1. A Closer Look at Global Health Through the Use of Ultrasound
Kory Gill D.O. FAAFP
Program Director
Texas A&M Family Medicine Residency

2. Activity Disclaimer ACTIVITY DISCLAIMER
It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.
[list all presenters and authors ] have indicated they have no relevant financial relationships to disclose.

3. What’s the Problem?
The world will be short of 12.9 million health-care workers by 2035; We have to better equip providers with improved training that includes cost effective skills such as ultrasound so they will be confident to go out and help meet these needs and fill the shortage of care at International, rural and remote locations.

4. My Experience…

6. What I Hope to Accomplish
Help others recognize the benefit of using ultrasound to manage patients in remote locations and improve overall care to areas with very limited resources. Identify a process to begin acquiring ultrasound skills which can be applied for provision of rural and remote care. Stimulate interest to develop a recognized certification for Primary Care Physicians who wish to incorporate ultrasound into their practice.

7. Ultrasound Applications that can reduce cost and improve efficiency and quality of care:
OB/Gyn
General Abdominal GU
Superficial
Vascular
MSK
Guided Procedures

8. OB/Gyn - Pregnancy

9. Gen - GB

10. Gen - Hernia

11. Gen – Varicocoele or Hydrocele

12. Lumps/Bumps – Breast mass vs cyst
Breast DCIS,

13. MSK- Fx
Rib fx

14. Vascular - Carotid

15. Vascular - DVT

16. Procedures - Anesthesia
Axillary N. block

17. Procedures – MSK injections
Hip IA

18. Acquiring Competency with U/S
3 Year Family Medicine Program with U/S training:
Access to and training with U/S routine in daily clinics
U/S use in procedure clinics (General, OB/Gyn, MSK)
U/S training workshops/didactics
What about outside recognition of the skill to perform U/S?
-AIUM
-ARDMS
-others…

19. U/S Accreditation?
AIUM- Physicians must have had STRUCTURED training in each of the specialty areas for which they interpret. If training occurred more than 36 months ago they may provide a representative sample of clinical volume experience totaling 500 cases and a representative sample of CME for a total of 30 credits. $1,700 initial fee
Gynecologic
Obstetric
Breast
Abdominal/General
Urologic
Head and Neck
Vascular
Musculoskeletal (Diagnostic)
Musculoskeletal (Ultrasound-Guided Interventional Procedures)
Ultrasound-Guided Regional Anesthesia
ARDMS $600 initial fee per test

20. Questions?