Category Archives: Care

Breakthroughs in Ultrasound Transducer Materials and Assemblies



About Our Guest 

Dr. Alan Tai received his PhD in physics, specializing in quantum well research, from Boston College. Alan has worked at various medical ultrasound technology companies, including Philips as an engineer and GE Healthcare as a scientist. He has managed new medical ultrasound transducer products
from development conception to successful commercial release. During his career in the engineering field, Alan has twelve issued patents. Alan is currently a Scientist and author at scienceandlife.org with research in DNA, Ultrasound and Quantum well structure of nanoelectronics.


Sonolucent Cranial Implants: A Novel Innovation



About Our Guest 

David Zajc, RDMS, RVT, MBA, is the Senior Clinical Specialist at Longeviti Neuro Solutions with responsibilities in business development and Transcranioplasty ultrasound imaging. Prior to this, he worked in point of care ultrasound at GE, also in process improvement and as a quality consultant in hospitals. He also has a long tenure with various roles in a hospital ultrasound department.


POCUS World Conference: Keynote Spotlight



About Our Guest

Larry Istrail, MD, is a hospitalist physician, entrepreneur, and author of The POCUS Manifesto. He has been covered by NPR and the Washington Post for various medical startups he has founded. He is the creator of the online POCUS educational site POCUSMedEd.com, and is certified in point-of-care ultrasound by the Society of Hospital Medicine and the American College of CHEST Physicians.


The Health Wagon: Mobile Rural Healthcare Since 1980



About Our Guest

As a Family Nurse Practitioner and the President and CEO of St. Mary’s Health Wagon, Dr. Teresa Tyson leads a medical nonprofit in Central Appalachia. St. Mary’s Health Wagon exists as the region’s only safety net health care clinic for far southwest Virginia. Tyson leads her clinic in promoting the mission of providing quality, affordable, accessible care to all with an emphasis on serving the medically underserved. St. Mary’s Health Wagon is a free nurse managed health clinic consisting of three stationary and two mobile clinics, serving Lee, Scott, Wise, Dickenson, Buchanan and Russell Counties. St. Mary’s Health Wagon is one of the oldest, if not the oldest, mobile clinic in the United States, serving patients since 1980. In an effort to expand access to primary and specialty health care services, Tyson is currently overseeing the construction of a stationary dental clinic in Wise County. Tyson’s leadership in the healthcare sector has garnered notable recognition including interviews from media that include: 60 Minutes, Nightline, CBS Nightly News, Inside Edition, Washington Post, New York Times along with other extensive media attention, including international press, regarding her efforts to provide access to health care to the poor and marginalized in the Appalachian region. Tyson has presented at the United Nations and the World Health Organization numerous times. Tyson is at the forefront of healthcare innovation. Tyson introduced the first monoclonal antibody infusions and post-COVID clinics to Central Appalachia. This past year, Dr. Tyson initiated a medication-assisted treatment program, addressing the opioid epidemic with an evidence-based integrated treatment model using injectable diversion free medications. Tyson is most proud of the Health Wagon’s renamed annual health outreach, Move Mountains Medical Mission (M7). Following nineteen years of collaboration, Tyson continues to host this event, which she co-founded with Stan Brock of Remote Area Medical (RAM) and Sr. Bernadette Kenny in 1999. Dr. Tyson is a preceptor to medical, nursing and business students from forty-three colleges and universities. In 2015, Tyson was an instrumental partner in the first ever FAA approved drone delivery of medications in the United States, in partnership with Flirtey, NASA Langley and others. The historic drone has been inducted into the Smithsonian’s National Air and Space Museum. Tyson is a strong business development professional and is skilled in nonprofit organization management, budgeting, fiscal management, fundraising, capital projects management, communications strategy, strategic planning, project management, grants management, event planning, social media, public speaking, marketing, and healthcare policy. Tyson serves on many healthcare boards, advisory councils, and coalitions. Tyson also serves as a guest speaker on topics such as healthcare access, healthcare disparities, vulnerable populations, mobile health, Department of Defense’s Innovative Readiness Training health expeditions, nurse managed clinics and a variety of other issues. Tyson is the co-founder of Forever Young Aesthetics and Weight Loss Management in Norton, Virginia. Tyson’s medical clinic brought platelet rich plasma therapy – a natural treatment for injured joints – to the area. Tyson is also co-founder of Hettie’s Haven – a specialized residential home designed to assist individuals with intellectual disabilities in Coeburn, Virginia. Tyson is married to Tim Tyson. They are blessed with a family of five wonderful children: two boys and three girls.


The Danish Society for Ultrasound in General Practice: A conversation with the Chair



Troels Mengel-Jørgensen, GP, is a General Practitioner in Vodskov, Denmark. Presently, he serves as the Chairman of the Danish Society for Ultrasound in General Practice (DAUS), a board member of the Danish College of General Practice (DSAM). Troels is also associated with the Center for General Practice at Aalborg University (CAMAAU) in Aalborg, Denmark.


Increasing Global Access to POCUS



About Our Guest

Brandon Greer, NP, has been a Nurse Practitioner for 1.5 years, and an Emergency Nurse for about 10 years. He has worked in a number of facilities, ranging from outpatient clinics to level 1 trauma centers. Brandon also teaches as an adjunct nursing professor, as well as an instructor of ACLS, BLS, PALS, and POCUS. He has worked to augment the role of POCUS in his community, using it at Urgent Care, the Emergency Department, and in outpatient services. His is also helping to establish and augment a POCUS education program out of Orlando, and has taught POCUS for populations such as nurses, advanced practice providers, EMTs, and residents. Brandon visits Peru annually to work in community clinics around Trujillo and Ollantaytambo. In this role, he began introducing the concept of POCUS in the hopes of bringing greater services and access to populations with greater health disparities.

Brandon is a current Doctoral student as well, with the intention of building a more formalized and intensive POCUS program as part of his Doctoral project. As part of this, he recently published an article that speaks to the utility of POCUS, and how more disciplines should consider adopting it as part of their practice. Brandon’s wife is also currently in school to be a nurse practitioner, and has been dabbling with the use of ultrasound herself. Outside of Brandon’s medical roles, he and his wife spend a large amount of time traveling. They live in a rural area with a menagerie of dogs, cats, and chickens. Brandon is also a triathlete, currently training for an Ironman, and a snowboarder and snowmobiler in the winter.


Incorporating POCUS into PA Education



About Our Guests

Amy Roberts, PhD, MS, PA-C, graduated from Hofstra University with a Bachelor of Science and earned her Physician Assistant certificate in 2010. She then went on to earn a Master of Science in Physician Assistant Studies in December 2014 from Pace University and a PhD in Leadership from University of the Cumberlands in 2021. Amy has been working with the Hofstra Physician Assistant Program since 2012 and has been working in primary care since she graduated. Prior to becoming a PA Amy worked in radiology for more than 10 years. She continues to work in primary care with the goal of making a positive impact on the healthcare field.

Christine Zammit, MS, PA-C, has been a practicing PA for 20 years. For the past 8 years, she has held a full-time faculty appointment at the Hofstra University PA Program. In addition to her role in academia, she maintains an active clinical practice in the pediatric intensive care unit at an inner-city hospital.


Physician Assistants Pursue POCUS Training



Nicole Reichhart, PA-C, is Assistant Professor and didactic faculty for the California State University, Monterey Bay Master of Science Physician Assistant program. She earned a Master of Science in Physician Assistant Studies from Albany Medical College in 2012 and completed an Emergency Medicine fellowship at Eastern Virginia Medical School in 2013. She has piloted a point-of-care ultrasound curriculum throughout the didactic phase of the MSPA program, preparing the students to enter their clinical year with a vast POCUS skillset. Nicole embeds POCUS into both the anatomy and physiology and clinical skills courses. She is passionate about implementing point-of-care ultrasound in physician assistant school curriculum and providing her students with opportunities to collaborate in the shared mission of improving global health and setting standards for excellence in POCUS. She has nine years of clinical experience as a PA, much of which has been in caring for patients in underserved communities. Nicole is a military spouse, mother of three children under 5, and enjoys a good brunch.


Overcoming POCUS Plateaus



Andre Kumar, MD, MEd, is a clinical assistant professor of internal medicine at Stanford University. He is the director for the Stanford Medicine Procedure Service, President of the Society of Hospital Medicine Bay Area, and an instructor for the Society of Hospital Medicine POCUS Certification Program. Dr. Kumar is passionate about researching POCUS for patient care and guiding future accreditation. He is currently the lead investigator for a multi-institutional study involving the use of POCUS for COVID-19, and he recently published two randomized trials investigating how to optimally train resident physicians with POCUS.

Resources

This study found that while a 2-day hands-on ultrasound course provides internal medicine physicians with an initial understanding of POCUS, there are barriers in transferring these abilities to clinical practice.

Find out how an interprofessional, near-peer workshop can help internal medicine residents develop POCUS skills, especially in programs where faculty expertise is limited.

Learn what will help residents overcome the barrier of unfamiliarity with documenting ultrasounds for diagnostic decision-making.

Discover how a phased implementation of POCUS curriculums has proven successful and could inform future educational programs.

Visit us at POCUS.org.


POCUS Augments Critical Care Nursing Diagnostics



Leon Chen, DNP, is a board certified acute care nurse practitioner with background in critical care medicine. He is the clinical program manager of research and simulated learning for the department of anesthesiology and critical care medicine at memorial Sloan Kettering cancer center, and a clinical assistant professor at NYU Rory Meyers College of Nursing. He is a strong proponent of utilizing point of care ultrasonography to rapidly delineate differential diagnoses and to guide resuscitation. Leon is also a fellow of the American College of Chest Physicians, the American Association of Nurse Practitioners, and the NY Academy of Medicine. He serves on the editorial board of Critical Care Nursing Quarterly and the Journal of American Association of Nurse Practitioners. He earned a certificate of completion in critical care ultrasonography from the American College of Chest Physicians and is active in point of care ultrasonography education.

 

Resources

Read this study about how nurses’ use of ultrasound enhanced the diagnostic process and level of care heart failure patients receive at an outpatient clinic.

Examine this review of 11 full-text publications and 10 conference abstracts found that patients experience positive benefits when renal nurses and technicians use POCUS. Learn more here.

Discover why the Canadian Association of Radiologists Position Statement on Point-of-Care Ultrasound also relates to nurse practitioners and other health care providers who use POCUS.