Critical Care Ultrasound Training

Brigham and Women's Hospital Division of Pulmonary Medicine/Critical Care Medicine and Emergency Medicine Divisions of Critical Care Medicine and Ultrasound

MICU Fellow Ultrasound Guidelines

Purpose: To develop an educational curriculum to train the MICU fellows in critical care ultrasound. The educational curriculum is a multidisciplinary collaboration between the BWH Divisions of Pulmonary and Critical Care medicine, Emergency Medicine Critical Care, Emergency Medicine Ultrasound. 

MICU US Curriculum (pdf)

Program Goals (Appendix)

The fellows will gain experience and competency in the following areas:

  • FAST
  • Cardiac/IVC
  • Abdominal
  • Lung
  • DVT

The fellows will complete a minimum of 25 scans per category and will require 250 scans during their fellowship. 

  • All scans will be logged in a database
  • All scans will undergo quality review for educational purposes

Pulmonary/CCM Responsibilities

MICU F1 fellows will undergo a two-day US introduction training course in July

  • The MICU fellows must perform an Ultrasound scan shift once a month
  • The MICU fellows will continue to scan during their ICU rotations
  • The MICU will identify one faculty for month long training
  • The MICU will assign two persons as US faculty
  • MICU US Faculty will provide QA of imaging for fellows
  • MICU US should consider training other faculty
  • Fellows during scan shifts will submit form to ED/MICU designee for tracking
  • MICU scanning will be entered as a non-billable procedure (US unspecified)

Emergency Critical Care Responsibilities

  • Develop and Sponsor the introductory two-day US course
  • Provide Database management
  • Provide joint letter of US course completion

Emergency Ultrasound Responsibilities

  • ED US faculty will provide supervision and training during scan shifts
  • ED US faculty will provide QA of MICU scans (eventually transition to MICU)
  • ED will provide to MICU fellows read-only access to ED scan shifts
  • ED will provide ED/CCM access to tracking database for direct entry 

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