Category Archives: Medicine

POCUS in Medical Education



About Our Guest

Kate Deiling has been the Ultrasound Instructor at Rowan University School of Osteopathic Medicine in Stratford, NJ, since the inception of point-of-care ultrasound (POCUS) in the pre-clerkship medical curriculum in 2019. As part of the school’s simulation center, she teaches first and second-year medical students all modules of POCUS that include online education, a manikin-based high-fidelity simulator, and live hands-on training sessions utilizing 10 ultrasound machines. Together, these sessions help to facilitate the learning and development of essential psychomotor and cognitive skills for ultrasound probe handling, image interpretation, diagnoses, and clinical decision-making. In addition, a 2-week comprehensive POCUS elective is offered to fourth-year students with POCUS sessions for residents and faculty being developed.

Kate graduated from Thomas Jefferson University and has been practicing ultrasound for over 30 years in various capacities. Most recently, she worked extensively as a staff sonographer and was designated as the ultrasound education coordinator for a large multi-office radiology center. Early in her career, Kate worked exclusively in pediatrics at the Children’s Hospital of Philadelphia and then moved on to a position as a clinical consultant for a major manufacturer. Following her work as an applications specialist, she went to work in perinatology at several antenatal testing units in both academic institutions and private settings. Her husband is also a graduate ultrasonographer from Thomas Jefferson University. For many years, Kate and her husband operated as independent contractors providing ultrasound services to radiology centers and several private offices. They have 3 adult children, including their oldest, who is a physician specializing in regional anesthesia at the University of Virginia and uses POCUS daily. Kate very much enjoys outdoor activities and traveling with family and friends, especially to US National Parks.


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.


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.


Evaluating Muscle Trauma: POCUS as First Line Imaging



Alexander Talaska works as a radiologist in Vienna, focusing on musculoskeletal sonography in diagnostics and therapeutic interventions as well as emergency medicine. He loves the complexity of anatomical knowledge combined with dynamic scanning in MSK, solving a problem efficiently and integrating sonography in patients needs and best outcome in diagnostics. One of his favorites is peripheral nerve imaging. Already in the second year during his studies of medicine at the Medical University of Vienna (MUVI) he deeply got in touch with sonography. First teaching as a sono tutor from student to student, in between organizing the students initiative Sono4You on the same time while building up a team of enthusiastic students tutors in sonography besides his studies. In his radiology residency at the Department of Biomedical Imaging and Image-Guided Therapy at the MUVI he combined his broadly trained sonoanatomy skills with a huge variety of pathologies and MRI skills, especially in musculoskeletal imaging. Since 2012, Alex has contributed regularly to several teaching and educational events to medical specialists, residents, sonographers and medical students. He also focuses on comparable documentation techniques and structured reporting in sonography, interdisciplinary discussions and usage of sonography with consequence. At the moment Alex works in one of the biggest trauma and rehabilitation centers in Vienna, accompanied by sports medicine. He still enjoys teaching and passes on knowledge whenever he can.

Additional Resources

Read this article to learn how emergency physicians can use POCUS to visualize the structures beneath the skin.

Learn how musculoskeletal POCUS supplements the emergency physicians’ process of identifying the extent of an injury and the correct course of action.

The Point-of-care Ultrasound Diagnosis of Tennis Leg case study provides insights on why the portable, cost-effective nature of POCUS makes it an excellent modality for diagnosing a tear of the medial head of the gastrocnemius.


Role of POCUS within Regenerative Medicine



 

Mr. Suresh Sudula, MCSP Consultant Physiotherapist in MSK Ultrasound | MSK Medicine Medway Hospital NHS Foundation Trust | Kent Musculoskeletal Clinic | LifePlus Stem Cells | Harley Street Specialist Hospital

Mr. Sudula has specialized in Musculoskeletal Medicine for the last 20 years. He has a Diploma in Orthopedic Medicine and Injection Therapy and a Postgraduate Certificate in Musculoskeletal Ultrasound from Canterbury Christ Church University. His specialist interest is advanced ultrasound guided musculoskeletal interventions, including Orthobiologics and ultrasound guided spinal injections. Mr. Sudula is the first physiotherapist from the UK to obtain a visiting fellowship at Thomas Jefferson University Hospital Radiology department. He is also an honorary lecturer at Canterbury Christ Church University, teaching a MS Ultrasound PG Cert program and teaches on national and international MSK US courses and musculoskeletal society conferences. Mr. Sudula worked in collaboration with SonoSkills, as a course director/developer for an online e-learning MSK ultrasound-guided injection masterclass and is Consultant Physiotherapist in Diagnostic and Interventional Musculoskeletal Ultrasound at the Medway Maritime Hospital. Mr. Sudula is a program director for MSK Ultrasound and MSK Medicine and the founder and director of Kent Musculoskeletal Clinic; a private clinic offering highly specialized ultrasound guided injection services. More recently Mr. Sudula has been appointed as a Head of Education at LifePlus Stem Cells, first Stem Cell service in the UK to provide clinicians with quantifiable, quality assured autologous and allogenic stem cells to be prescribed as a medicine for a wide range of medical conditions including orthopedic, manufactured under HTA and MHRA Licenses.


Minisode: Experts Gear Up for POCUS World



 

Beshoy Ghaly, MD, is an ABPTS Board Certified Diplomate in Clinical Electrophysiology. He is also Registered in Musculoskeletal Sonography (RMSK) by the Alliance for Physician Certification and Advancement (APCA) and holds the Point-of-Care Ultrasound Musculoskeletal Certificate (POCUS). He has performed and interpreted thousands of diagnostic musculoskeletal ultrasound studies in both physical therapy and medicine practice settings, including the highly specialized orthopedic surgery field. He is an APTA-Credentialed Clinical Instructor, and has presented in professional conferences and published multiple journal articles related to the field. He serves the Academy of Clinical Electrophysiology and Wound Management as an elected Nominating Committee Member and an appointed Nominating Committee Chair of the Neuromusculoskeletal Ultrasonography Special Interest Group (NMSKUSSIG). He serves as an item writer for the Clinical Electrophysiology Board Exam through the ABPTS Specialization Academy of Content Experts. He is an active member of the American Institute of Ultrasound in Medicine & the American Physical Therapy Association. On a personal note, he is inspired by the incredible success & life stories of Elon Musk, Martin Luther King Jr, Helen Keller & Mahatma Gandhi.

Josh Davis, MD, is an emergency medicine physician in Wichita, Kansas. Dr. Davis received his medical degree from Jefferson Medical College and completed residency at Penn State Hershey Medical Center. He is also a certified personal trainer through the National Association of Sports Medicine.


A Lifetime of POCUS Learning



Arun Nagdev, M.D., is Exo’s Senior Director of Clinical Education. Separate from his capacity with Exo, he also serves as the Director of Emergency Ultrasound at Highland General Hospital as well as a Clinical Associate Professor of Emergency Medicine at University of California, San Francisco (UCSF). In his previous academic position, Dr. Nagdev started the point-of-care ultrasound (POCUS) program and fellowship at Brown University. Dr. Nagdev is a highly respected international POCUS researcher and educator. He has been a thought leader throughout his career, publishing more than 90 peer-reviewed papers on various aspects of POCUS including pain management, cardiac arrest and volume resuscitation. His work led to recognition and national awards at both the American College of Emergency Medicine (ACEP) and Society for Academic Emergency Medicine (SAEM). His desire to increase clinical POCUS education for residents and medical students has garnered him numerous teaching awards at Brown University, Highland Hospital and UCSF. Over the course of his career, he has been an invited lecturer for POCUS education at numerous national emergency medicine conferences (ACEP, SAEM, AAEM, etc). He currently serves as president of the American Institute of Ultrasound in Medicine (AIUM) POCUS section and is the incoming president for ACEP Ultrasound section.


Keep exploring point-of-care ultrasound at POCUS.org.


The Value of Volunteering



 

James A. DellaValle, MD, is a graduate of the Drexel University School of Medicine. He is a board-certified in emergency and family medicine, focusing on those in rural areas and under-served populations. Dr. DellaValle served as medical advisor and member of the Board of Trustees of Hands Together, a non-governmental organization (NGO) working with the poorest of the poor in Haiti, for 15 years. He has been awarded a fellowship by the American Academy of Medical Acupuncture and the American College of Emergency Physicians. He is also certified by ARDMS in abdominal, cardiac, and vascular ultrasound. Dr. DellaValle continues to be involved in undergraduate and graduate medical education. Presently, he serves as an Associate Professor of Emergency Medicine at The Upstate Medical University in Syracuse, New York, and as the Chair of the APCA POCUS Certification Assessment Committee.


What Medical Schools Should Consider When Developing A Sustainable POCUS Program



Karthik Vadamalai, MD, received his medical degree at Kilpauk Medical College located in Tamilnadu, India. Driven to practice evidence-based medicine, he pursued his internal medicine residency at Rochester General Hospital, New York, and a critical care medicine fellowship at the University of Pittsburgh Medical Center (UPMC). Dr. Vadamalai also completed a master’s degree in medical education at the University of Pittsburgh. With support from the UPMC internal medicine team and his critical care medicine mentors, Dr. Vadamalai built a sustainable POCUS curriculum for medical residents. Presently, he is a full-time faculty member at Mercy Hospital in Springfield, MO, where he serves as an assistant professor of clinical medicine at the University of Missouri, Springfield Campus.

 


POCUS: The Modality for Advanced Nursing



<p/ align=’justify’>Dr. Thomas Kelly, CRNA is an advanced practice nurse who holds certification as a Nurse Anesthetist and holds a doctorate in Nursing Practice. He graduated from the University of Pennsylvania School of Nursing in 1978 and has pursued his education to the highest level, serving as an Assistant Professor of Nurse Anesthesia Science and Assistant Director of Nurse Anesthesia in Thomas Jefferson University’s Master’s program. Dr. Kelly now serves as a senior member of the NeuroScience Intervention team. This team has members on call 24 hours a day ready to intervene in acute neurologic stroke attacks, and at times, able to markedly reduce the resultant brain injury caused by thrombotic stroke.