Convention

Are you ready? The 2017 AIUM Annual Convention is in less than 2 weeks and we have been working hard to make this a great multidisciplinary convention just for you. If you haven’t registered, do so here. If you are already heading to Orlando, here are a few things you can do to get the most out of your experience:

  1. Plan

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View the Program online and create a personalized schedule.

 

  1. Go

Transportation

There are several options to get to and from the Orlando Airport and the Swan and Dolphin Resort. The AIUM has negotiated a special discount with Mears, or you can choose from other options here.

 

  1. Surf

WiFi

Surf the web via complimentary Internet access throughout the convention space. In addition, if you are staying at the Swan and Dolphin Resort, your resort fee includes in-room Internet access.

 

  1. Follow

 Logos

Stay in the know by following the AIUM and the Convention on Twitter (#AIUM17), Instagram (aium_ultrasound), vimeo, LinkedIn, and Facebook as we share news and events, as well as photos and videos.

 

  1. Listen

speakers

Join the world-class faculty and ultrasound luminaries in any of the many sessions, presentations, and events that are occurring at any given time during the convention. Check out your many options on the AIUM convention web site.

 

  1. Learn

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Attend any of the 150+ sessions from 19 different interest tracks, with courses specifically designed for novice through advanced:

  • View and discuss unique cases with the physicians who made the diagnoses in any of the Just Images Sessions.
  • Attend courses developed by community and interest group officers in Special Interest Sessions.
  • Watch as a group of expert panelists evaluate new and challenging cases in Film Panel Sessions.
  • Learn about the latest research in Research Abstract Presentation Sessions.
  • View E-posters.
  • Meet with other ultrasound professionals who share your interests, plan future AIUM educational programs, and discuss the issues in your specialty in Community and Interest Group Meetings.

 

  1. Diagnose

 Case

The ever popular Case-of-the-day Challenge has become Image Challenges and will be located on the Exhibit Hall floor (Atlantic Hall B/C), on Sunday, March 26, through Wednesday, March 29, 2017.

 

  1. Earn

CME    blue arrow   Earn up to 7.5 CME credits during the Preconvention and 27.25 CME credits during the Convention.

ARRT   blue arrow   Earn up to 7.5 ARRT credits during the Preconvention and 27.25 ARRT credits during the Convention.

SAMs   blue arrow  The American Board of Radiology (ABR) has approved 6 Self-Assessment Modules (SAMs) activities from our upcoming 2017 Convention.

UGRA   blue arrow  One session at the Preconvention and 8 sessions at the Convention have been added to the UGRA Portfolio program’s course offerings.

 

  1. Eat

 Disney Eateries

Check out all of the conveniently located places you can get dinner or a quick bite. Just within the Walt Disney World Swan and Dolphin Resort if you want some Italian for dinner, try Il Mulino, located in the Swan, or if you want something else, try Shula’s Steak House (in the Dolphin), Kimonos (Japanese cuisine; in the Swan), or Todd English’s Bluezoo (seafood; in the Dolphin), but be sure to make your reservations now to avoid a long wait as they can all be very popular. There are also 7 more options for more casual or quicker bites so you never have to go very far to find something, and you will be able to purchase lunch on the Exhibit Hall floor.

 

  1. Play 

Play

Registered attendees can buy discounted tickets to Walt Disney World Theme Parks. But hurry: the discount ends Friday, March 24, 2017, at 9 pm.

We can’t wait to see you in Orlando! Don’t forget to tag and share #AIUM17 on social media.