Course Details

Click course name or scroll for each description:
Neuromuscular
Neurovascular (Carotid & TCD)
Neurovascular Interpretation
Ob/Gyn


Neurovascular (Carotid & TCD)

The Neurovascular Ultrasound courses present the anatomy, pathophysiology and hemodynamics regarding the extra- and intracranial cerebral circulation. Carotid duplex sonography, color-flow imaging, carotid intima-media thickness measurement, transcranial Doppler (TCD), embolus detection and new developments in ultrasonographic methods are presented during both lectures and hands-on scanning lab sessions. The emphasis is on clinical applications, case examples and principles of interpretation. The courses are designed as a one week curriculum, and participants are encouraged to attend for the entire week. However, the first part of the week focuses on principles, physics and extracranial carotid sonography, while the latter part of the week focuses on TCD. Either part may be attended separately. Charles H. Tegeler IV, MD, Director

Learner Objectives

At the conclusion of this continuing medical education activity, the participant should be better able to:

  • Discuss key principles of ultrasound physics, technology, and anatomy as applied to neurovascular testing.
  • Describe hemodynamics and pathophysiology of the cerebral circualation, and alterations relevant to patients with stroke, cerebrovascular disease (including Sickle cell disease (SCD), vasospasm and TBI.
  • List clinical indications for neurovascular testing, particularly as related to patients with stroke, cerebrovascular disease, SCD, vasospasm and TBI.
  • Discuss the intergrated role for neurovascular ultrasound in the mangement of patients with stroke,cerebrovascular disease, vasospasm and TBI and potential benefits to improve patient safety and outcomes.
  • Discuss criteria for interpretation of neurovascular ultrasound studies.
  • Describe key aspects of ongoing quality improvement in a neurovascular service.
  • Demonstrate the hands-on ability to successfully identify pathology within key arterial segments in the extracranial circulation (CCA, BIF, ICA, ECA, VA) and to obtain Doppler velocity measurements from those segments. 
  • Demonstrate the hands-on ability to identify key intracranial arterial segments using TCD (MCA, ACA, PCA, VA, BA) and to obtain Doppler velocity measurements from those segments.

CME Credit:  The Wake Forest School of Medicine designates this live activity for a maximum of 38 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Fees:

    Neurovascular$1,800
    Carotid (Only)$1,300
    TCD (Only)$1,300

     


    Neurovascular Interpretation

    The Neurovascular Interpretation course is designed for attendees to interpret at least 200 neurovascular ultrasound cases (100 carotid and 100 TCD studies) in a supervised environment. Cases will be presented using video, electronic images, or other hard copy results, from which attendees will create a preliminary interpretation.  The findings will be discussed, and when possible, compared with the clinical reading.  Some unknown cases will be reviewed and submitted for critique. Prior completion of the Neurovascular Ultrasound course (or its equivalent) including hands-on and practical interpretation experience is strongly encouraged.
    Charles H. Tegeler IV, MD, Director

    Learner Objectives

    At the conclusion of this continuing medical education activity, the participant should be better able to: 

    • Describe criteria for the interpretation of carotid duplex ultrasound studies.
    • Describe criteria for the interpretation of transcranial Doppler ultrasound studies.
    • Demonstrate the ability to identify normal, compared to pathological findings in the extracranial (CCA, BIF, ICA, ECA, and VA) and the intracranial circulation (MCA, ACA, PCA, VA, and BA).
    • Formulate preliminary interpretations of carotid and transcranial ultrasound examinations.
    • List clinical indications for neurovascular testing, particularly as related to patients with stroke or cerebrovascular disease.
    • Discuss the integrated role for neurovascular ultrasound in the management of patients with stroke or cerebrovascular disease, and potential benefits to improve patient safety and outcomes.   

    CME Credit:  The Wake Forest School of Medicine designates this live activity for a maximum of 40 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Fee:  $1,800


    Ob/Gyn Ultrasound 

    The Ob/Gyn Ultrasound course combines obstetrics and gynecology with the primary emphasis devoted to the study of obstetrics. The first day is primarily gynecology, including lectures in orientation and terminology of the gynecology tract and hands-on transvaginal scanning labs. The remaining days are devoted to obstetrics, to include approximately 15 hours of dedicated lectures by experienced physicians and sonographers. Each afternoon is spent in scanning labs with obstetrical patients under the guidance of a registered sonographer.
    Martha Decker, MD, Director

    Learner Objectives

    At the conclusion of this continuing medical education activity, the participant should be better able to:

    • Translate core topics in basic OB/GYN ultrasound as well as physical principles of ultrasound from conceptual to practical application on a daily basis.
    • Understand the orientation of the pelvic and fetal anatomy as it is displayed on the monitor using both endovaginal and abdominal transducers.
    • Recognize normal female pelvic anatomy including the bladder, cervix, uterus and ovaries.
    • Identify basic fetal embryology and know how it applies to ultrasound imaging in the first trimester.
    • Demonstrate skillful scanning techniques for performing an amniotic fluid index and biophysical profile.
    • Understand the importance of determining chorionicity of multiple gestations in the first trimester.
    • Identify normal fetal anatomy and the most common fetal anomalies.
    • Distinguish markers of aneuploidy and to understand how they are used for the purpose of risk assessment.  

    CME Credit:  The Wake Forest School of Medicine designates this live activity for a maximum of 31 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Fee:  $1,700

    Neuromuscular

    The Neuromuscular Ultrasound course focuses on applications in muscle disease, peripheral and cranial nerve imaging, and introduction to the use of ultrasound in evaluating musculoskeletal disorders. Lectures are integrated with hands-on demonstrations of technique and case interpretation. A small group format facilitates questions and answers and tailors the educational experience to meet the specific needs of individual participants. It is in real-time use of the instrument that the practitioner recognizes the importance of this type of basic knowledge and it is in this context that they can apply this knowledge to troubleshoot difficult imaging cases, identify artifacts, and improve resolution at the bedside. 
    Francis Walker, MD, Director; Michael Cartwright, MD, Coordinator

    Learner Objectives

    At the conclusion of this continuing medical education activity, the participant should be better able to:

    • Define terms of ultrasound and demonstrate application of the principles while imaging neuromuscular structures.
    • Identify upper extremity, lower extremity, and cranial musculature, and the visible boundaries that distinguish muscle groups in these areas.
    • Recognize loss of heterogeneity, fasciculations, hyperechoic changes, hypertrophy and other common pathologic changes in affected human muscles.
    • Identify the median, radial, and ulnar nerves in the upper extremity, and areas of the sural, peroneal and tibial nerves in the lower extremity, and to recognize common anatomic variants and pathologic abnormalities of these nerves.
    • Discuss indications for appropriate use of ultrasound imaging, factors that could complicate interpretation, and clinical situations where ultrasound imaging is particularly contributory to addressing clinical problems.

    Fee:  $1,000

     


    Quick Reference

    Program for Medical Ultrasound
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    Ground Floor, Reynolds Tower
    Wake Forest Baptist Medical Center
    Medical Center Boulevard
    Winston-Salem, NC  27157 
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