2011 SDMS Annual Conference Faculty Objectives TH-02 Got Integrity? How to Combat Academic Dishonesty 1. Expand understanding of academic dishonesty as it pertains to educating allied health professionals 2. Recognize various forms that violations of academic integrity can take 3. Provide strategies for handling issues of academic integrity and discuss tools for preventing it’s occurrence in the first place 4. Discuss ways to cultivate an environment of academic honesty TH-03 Sonography of the Appendix and Abdominal Wall Hernias 1. Identify the sonographic landmarks for locating the appendix 2. List the various locations of abdominal wall hernias 3. Recognize the contents of abdominal wall hernias TH-04 The Comprehensive Echocardiogram: Does My Exam Meet the Standards? 1. 2. 3. 4. 5. Discuss the transducer location and the various imaging planes available Discuss the correct 2-D imaging orientations for each imaging view Review the examination and interrogation of the great vessels from the suprasternal views Review the examination and interrogation of the heart and liver from the subcostal window Discuss how to perform a comprehensive transthoracic echocardiographic examination tailoring the examination to the specific needs of the patient TH-05 First Trimester Screening: Where We Are in 2011 1. Describe a systemic approach to evaluate fetal anatomy for the 11-13 week sonography examination 2. Demonstrate the technique needed to achieve a reliable and accurate measurement of the Fetal Nuchal Tranlucency 3. Gain a greater understanding of additional markers that can be evaluated which include the nasal bone, tricuspid regurgitation, ductus venosus waveform and frontomaxillary facial angle TH-06 Fundamentals of Upper and Lower Extremity Venous Scanning 1. 2. 3. 4. Detail the anatomy of the upper and lower extremity venous systems Describe the technical protocols for sonographic examination of the extremity veins Relate the current diagnostic criteria used for defining acute and chronic venous thrombosis Describe the various pathologies that may be encountered during an extremity venous duplex examination TH-08 Math & Everyday Life: The Mathematical Perspective All Students Should Know 1. Recognize the difference between absolute and relative questions 2011 SDMS Annual Conference Faculty Objectives 2. Identify linear and non-linear relationships 3. Learn basic logic and reasoning skills applicable in all phases of learning and work TH-09 Develop and Analyze Your Test 1. Describe the different purposes of assessment and how the tests built for each may differ 2. Explain the advantages of objective testing, as well as its drawbacks 3. Identify the parts of a multiple-choice question (MCQ or ‘item’) and the ARDMS style rules for each 4. Avoid providing hints or confusion about the correct answer to an item 5. Change the difficulty of an item by changing only the response options TH-10 Abdominal Doppler 1. Describe the anatomy of the abdominal vascular systems 2. Relate the techniques used for performing duplex sonographic evaluations of the abdominal aorta, mesenteric and renal arteries 3. List the current diagnostic criteria for classification of aortic, mesenteric and renal artery stenosis 4. Define the pitfalls associated with abdominal vascular sonographic examinations TH-11 Aortic and Mitral Stenosis 2-D and Doppler Assessment 1. 2. 3. 4. 5. List normal valve areas of aortic and mitral valve Define valvular stenosis Outline comprehensive pre-operative echo assessment of stenotic lesions Calculate aortic valve area by continuity method Determine mitral valve area by continuity, PISA, planimetry and pressure half-time methods TH-12 GYN Techniques 1. List sonographic techniques of gynecology specialty 2. Describe the differences and similarities between transabdominal, transvaginal, transperineal, and sonohysterography 3. Summarize the advantages and disadvantages of techniques presented 4. Recognize the applications of GYN techniques presented TH-15 1. 2. 3. 4. Interesting Cases: Scanning with the Stars Identify and evaluate normal anatomical structures on sonographic images Critique technical factors on sonographic images Recognize pathologic conditions and their variable sonographic appearances Identify other diagnostic tests/clinical indications and their role in contributing to the sonographic findings TH-16 Making Bioeffects Meaningful for Students 2011 SDMS Annual Conference Faculty Objectives 1. Demonstrate techniques to teach students the mechanisms for thermal and mechanical bioeffects 2. Demonstrate to students how to select the appropriate output power settings for sonographic examinations 3. Teach students in an easily understood fashion the proper techniques for safe and effective sonographic examinations 4. Teach students in an easily understood fashion the proper techniques for safe and effective sonographic examinations TH-17 Musculoskeletal Sonography of the Shoulder 1. Describe the anatomy of the shoulder 2. List the clinical indications for musculoskeletal imaging of the shoulder 3. Demonstrate knowledge of proper imaging techniques including pitfalls and artifacts of musculoskeletal imaging. 4. Describe the sonographic tissue signatures of the ligaments, muscles, bony surfaces, fibrocartilage, nerves and tendons of the shoulder. TH-18 3-D Imaging for the Sonographer 1. Explain the differences between 2-D and 3-D imaging 2. List the components of 3-D image and the relationship to cardiac anatomy 3. Identify 3-D structures that may indicate abnormal cardiac anatomy TH-20 Evaluation of Renal and Mesenteric Vasculature 1. Describe techniques to optimize the Doppler examination of the renal arteries 2. List the criteria for the identification of renal artery stenosis 3. Describe the appropriate criteria for Celiac and SMA stenosis TH-22 Test-Taking Strategies: Eliminating the Voices In Your Head 1. 2. 3. 4. Distinguish between types of exam questions and distracters Identify keywords, words of inversion, and words of exclusion Utilize mutual exclusively and other logical constructs to focus on central concepts Employ these techniques on vascular related questions. TH-25 Valvular Regurgitation: What Numbers Really Matter? 1. Describe the 2-D and Doppler views needed to assess mitral, tricuspid and aortic valve regurgitation. 2. Describe what echocardiographic parameters must be collected to quantify the severity of regurgitation for the mitral, tricuspid and aortic valves. 3. When assessing mitral valve regurgitation what are the pitfalls of acquiring the regurgitant orifice area (ROA). TH-26 Fetal MSK Sonography - A Practical Approach 2011 SDMS Annual Conference Faculty Objectives 1. Distinguish normal development and appearance 2. Discuss measurements 3. Review evaluation of skeletal dysplasia: Questions to ask, and the four most common lethal diagnosis 4. Detail specific spine problems TH-27 Arterial Evaluation - Aortoiliac to Tibial Arteries 1. Describe advantages of duplex sonography over other invasive imaging modalities. 2. Describe current trends in utilizations for duplex sonography in this setting. 3. Overcome pitfalls of arterial imaging of the LE arteries. TH-29 Your Role Moving Forward 1. 2. 3. 4. Organize expectations of the student role Express the student's role in the classroom Summarize the duties of the clinical intern Describe how the expectations change during the progression from student to intern to professional 5. Distinguish the difference between a clinical intern and an entry-level sonographer TH-30 Integrating Technology into the Classroom 1. Identify the importance of utilizing technology to enhance the learning environment 2. Encourage the use of technology for academic and professional means 3. Demonstrate a variety of web genres suitable for diverse learning contents and learners TH-32 Stepwise Approach to Diastolic Function 1. Outline diastole and grades of diastolic dysfunction 2. Review echocardiographic assessment of diastolic function 3. Describe typical protocols for comprehensive measurements TH-33 The Fetal Central Nervous System 1. Identify normal sonographic anatomy of the fetal CNS 2. List the sonography findings of the major intracranial malformations 3. Discuss cerebral malformations related to neural tube defects TH-34 Carotid Artery Sonogram - The Whole Story 1. Demonstrate proper scanning techniques 2011 SDMS Annual Conference Faculty Objectives 2. Gain an understanding of the different Doppler characteristics encountered while performing a carotid duplex study FR-39 Optimizing Breast Sonography 1. Identify normal sonographic breast anatomy 2. Correlate palpable abnormalities with sonographic findings 3. Correlate mammographic abnormalities with sonographic findings FR-40 Congenital Heart Disease: The Funny Looking Heart Syndrome 1. Explain the most common congenital heart defects 2. List echocardiographic views obtained to accurate identify heart abnormalities 3. Identify structures that may indicate abnormal cardiac anatomy FR-42 Early Markers of Cardiovascular Disease and Screening 1. 2. 3. 4. Explain the importance of the ankle-brachial index in categorizing peripheral arterial disease Demonstrate proper techniques for measuring brachial artery reactivity Demonstrate proper techniques for measuring intima-medial thickness Determine appropriate vascular screening measurements to estimate cardiovascular risk of heart attack and/or stroke FR-43 Solid Liver Masses 1. Describe the appropriate indications for scanning the liver 2. Describe common and uncommon presentation of liver lesions FR-44 Diastolic Function for Sonographer 1. Explain the various stages of diastolic dysfunction 2. List the components of the Doppler waveforms that are used to evaluate diastolic function 3. Identify values that may indicate normal and abnormal diastolic function FR-45 Fetal Genitourinary Sonography 1. Identify the basic question that needs to be answered for the adequate evaluation of the fatel GU system. 2. List the categories of fetal renal disease 3. Describe the normal renal, collecting system and bladder anatomy FR-47 Advanced Breast Sonography 1. 2. 3. 4. Explain causes of bloody nipple discharge Identify the differences between saline and silicone implants Assess metastatic lymph nodes Define cysts arising from the skin 2011 SDMS Annual Conference Faculty Objectives FR-48 Pericardial Disease: What it Takes to Make the Diagnosis 1. Describe what are the evident 2-D echocardiographic and Doppler findings associated with the physiologic changes of cardiac tamponade. 2. Describe what are the 2-D echocardiographic, m-mode, and Doppler findings associated with constrictive pericarditis. 3. Describe how a respirometer is a useful tool in the echocardiographic examination for constrictive pericarditis. FR-49 Sonographic Evaluation of the Fetal Abdomen 1. Discuss the ventral abdominal wall and cord insertion and group of anomalies that result from its defective closure 2. Discuss gastrointestinal tract and its anomalies 3. List common abdominal masses of the fetal abdomen as demonstrates by sonography FR-50 The Art and Science of Vascular Sonography 1. Demonstrate appropriate ultrasound machine settings for image optimization 2. Demonstrate the logical step-by-step thought processes for problem solving during the course of a sonographic examination 3. Determine the appropriate vascular measurements to provide complete diagnostic information 4. Explain the trade-offs necessary to optimize either a Doppler or a B-mode display SA-51 Sonographic Evaluation of Abdominal Pain 1. 2. 3. 4. Describe sonographic technique for evaluation of the billiary tree and pancreas. Discuss the diagnostic criteria for diagnosis of acute cholecystitis and billiary colic. Describe the sonographic findings of acute pancreatitis. Describe the sonographic findings of aortic dissection and intraperitoneal free air. SA-52 Right Heart Function: Remember Me? 1. Be familiarized with the Guidelines and Standards report of the American Society of Echocardiographic Assessment of the Right Heart in Adults. 2. Describe the 2-D acoustic windows and echocardiographic views required for the evaluation of the right heart. 3. Describe the echocardiographic and Doppler parameters required, and the views necessary to obtain these parameters for assessing right ventricle hemodynamics, pulmonary circulation, and RV size and systolic function. 4. Identify the segmental nomenclature of the right ventricular walls along with their coronary supply. SA-54 Strategic Approach to the Abnormal Vascular Exam 1. Identify the value of Doppler spectral analysis 2. Recognize and formulate an approach to normal and abnormal findings 3. Review the importance of clinical pretest probability 2011 SDMS Annual Conference Faculty Objectives 4. Discuss the specific difficulties that can dictate the limits of non-invasive testing SA-55 Renal Transplantation: Preoperative & Postoperative 1. Describe the common abnormalities which may limit transplant placement. 2. Describe the sonographic findings and threshold values for common abnormalities of the renal allograft after transplantation. SA-57 Sonographic Findings of Common Genetic Disorders 1. Describe the difference between chromosomal aneuploidy, single gene disorders and genetic syndromes 2. Discuss the importance of a complete fetal survey when one sonographic abnormality is identified 3. Summarize the associated sonography findings for each diagnosis 4. Outline important clinical features of common diagnoses SA-58 Venous Duplex Sonography - Expanding the Envelope 1. 2. 3. 4. Identify clinical parameters associated with venous disease Discuss chronic vs. acute deep venous thrombosis Review the natural history of deep vein thrombosis Recognize the use and abuse of D-dimer testing SA-59 Pancreas Transplantation 1. Identify the surgical variants of pancreas transplantation. 2. Give an appropriate differential diagnosis of peri-transplant fluid collections. 3. Recognize the principles and limitations of diagnosing pancreas transplant compromise by sonography and Doppler. 4. Discuss the role of sonography in the evaluation of pancreatic obstruction, infection, and vascular complications. 5. Review transplant biopsy technique SA-60 The Comprehensive Fetal Echocardiogram 1. 2. 3. 4. Define what comprises a comprehensive "exam." Employ this sequential method to maximize effectiveness of a fetal cardiac scan. Identify the most common congenital heart. Identify congenital heart defects commonly missed on prenatal scans. SA-61 Sonographic Evaluation of Pelvic Pain 1. 2. 3. 4. Discuss the clinical presentation and sonographic findings of ovarian torsion. Describe the sonographic findings of hemorrhagic and ruptured ovarian cysts. Discuss new recommendations for f/u of the “classic” hemorrhagic ovarian cyst. Discuss the common and uncommon sonographic findings of pelvic inflammatory disease. 2011 SDMS Annual Conference Faculty Objectives SA-62 Vascular Emergency 911 1. Explain tricks of the trade that will counteract duplex sonography pitfalls encountered during emergent vascular sonography 2. Recognize peripheral arterial disease secondary to atherosclerosis versus cardioembolic disease 3. Describe the importance of an appropriate clinical history SA-63 Sonography of the Shoulder 1. Describe the surgical and sonographic anatomy of the shoulder 2. List the clinical indications for musculoskeletal imaging of the shoulder 3. Demonstrate knowledge of proper imaging techniques including pitfalls and artifacts of musculoskeletal imaging. 4. Describe the sonographic tissue signatures of the ligaments, muscles, bony surfaces, fibrocartilage, nerves and tendons of the shoulder. SA-64 Contrast Echocardiography 1. Define contrast 2. List limitations of contrast use 3. Describe when it is appropriate to use contrast SA-65 Fetal Anomalies with MRI Correlation 1. Describe basic MRI technology 2. Discuss clinical use in prenatal diagnosis 3. Summarize recent literature regarding the use of MRI in fetal imaging SA-66 Sonographic Evaluation Pre and Post Dialysis Access Placement 1. Explain the hemodynamic differences between dialysis access shunts and fistulae 2. Demonstrate proper techniques for pre-operative evaluation of a patient needing hemodialysis 3. Demonstrate proper techniques for post-operative evaluation of a patient receiving hemodialysis 4. Determine the appropriate vascular measurements to evaluate whether a dialysis access may be failing SA-68 3-D Cardiac Imaging: You Can Be the Expert! 1. Perform a time productive echocardiogram which integrates specific 3-D imaging and analysis methods based on pathology type. 2. Describe the differences and applications that may be associated with “best use” for real-time 3D imaging, full volume acquisition for chamber quantitation, and multi-slice planimetry. 3. List the steps in preparing your derived 3-D images for post-processing and maximal image quality for interpretation. SA-69 The Cavum Septi Pellucidi in Utero 2011 SDMS Annual Conference Faculty Objectives 1. List four reasons why the CSP is important to always evaluate on every fetal sonogram. 2. Describe multiple entities where the CSP is absent. 3. Name at least one entity where an absent CSP may be the only sign of a prosencephalic cleavage disorder. SA-71 Sonographic Doppler and Doppler of the Liver & Portal Hypertension 1. 2. 3. 4. Describe the normal anatomy, anatomic variants of the liver and its vasculature. Explain the Doppler flow profiles of the hepatic vasculature. Describe the principles of portal hypertension. Discuss the role of sonography in the evaluation of variceal pathways SA-72 New Technology for the Assessment of Myocardial Function 1. List new modalities used for the assessment of myocardial function 2. Explain how new techniques can better assess myocardial function 3. Identify values that may indicate normal and abnormal myocardial function SA-73 Fetal Growth Restriction 1. List the causes of and risk factors for fetal growth restriction 2. Discuss symmetric & asymmetric growth restriction 3. Discuss the clinical applications of Doppler in FGR SA-75 Abdominal Doppler: Challenging Cases 1. Lift a variety of common vascular abnormalities. 2. Describe the sonographic Doppler findings and threshold values for diagnosing common vascular abnormalities. 3. Identify basic concepts for Doppler evaluation of vascular abnormalities SA-76 Heart Failure 101: Let’s Hear From Both Sides of the Cardiac Cycle! 1. Describe the epidemiology and physiology of heart failure 2. Discuss the differences between systolic and diastolic heart failure 3. List the imaging modalities available to assess heart failure SA-78 Having Fun with the Interesting Vascular Case 1. Review and strategically dissect a series of normal and abnormal vascular case studies 2. Describe the importance and tole of clinical history and pre-test probability. SU-79 Sonography of the Acute Scrotum 1. Describe the normal anatomy of the scrotum. 2. Describe proper technique for grey-scale and Doppler examination of the scrotum. 3. List common etiologies for the acute, painful scrotum. 2011 SDMS Annual Conference Faculty Objectives SU-80 Cardiovascular Hemodynamics and Doppler Principles 1. 2. 3. 4. 5. Describe cardiac and overall vascular hemodynamics and flow profiles Determine what disease states will affect hemodynamics Apply the Doppler equation using conceptual knowledge Assess spectral waveform analysis as an output of vascular resistance Discuss the principles of Nyquist limit, aliasing, and PRF SU-81 Understanding Uterine Malformations 1. Describe the embryologic mechanisms underlying uterine anomalies. 2. Detail the classification system for uterine anomalies 3. Describe the clinical relevance of distinguishing between the major types of uterine malformations. SU-82 Evaluation of the Patient with PAD 1. 2. 3. 4. 5. Recognize the short comings of screening exams for PAD. Describe the importance and role of clinical history and pre-test probability Recognize and formulate an approach to normal and abnormal findings Identify the need for exercise by relating patient history and symptoms to initial exam findings Review and strategically dissect a series of normal and abnormal arterial case studies. SU-83 Pediatric Neurosonography 1. 2. 3. 4. 5. List the images associated with standard protocol for neonatal brain sonography Identify normal neonatal brain anatomy Discuss the causes for neonatal brain hemorrhage and ischemia Identify the sonographic findings for brain hemorrhage and ischemia Discuss the prognosis for these lesions SU-84 Is 3-D Echo Relevant? - Interesting Case Studies 1. Describe how advanced 3-D applications are impacting diagnostic accuracy and speed. 2. List current and emerging techniques which include the use of 3-D transesophageal echocardiography for interventional procedures. 3. Identify specific cardiac anatomical landmarks and pathology quickly from orienting and viewing 3-D image datasets. SU-85 Screening Tests and Procedures 1. Describe current recommendations for aneuploidy screening in pregnancy 2. Explain prenatal diagnostic techniques available 3. Discuss controversial carrier screening to include single gene and ethnic-based conditions SU-86 Carotid Sonogram & Non-Atherosclerotic Findings 2011 SDMS Annual Conference Faculty Objectives 1. List various non-atherosclerotic findings that may be encountered during carotid scan. 2. Describe the implications/potential complications of non-atherosclerotic findings SU-87 Sonographic Evaluation of the Parathyroid Glands 1. Describe the anatomy and physiology of the parathyroid glands and it’s relationship to the thyroid gland 2. Demonstrate knowledge of proper scanning technique and tips for identification 3. Identify common pathologies and challenging sonographic appearances of the parathyroid glands. SU-88 Stress Imaging: Taking the Stress out of Stress Echo! 1. Describe stress testing in echocardiography 2. Outline definitions for interpretation 3. Discuss protocols for imaging acquisition SU-89 3-D Sonography of the Uterus 1. Describe the technique for acquiring volumes of the uterus 2. Detail the clinical applications and advantages of 3-D sonography of the uterus compared with conventional 2-D sonography 3. Describe the technique and advantages of 3-D sonohysterography SU-90 Evaluation of Aortic Endografts 1. Describe the benefits/complications associated with endovascular repair of AAA. 2. List the different types of endoleak. 3. Describe pitfall & limitations of sonography in this setting SU-91 Teamwork: A Journey from Seattle to South Africa 1. List the pros and cons of not working together as a team 2. Discuss the methods of teamwork as demonstrated by The World Famous Pike Place Fish Market 3. List the impact that one has on the team SU-93 Sonographic Evaluation of Non-Gynecologic Causes of Pelvic Pain 1. Review the sonographic findings of common GI conditions such as appendicitis, diverticulitis, pelvic abscess and bowel obstruction. 2. Describe the sonographic findings associated with renal colic. 3. Discuss how to evaluate for and diagnose urethral diverticula. 4. Discuss the sonographic appearance of pelvic congestion syndrome.
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