Fellowship

Applications:

Fellows will master the basic ultrasound applications as defined by ACEP: Trauma/Airway, Pregnancy, Aorta, Cardiac/hemodynamics, Biliary, Urinary Tract, DVT, Soft-tissue, MSK, Thoracic, Bowel, Ocular and Procedural Guidance.  In addition, fellows will learn advanced applications such as Testicular, Nerve Blocks, Advanced Cardiac etc

Hands-on:

Fellows will participate in hands-on sessions throughout the week-scanning directly with EUS faculty, scanning independently and teaching residents and medical students in their scan shifts.  The expectation is that a fellow performs at least 1,000 scans over the course of a year.

Didactics & Journal Club:

Fellows will participate in weekly didactics, QA and journal club sessions with the faculty and rotating residents/medical students. Generally time is divided in this weekly division meeting between two journal articles, review of some highlighted scans from the week and reviewing an ultrasound topic through a brief presentation, chalk talk or hands on session. Fellows will have the opportunity to prepare and present a number of US lectures throughout the year.

Pediatrics

The pediatric emergency department at Hasbro Children’s hospital is a 34+ bed facility that sees over 53,000 patient per year.  We have a comprehensive ultrasound curriculum for our PEM fellows that allows them to graduate from fellowship with a solid foundation in pediatric emergency ultrasound, including image acquisition, image interpretation and clinical application of ultrasound findings.  For PEM fellows that are interested, we offer a scholarly concentration in POCUS which provides them with academic support to complete an ultrasound-related research project, further develop their scanning skills and get involved with ultrasound education at the local, regional and national level.  This can be completed during the course of their 3-year fellowship.

Clinical Experience  

Our department was established in 2005.  We have rapidly grown to over 100 academic emergency physicians in the University Emergency Medicine Foundation (UEMF) who provide care for over 210,000 patients annually at the Rhode Island Hospital Anderson Emergency Center, Hasbro Children's Hospital Emergency Department, Newport Hospital and The Miriam Hospital Emergency Department.

Rhode Island Hospital: Rhode Island Hospital is a not-for-profit, 719-bed, acute care hospital. It is the largest hospital and the only Level I Trauma Center in Rhode Island.  It is also the principal teaching hospital for the Alpert Medical School of Brown University.

Rhode Island Hospital is one of only 122 hospitals across the country and the only one in Rhode Island to receive the Consumer Choice Award from the National Research Corporation.  It has received this award six consecutive years.

The Andrew F. Anderson Emergency Center, newly built in 2005, has a volume of 105,000 adult patients per year, making it one of the busiest emergency departments in the Northeast.

Miriam Hospital: The Miriam Hospital is a 247-bed academic community hospital located on Providence’s East Side.

The Miriam Hospital was named the best hospital in Rhode Island and southeastern Massachusetts by US News and World Reports in their 2012-2013 ranking and has received the Magnet Award for Excellence in Nursing Services four times in recognition of its outstanding nursing culture.

The emergency department cares for approximately 60,000 patients per year in 47 beds. Emergency department acuity is consistently high, with an admission rate of approximately 30 percent. The patient population spans all ages, with a significant geriatric component, and socioeconomically reflects the hospital's location in a middle-class neighborhood in close proximity to Brown.

Newport Hospital: The ED at Newport Hospital handles about 31,000 patient visits each year, both for minor problems and to treat acutely ill or injured patients. The ED has 17 beds and a full staff of emergency medicine physicians, physician assistants, and specially trained nurses to triage and provide care.

Scholarly Work:

Research is an integral part of a career in academic emergency medicine for many providers.  At Brown we have a number of ongoing research projects in which fellows can participate. Fellows can either take the lead with an existing research project or initiate one on their own. 

QA:

Our images are stored and reviewed in QPath.  We currently review 100% of submitted exams. Exams with interesting findings or good teaching points are highlighted for review in the weekly meetings.