The student will be able to:
A. competently perform all primary examinations and procedures in a timely manner requiring elementary sonographic applications, including translating and calculation of quantitative data.
B. obtain accurate clinical history, physical findings, laboratory data for all types of patient procedures and examinations.
C. operate with supervision several different types of sonography equipment in conjunction with examination completion within acceptable time limits.
D. apply the use of onboard computer calculations and various key functions of the ultrasound system with accuracy.
E. demonstrate excellent communication skills with patients, physicians, staff and the public.
E. reinforce standards of practice when working with culturally sensitive environments, including various age and gender populations.
F. comply with "standards of practice" through the use of excellent communication skills, including adhering to the Standards of Profession Behavior, including but not exclusive to ethical behavior in a clinical practice.

This course is a clinical preceptorship with the student assigned to a hospital or other qualified medical facility. It is designed as an integrative approach.
A. Perform at the advanced level the following and applications, to include knowledge of didactic information and principles of all examinations and procedures, with supervision, including:
1. gynecology
a. transabdominal application
b. endovaginal application
2. obstetrics
a. transabdominal application
b. endovaginal application
3. vascular applications
a. carotid arteries
b. extremity venous vascular with doppler
c. peripheral arterial and venous
d. non imaging vascular
4. abdominal examinations
a. tranabdominal application
b. subcostal approach
c. intercostal application
5. invasive applications
a. appropriate application to setting up sterile trays and instruments
b. ascertain the correct patient information matches the patient and is entered appropriately in the computer system
c. acquire patient data, including medical history, laboratory data relevant to the invasive procedure
B. Obtain accurate clinical information, including medical history, physical findings, laboratory data, and apply to the acquisition of anatomy with consideration of physiology, and pathophysiology for the following subjects:
1. gynecology
2. obstetrics
3. abdominal applications
4. vascular applications
C. Perform the sonographic examination in a timely manner consistent with this level of training
1. uncomplicated abdominal examinations within 30 minutes
2. uncomplicated gynecological examinations within 30 minutes
3. uncomplicated obstetrical examinations for the first trimester within 25 minutes
4. uncomplicated obstetrical examinations for the second trimester within 30 minutes
5. uncomplicated obstetrical examinations for the third trimester within 40 minutes
6. uncomplicated carotid and DVT examinations within 40 minutes
D. Identify the various computer onboard calculations
1. input calculations accurately
2. recognize and explain the types and purposes of the various onboard computer calculations per patient examination
3. demonstrate the key functions and knobology of each ultrasound system
4. explain the methods to improve the sonographic image using the appropriate key functions
5. judge quality of images based on accepted criteria, image assessment
6. apply measurements correctly
7. criticize, appraise, and validate excellent image quality from nondiagnostic images
E. Demonstrate excellent verbal, nonverbal, listening, written communication skills with patients, staff, physicians, and the public in a culturally sensitive manner
1. demonstrate excellent communication skills with physicians
2. demonstrate excellent communication skills with staff
3. assume responsibility for patient examinations and presentation through action
4. apply program and department policy and procedures
F. Recognize and apply "standards of practice" when working with culturally sensitive patient, physicians, staff, and the general public through the use of excellent communication skills
1. oral skills
2. written skills
3. nonverbal skills
4. Standards of Professional behavior in a clinical practice
5. demonstrate age related competency
I. Traits of the health care professional
1. punctuality and dependable
2. accepts constructive criticism and complies
3. follows instruction
4. receptive
5. demonstrates enthusiasm

The laboratory portion of this course may include any of the following:
A. Live or simulated patient environment
B. Patient exams
C. Clinical assessment
D. Case analysis
E. Normal and pathology analysis
F. Patient interview
G. Medical history and other relevant data

A. Clinical case presentations as presented orally, with demonstration and written assignment. Assessment will include clinical research conducted prior to presentation.
B. Skills and performance testing and evaluation by observation of performance.
C. Clinical competency and proficiency assessment will be conducted at mid-quarter and end of quarter.
D. Behavioral objectives evaluated by written form and observation.
E. Site visits in the clinical facility by faculty.
F. Practicum examination.

A. Lecture presentations
B. Cooperative learning exercises
C. Oral presentations
D. Demonstration
E. Internship/preceptorship
F. Clinical lab

Kawamura, D., and T. Nolan. Abdomen and Superficial Structure. 4th ed. Philadelphia, PA: Wolters Kluwer, MD, 2018.

Stephenson, S., and J. Dmitrieva. Diagnostic Medical Sonography: Obstetrics and Gynecology. 4th ed. Philadelphia, PA: Wolters Kluwer, MD, 2018.

 

A. Reading materials from texts and website research on patient pathology.

B. Critical analysis of patient examinations and findings.

C. Review of relevant published data as related to sonographic evidence of pathology and/or variants.

D. Report writing per patient case.