Emergency & Critical Care Ultrasound Fellowship

FELLOWSHIP IN EMERGENCY & CRITICAL CARE ULTRASOUND,

UNIVERSITI TEKNOLOGI MARA (UiTM)

 

INTRODUCTION

Emergency and critical care ultrasound is a relatively new field in the world of emergency medicine.  However, since the inception of this point of care ultrasound, it has changed the practice of most emergency medicine practitioner worldwide.  In the United States, point of care ultrasound has been taught in medical school from year 1.  There are around 90 fellowship programs being offered in the United States.  Where the program used to be about acquiring and polishing the skill, it has now moved on to how to develop a division of ultrasound within the emergency department, as well as developing a fellowship program and becoming a leader in this field.

The scenario of emergency and critical care ultrasound in Malaysia has to a certain extend caught up with developed countries.  Ultrasound machines are available in almost all Emergency Departments under the Ministry of Health Malaysia and University hospitals.  However, there is still a void in terms of structured training program.  UiTM intends to fill this void by providing a platform for emergency and critical care ultrasound through this fellowship program.

This program is parallel to the existing fellowship program in Emergency and Critical Care Ultrasound in Massachusetts General Hospital / Harvard Medical School, United States of America.

This program has received the support and will be conducted with the College of Emergency Physicians (CEP) Malaysia and Ministry of Health (MOH) hospitals.

DURATION

The duration of this program will be for a period of 6 months for full time candidate, and 1 year for part time candidate.

YEAR OF COMMENCE

1 June 2016

SCOPE

 There are three primary components to the fellowship program:

Skills:

-       Acquiring the technical skills to perform emergency and critical care ultrasound, interpreting the image and consolidating it in managing patients.

-       Building an emergency ultrasound teaching portfolio by compiling images for future references in the training of Emergency Physicians.

-       Develop teaching skills by being involved in training undergraduate and postgraduate students.

Research:

-       Initiate research ideas which may help improve patient care.

-       Supervise research projects in the field of emergency ultrasound.

Administration:

-       Understand the different components required to run an emergency ultrasound service

-       Utilize information technology for image archiving and database management

-       Understand quality assurance (QA) practices in critical care service.

 

FELLOWSHIP COMPONENTS

The trainee must meet the following requirements before being allowed to sit for the exit examination.

SCANNING

The main aim of this fellowship is to produce a fellow who can acquire images to the level of sonologist and interpret them accordingly similar to a radiologist.

The candidate will undergo at least 8 hours of scanning time per week and perform a minimum of 1000 scans.

TEACHING 

Teaching is part of the learning curve to ensure a strong grasp of the fundamentals of ultrasound.  This would consist of giving lectures as well as hands on teaching to the medical officers in the emergency department, postgraduate students as well as during ultrasound courses.

Throughout the duration of the fellowship, fellow would have to prepare at least 4 lectures.

 CONTINUOUS MEDICAL EDUCATION

Meetings with all fellows and faculty members is on a monthly basis. During this meeting, there will be didactic lectures, journal club, literature review and research updates.

The candidate is required to present an article review during the monthly meeting.

RESEARCH

This program strives to add to the current knowledge of ultrasound.   Fellows are required to initiate a research project in the relevant field.

QUALITY ASSURANCE 

Image scanned must meet international standards.  Interpretation of the images in the context of clinical setting will be reviewed by a faculty member.  External QA practices will be implemented.

 

TRAINING CENTRE

 Centres that have been identified as potential training centres are:

I.         Hospital Sg Buloh

             II.         Pusat Perubatan Pakar Universiti Teknologi MARA, Sg   Buloh

           III.         Hospital Raja Permaisuri Bainun, Ipoh

IV.         Hospital Kuala Lumpur

V.         Hospital Melaka

VI.         Hospital Universiti Sains Malaysia

 

 

ACADEMIC STAFF/CERTIFIED TRAINERS

The trainers are:

  • Dr Julina Md Noor

Senior Lecturer Emergency Medicine,

Universiti Teknologi MARA

Emergency Physician

Hospital Sg Buloh, Selangor

 

  • Dr Adi Osman

Senior consultant Emergency Physician

Hospital Raja Permaisuri Bainun, Ipoh

President of the Society of Critical and Emergency Sonography Malaysia

 

  • Dr Mahathar Wahab

Senior Consultant Emergency Physician

Hospital Kuala Lumpur

President of College of Emergency Physician, Malaysia

 

  • Dr Shaik Farid Abdull Wahab

Senior Lecturer Emergency Medicine

Emergency Physician

Hospital Universiti Sains Malaysia

 

  • Dr Mohd Fadhly Yahya

Senior Consultant Emergency Physician

Hosital Melaka

 

PROGRAM ADVISORS

  • Associate Professor Dr Vicki Noble,

Emergency Physician

Director of Ultrasound Division, Massachusetts General Hospital/Harvard Medical School, United States of America

 

  • Associate Professor Dr Andrew Liteplo,

Emergency Physician

Director of Fellowship in Emergency Ultrasound,

Massachusetts General Hospital/Harvard Medical School, United States of America

 

  • Dr Gabriele Via

Intensivist, Anaesthesiologist

Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

 

For more information on the programme, please contact:

Dr Julina Md Noor

Senior Lecturer Emergency Medicine,

Universiti Teknologi MARA

Emergency Physician

Hospital Sg Buloh, Selangor

Email: julinamn@gmail.com