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Updates from the Ten Institution New York City US Grand Rounds - Emergency Ultrasound Section Newsletter, December 2012

On Wednesday, September 12th, 2012 the 27th quarterly Ultrasound City-Wide Grand Rounds discussion was held at St. Luke’s-Roosevelt Hospital Center. Jerry Chirocolo MD, Emergency Ultrasound Division director at New York Methodist Hospital and the 2009-2010 ACEP Ultrasound Section chair, led a roundtable discussion on how and why to become involved in emergency ultrasound on a national level. Over 35 faculty, fellows and residents representing 10 institutions from the New York area attended.

Dr. Chirocolo outlined a variety of reasons to get involved in national ultrasound organizations. Participation in organizations, such as the American College of Emergency Physicians (ACEP), the Society for Academic Emergency Medicine (SAEM), or the American Institute of Ultrasound in Medicine (AIUM), affords opportunities to learn from others in the field of emergency ultrasound, exchange ideas and strategies, and bring knowledge and new ideas back to one’s home institution. Moreover, such involvement creates a platform for individuals to initiate dialogue and discussion on a broader level about ultrasound specifics that are important to them. National organizations also allow involvement occurring on the national level; one example that was cited was the recent debate in the ACEP ultrasound section about whether to pursue ACGME accreditation for ultrasound fellowships. Lastly, participation in national organizations can provide opportunities for leadership.

The discussion included a comprehensive list of the organizations in which faculty, fellows and residents may become involved. The ACEP ultrasound section has the largest membership (>1000) and has historically written policy for emergency medicine physicians. The Academy of Emergency Ultrasound of SAEM has a more academic organizational focus and is smaller in membership size but still influential. In contrast to these emergency medicine based organizations, AIUM is a multidisciplinary group including all specialties that use ultrasound in their clinical practice, including specialists in radiology, OB/GYN, as well as ultrasound technicians. Emergency medicine physicians are becoming increasingly involved in this group. In addition to these organizations, emergency medicine residents can elect to participate in a resident-focused group such as the Emergency Medicine Residents’ Association (EMRA).

Also debated was the value of participation in the American Registry for Diagnostic Medical Sonography (ARDMS) through its certification examinations. Many emergency physician sonologists have the Registered Diagnostic Medical Sonographer (RDMS) certification. The opinions of attendees varied with a general consensus that the RDMS is ultimately not intended for physician sonologists but involvement may serve as a stopgap until a more appropriate homegrown emergency certification is established.
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