The University of Minnesota offers a curriculum in medical procedures and in diagnostic point-of-care ultrasonography in which all internal medicine, med-peds, and med-derm residents participate beginning their intern year.
Our introductory course includes directly-observed simulation in central line placement, radial artery line placement, thoracentesis/ chest tube placement, and paracentesis. It also includes hands-on instruction in the FAST exam, pulmonary and pleural evaluation (including lung sliding, pleural effusions, A-lines, and B-lines), and basic ultrasound assessment of the heart and great vessels (including contractility, pericardial effusion, and inferior vena cava size and variability) among other clinically useful assessments. All incoming interns take this course as part of intern orientation
An Advanced Ultrasound Course is offered as an elective to senior residents two times per year. The course focuses on diagnostic point of care ultrasound, and reinforces many of the concepts from the introductory course; as well as integrating these ideas into the workup of hypotension, dyspnea, and assessment of intravascular volume. Interested resident can also learn evaluation for lower extremity deep venous thrombosis and abdominal aortic aneurysms. A significant portion of the course is spent scanning a large number of patients admitted to UMMC and building portfolios demonstrating ability to acquire and interpret images
An inpatient medicine Consult and Procedure Service (CAPS) was launched in September 2016 to offer paracentesis, thoracentesis, and lumbar punctures. This is a two week rotation available to senior residents as an elective. Resident continue to learn procedures on other rotations as well, and perform procedures and Regions Hospital and the VAMC. If a resident wishes to take both the Advanced Ultrasound Course and CAPS rotation, the resident would ideally take the advanced course first, as extra time on the CAPS service may then be used for additional portfolio building.