Residency ProgramsEmergency Medicine/Family Medicine
Christiana Care's commitment to excellence in emergency-medicine training includes educating residents in the performance of advanced life-saving procedures and use of new technologies. Since 1990, we have integrated point-of-care emergency-medicine ultrasound (EUS) into our curriculum and believe that all future EM physicians must master this technology.
EUS training at Christiana Care is nationally recognized as one of the most comprehensive and innovative programs.
Our Emergency Department supports eight ultrasound systems equipped for multiple application imaging. We currently have six Sonosite M-Turbo® systems, a Zonare Z.oneTM system and a dedicated Spencer Transcranial Doppler system.
We have developed collaborative relationships with the departments of Radiology, Surgical Critical Care, Pulmonary Critical Care, Cardiology/Echocardiography, Vascular Surgery/Imaging and Anesthesiology. Ultrasound studies performed in the ED are dynamically recorded and reviewed by the EUS director and associate director, and the EUS fellows.
EUS applications taught to residents include:
- Vascular (DVT upper and lower extremity).
- US Guided Procedures.*
- Superficial/Soft Tissue/MSK.
- Pelvic OB/GYN.*
- Ocular Ultrasound.
*Applications recommended by the American Board of Emergency Medicine (ABEM)
Resident ultrasound training: PGY-1
Education in EUS begins the first month of residency with the orientation block. We developed a three-day course that consists of didactic and hands-on sessions providing the basis of education in life-saving and time-saving EUS applications. This course meets and exceeds the American College of Emergency Physicians guidelines.
PGY-1 residents rotate in a combined anesthesiology and EUS block, where they receive additional lectures, perform bedside ED ultrasound studies and participate in detailed real-time quality performance reviews. Residents perform more than 100 ED ultrasound studies during this combined rotation.
Rotations in obstetrics, pediatric emergency medicine and in the medical, cardiac and surgical ICUs also provide opportunities to utilize point-of-care ultrasound in patient management. These rotations allow residents to cultivate skill in using ultrasound to manage a wide range of patient populations.
Resident ultrasound training: PGY-2 and above
After the first year of residency, residents have the option of either a two- or four-week elective in EUS. The goal of this elective is to focus on refining skills in performing and interpreting ultrasound and to increase utilization of advanced applications such as ocular, vascular and procedural ultrasound. This elective is also available to residents from outside of Christiana Care Health System.
Residents who have a distinct interest can qualify to take the American Registry of Diagnostic Medical Sonographers exam by the completion of their residency.
Emergency Medicine Ultrasound Fellowship
Our one-year Emergency Medicine Ultrasound Fellowship program continues to push the boundaries of ultrasound education, performance and research.