1. 3/7/2015 WALLER, HYDE, OYEDELE, BERND, SWENSON, MARTINEZ, RAMEN, SCHWINDINGER, TALWAR FORNARI, BAHNER, HENNEMAN Physical Diagnosis Group #2

2. OUTLINE Goal Learning Objectives Nuts & Bolts Assessment

3. GOAL To create a curriculum for UGME (first 2 years) to focus on venous anatomy, physiology (CVP) and pathology -- in the context of physical exam and ultrasound correlation.

4. LEARNING OBJECTIVES PHYSICS AND ULTRASOUND BASICS  Demonstrate ability to visualize/quantify vessels (size, flow rate) & optimize the image using appropriate modalities (probe choice & mode) & technical settings (gain, depth et al) ANATOMY / PHYSIOLOGY  Compare and contrast veins / arteries utilizing histologic, gross anatomical, physiological, and US characteristics while linking these features.  Predict the effect of normal physiologic changes on venous flow and capacity CLINICAL SKILLS & COMMUNICATION  Explain the information needed to obtain informed consent from a patient for an ultrasound procedure (diagnostic)  Acquire images of central veins and utilize various modalities to estimate CVP  Predict volume status by measuring CVP using ultrasound and correlate to the physical exam PATHOLOGY  Explain the effects of decreased intravascular volume, obstructive shock, and right sided heart failure on the size/appearance/resp. variation of the IVC  Describe the pathophysiology of a DVT and its local and systemic effects

5. NUTS & BOLTS (strategies) Utilize various pedagogy for each LO grouping  Physics/US-Basics  Anatomy/Physiology  Clinical Skills/Communication  Pathology Learning/Teaching  Independent Learning  Lecture / TBL / Flipped  Small Group / Practicum / PBL  Deliberate Practice  Direct Observation / Assessment

6. ASSESSMENT General Principles:  Formative Assessment: after each sub-section w/ some MC questions on Physics/US-Basics; more short essay and standardized pt encounters for anatomy/clinical/path  Physics/US-Basics: 1-on-1 demonstration of ability to find vessels, visualize in 2 views w/ flow; measure flow/diameter; various modalities  Anatomy/Physiology: shown images or clinical context; answering short essay & oral exams  Clinical Skills/Communication: direct observation / portfolio (ability to visualize vessels)  Pathology: shown images or clinical context; answering short essay & oral exams  Summative Assessment: includes portfolio; practice demonstration (simulation w/ clinical context and scanning w/ post encounter essay)

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