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Category:French educational websitesImplementation of a point-of-care ultrasound curriculum in the surgical residency program at a major academic medical center.
Pre-hospital and emergency ultrasound (US) performed by paramedics and physicians has been demonstrated to improve patient care. The introduction of quality assurance standards in the use of point-of-care US (POCUS) is likely to improve the rate of learning and implementation of POCUS in the US community. We evaluated the first year of a POCUS teaching curriculum at our institution and the effect on the continuity of care. One thousand US examinations were performed by the surgical residency program during the first year. Two hundred POCUS examinations were performed by US fellows during the first 6 months of the curriculum. Point-of-care US examinations were structured as guidelines for technique, completeness and staging. Technical and clinical aspects of POCUS were taught through didactic sessions, a bedside teaching series and US demonstration. A total of 434 POCUS examinations were performed by the surgical fellows during the first 6 months. Results revealed 32% of examinations were performed in pre-hospital settings, 64% in the emergency department, 4% in the operating room and none in the newborn nursery. Seventy-seven percent of examinations were performed as a substitute for radiography and computed tomography scans. Forty percent of examinations were performed to rule out or confirm a diagnosis of acute abdominal pain, and 32% to evaluate extremity trauma. Technical aspects of POCUS were addressed in 98% and clinical aspects in 87% of examinations. The introduction of a structured POCUS program for surgical residents has allowed for improved teaching of the most common clinical indications for POCUS.In all the hubbub of the holidays, it’s easy to forget about the people who’ve been banished from the mainstream celebrations. LGBTQ people remain a force to be reckoned with in this season, and here are 10 people who will prove that point this year.
Whether it’s protesting against the new religious freedom bill in Oklahoma or fighting to have the Supreme Court rule that LGBTQ couples have a constitutional right to marry, these eight people show that the community is more united than ever, and is looking to make this year count.
A self-proclaimed hater of Republicans, Keith Olbermann has been a consistent voice calling out the hypocrisy and bigotry of the American right. Whether it http://travelingkitty.com/?p=831
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