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University of Nebraska

Site Qualification Requirements

1) Is the ultrasound machine used for fellowship training fully owned by the Emergency Department?

Yes - Additionally there are 14 ultrasound systems in the simulation lab which the fellow can check out to use for personal training and are used for medical student education.

2) Is the ultrasound machine used for fellowship training available 24 hours/7 days/week?

Yes

3) Does the ultrasound machine used for fellowship training have the necessary transducers to perform cardiac, transabdominal, endovaginal and superficial examinations?

Yes

4) Is hospital credentialing for emergency ultrasound (EUS) available?

Yes

5) Do formal diagnostic EUS reports appear as a part of the patient medical record?

Yes - 3900 clinical exams and 3050 training exam (6950 total) were performed in Academic Year 2021-22.

6) Does at least one other emergency medicine faculty member (aside from the fellowship director) have hospital credentials for emergency ultrasound at the primary facility for all of the applications listed?

Yes - All faculty hold privileges to perform abdominal aorta ultrasound, E-FAST and ultrasound guided procedures. A majority of faculty hold privileges in at least one other application with an average of privileges for six different examinations over all faculty at our main campus.

7) Is quality assurance (QA) review documented for all ultrasound examinations performed by the emergency ultrasound fellow(s)?

Yes

8) Does the ED ultrasound director maintain a quality assurance log of all ultrasound examinations performed in the ED?

Yes

9) Are the types of EUS examinations at minimum consistent with those described in the most recent ACEP ultrasound guidelines?

Yes

10) Is the EUS faculty primarily responsible for EUS fellow education, with education outside the department kept to a minimum and only supplemental to fellow education?

Yes

11) Does the emergency ultrasound fellow work less than or equal to 20 clinical (direct patient care) hours/week?

Yes

12) Is the EUS fellow a full-time equivalent faculty member at your institution?

Yes

13) Is the EUS fellowship a minimum of 12 months?

Yes

14) Does the EUS fellow perform a minimum of 5 scanning shifts/month, with direct supervision during scanning shifts especially early in the fellowship?

Yes

15) Does a formal fellowship evaluation process exist with at least 3 meetings and an opportunity for the fellow and fellowship director to meet during the fellowship’s course?

Yes