Page 1 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

se c r e t a r i a t @w i n f o c u s . o rg – w w w . w i n f o c u s . o r g

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WORLD INTERACTIVE NETWORK FOCUSED ON CRITICAL ULTRASOUND

November 26, 2013

Phone +39 051230385 – Fax +39 051221894

Prepared for: WINFOCUS Prepared by: Vicki Noble

Via A. Appiani, 12, 20121 – Milan (Italy)

WINFOCUS Visiting Scholars Program

Summary OBJECTIVE To establish a list of international sites that can offer post-graduate and undergraduate training programs in point of care ultrasound.

GOALS To develop operating guidelines for WINFOCUS and NOEMA in administering a visiting scholar program in point of care ultrasound training.

________________________________________________________________ Page 2 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

The goal of the ultrasound visiting scholars program is to make available to WINFOCUS members a variety of opportunities at centers throughout the world for training in point of care ultrasound. The diversity of the WINFOCUS community is its strength and people can look to this program to become point of care ultrasound experts and leaders or just to gain confidence in their scanning ability. The concept is to have a survey that program directors complete that outlines the structure of the training opportunity (cost, schedule, who the instructors are, length of time, language of instruction) and then to have each center reviewed and approved by the Board. Once a program is approved the survey information will be posted on a central WINFOCUS.org webpage and applicants can find centers that match their needs. Applicants must be WINFOCUS members in order to apply and will contact NOEMA first to have their membership confirmed. The applicant will list the centers they are interested in in their email to NOEMA and, once their membership is confirmed, NOEMA will send the applicant an application and the applicant will contact the training centers directly to apply to the program. Once the applicant is accepted by the program and the parties agree on a training contract, NOEMA will administer the financial transactions. The logistics for housing, flight, etc are the responsibility of the applicant. NOEMA can help arrange logistics for an extra fee that can be arranged separately between the applicant and NOEMA. WINFOCUS will provide a “certificate of attendance” for each scholar once he or she completes the training program. This is NOT a competency assessment program - competency assessment is administered by WINFOCUS through the ITU/ITO program. If a training center is also an ITU/ITO approved center that can provide WINFOCUS competency assessments. Specific programs can list this on their survey and applicants can choose them if this is what they need. Finally, a post-training survey will be completed by the applicant and posted by NOEMA on the webpage so future trainees and the training sites themselves can get feedback on the programs. The financial cost of each program will be set by each training center. WINFOCUS will add 15% as an administrative fee to each programs cost (tuition + 15% = total fee). The trainee will pay WINFOCUS directly through NOEMA and then NOEMA will distribute the money to each training center. ________________________________________________________________ Page 3 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

WINFOCUS Visiting Scholars Program

Survey Hospital Mount Sinai Hospital

1. Location of program a. City and Country: New York, United States b. Type of facility: Academic Hospital c. Accommodations: self-arranged 2. Primary language of instruction

English

3. Ability to scan patients in hospital

Yes

a. Clinical and Administrative: Some clinical experience scanning patients, extensive administrative experience in quality assurance, data management, informatics, program organization and operations.

________________________________________________________________ Page 4 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

4. Name of program director: Bret P. Nelson, MD, RDMS, FACEP. a. WINFOCUS member

YES, member of Board of Directors

b. Specialty: Emergency Medicine 5. Number of ultrasound trained faculty participating in training

6

6. Duration of training program a. Option one: Six months b. Option two: One year 7. Training schedule a. Number of hours per day: 2-6 b. Number of days per week: 4-5 c. Ability to participate in didactic lectures: yes d. Simulator practice: yes, multiple different simulator technologies available e. Standardized patient training hands on: yes f. Research participation: yes

________________________________________________________________ Page 5 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

g. Quality assurance of images: all images obtained by scholars will undergo video QA review 8. What is/are the area(s) of expertise of the training center (emergency medicine, critical care, prehospital, medical school education, surgery, anesthesia, pediatrics) Among our six ultrasound faculty and world-class Emergency Medicine Departmemt we have expertise in a wide variety of areas. We have a strong foundation in Pediatric Ultrasound, and Dr. Jim Tsung heads up our Pediatric Ultrasound Division. Our ultrasound program works closely with our nationally recognized Informatics, Simulation, and Research Divisions, as well the Institute for Medical Education. We are heavily involved in ultrasound education throughout the medical school as well as other departments (such as Internal Medicine, Critical care, and others). Opportunites for collaboration with EMS, Anesthesia, Cardiology, and other disciplines exist here as well. 9. Does the training center program include: a. management of ultrasound program: Yes b. gaining confidence in ultrasound skills Yes c. ultrasound research training Yes ________________________________________________________________ Page 6 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

d. WINFOCUS -- ITU/ITO program that can give competency assessment certificates: pending e. Assistance in Developing Lectures: Yes 10. Cost a. Option one Six months: $12,000 US plus WINFOCUS administration fee b. Option two Twelve months: $24,000 US plus WINFOCUS administration fee 11. Resources a. video library: Many DVDs, online lectures and interactive tests available b. simulators: Blue Phantom, Simulab, and SonoSim ultrasound simulators c.

machines: SonoSite M-Turbo and S-Series (wireless digital image storage, video clip storage, Doppler, etc.)

12. Narrative Describing the Program The Mount Sinai Ultrasound Division has trained future leaders in point of care ultrasound for a decade. Our faculty have national and international leadership positions in a number of ultrasound organizations such as WINFOCUS and AIUM, and have won teaching awards from multiple institutions. We are an integral part of an

________________________________________________________________ Page 7 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org

Emergency Department which is among the top five NIH-funded departments in the United States, and at a top-tier medical school. We offer fellows the opportunity for supervised scanning; but the true strength of the program lies in our ability to mentor research projects and administrative experience. Bret Nelson, the program director, has led the Ultrasound Division for ten years and is Chair of Mount Sinai’s hospital-wide Point of Care Ultrasound Committee. We have established a multi-departmental point of care ultrasound program where electronic image archiving and documentation are being standardized, using the Emergency Department as a model. There are a number of quality improvement initiatives ongoing which involve residents and faculty. We have finiancial and compliance projects and information technology advances as we roll out our electronic systems throughout the hospital. There are a host of educational opportunities as we continue to train hundreds of Emergency Medicine, Internal Medicine and other residents, as well as medical students of all levels in the use of ultrasound. It is important to us to work with our visiting scholars to craft a curriculum and experince tailored to each individual’s need. We will bring our resources to bear in a targeted fashion to ensure you leave us with the tools you need to lead a program at your home institution.

________________________________________________________________ Page 8 WINFOCUS Secretariat Office Via Orefici, 4 - 40124 Bologna (ITALY) Tel +39 051 230 385 - Fax +39 051 221 894 Email [email protected] - Site www.winfocus.org