1. Intended use This presentation is intended for and should be approved for use at the September ACP meeting JB22405US

2. Imagination at work. Simulation in Medical Education Point-of-care ultrasound applications JBXXXXXX.

3. Primary Care Ultrasound Vision with a healthymagination Mission Our vision is to empower physicians, medical educators and their students/resident world-wide to be able to visually validate what they feel and hear using innovative ultrasound solutions. DOC1060641 11/2011

4. …quick and immediate visualization. Potentially redefine physical exams… Inspection Palpation Quick look Auscultation Percussion DOC1060641 11/2011

5. Medical schools and residents Need –easy-to-use, affordable, innovative tools to advance medical education Solution –Accelerate learning process – visualization during instruction by physician –Build ultrasound training into students’ curriculum –Provide intuitive, current portable ultrasound technology for smooth transition from school to clinical setting –Differentiate vs. other medical schools DOC1060641 11/2011

6. Practicing clinicians Need –easy-to-use, affordable, innovative tools Solution –Accelerate learning process – visualization during instruction by physician –Provide intuitive, current portable ultrasound technology –Differentiate medical practice and further patient connection TBDXXXXX

7. General approach to learning point-of-care ultrasound

8. Differences between ultrasound approaches Traditional ultrasound -Experts in ultrasound -Comprehensive exams (A-Z) -Multiple ultrasound views -Multiple imaging modes -Exam time approx. 20-30 mins -Advanced interpretation Ex-Hypertrophic cardiomyopathy Point-of-care ultrasound -Traditional/non-traditional users -Answer single clinical question -Single ultrasound view -Single imaging mode -Exam time approx. 1-2 mins -Simple interpretation Ex- abnormal left ventricular function

9. Learning point-of-care ultrasound Acquisition -Understanding which transducer to use and why This can include basic physics introduction -Understanding how to acquire an ultrasound view(s) Some items include: Probe position Probe marker/orientation Patient position -Which structures should be seen within a view

10. Learning point-of-care ultrasound Interpretation -Normal values for structures -Basic function -Artifacts

11. Examples of point-of-care ultrasound

12. Learning point-of-care ultrasound Web based Physics Anatomy Clinical images Equipment optimization Hands-on Face-to- face Physics Anatomy Clinical images Equipment optimization DVD’s Physics Anatomy Clinical images Equipment optimization Books Physics Anatomy Clinical images Equipment optimization

13. Field experience

14. University of South Carolina Model: Integrated ultrasound curriculum Snapshot: 4 years, lectures, web, hands-on scanning, lab practice sessions; integration of ultrasound into gross anatomy, physiology, pathology and physical diagnosis Result: graduates with in-depth understanding of ultrasound DOC1060641 11/2011

15. University of South Carolina Medical student orientation & 3D anatomy plus ultrasound

16. University of South Carolina Ultrasound clerkship instruction and examination

17. Growing support in ultrasound education Society of Ultrasound in Medical Education (SUSME)

18. Where to find ultrasound training

19. Ultrasound training opportunities: Emergency Societies American College of Emergency Physicians Society for Academic Emergency Medicine Ohio ACEP Society of Critical Care Medicine Practice Guidelines Emergency Ultrasound Guidelines (ACEP) Emergency Ultrasound Practice Management (ACEP ) Education Webplaces Gulfcoast Ultrasound Advanced Health Education Center The Emergency Ultrasound Course (3 rd Rock Ultrasound) ACEP SonoSim Disclaimer: The information on this page is provided for informational purposes only. GE does not endorse any third parties or specific techniques.

20. Ultrasound training opportunities: Venous Societies American Venous Forum American College of Phlebology Society for Vascular Surgery Society for Vascular Ultrasound International Union of Phlebology Credentialing / Accreditation Intersocietal Accreditation Commission AIUM Practice Guidelines Ultrasound Credentialing: Phlebology Options Tutorial Ultrasound Registry Review Course CCI Registered Phlebology Sonographer CCI Registered Vascular Specialist Education Webplaces American College of Phlebology Online Education Center Inside Ultrasound Pacific Vascular Institute Pegasus Lectures SonoSim SonoWorld Alabama Phlebology Training Institute Disclaimer: The information on this page is provided for informational purposes only. GE does not endorse any third parties or specific techniques.

21. Ultrasound training opportunities: Critical care Societies Society of Critical Care Medicine American College of Emergency Physicians Society for Academic Emergency Medicine American College of Chest Physicians American Institute of Ultrasound in Medicine Certification / Guidelines Emergency Ultrasound Guidelines, American College of Emergency Physicians (ACEP) Clinical Practice Management, American College of Emergency Physicians (ACEP) Practice Guidelines for Ultrasound, American Institute of Ultrasound in Medicine (AIUM) Certificate of Completion Program, American College of Chest Physicians Education Webplaces Critical Care Ultrasound Institute Gulfcoast Ultrasound Advanced Health Education Center The Emergency Ultrasound Course: 3rd Rock Ultrasound American College of Emergency Physicians SonoSim EMSono Ultrasound Emergency Ultrasound Consultants Society of Critical Care Medicine Education Center Western Sono Disclaimer: The information on this page is provided for informational purposes only. GE does not endorse any third parties or specific techniques.

22. JB22405US