Link back to Clinical Records: http://www.uams.edu/chrp/academicprograms/dms/clinrecords.asp
DMS 3631
Clinical
Practicum III
Department of
Radiologic Technology
6 Semester
Credits
352 Clinical
Hours
Terry J.
DuBose, M.S., RDMS
Ed South/204
501-686-6510
Anthony L.
Baker, B.S., RDMS, RVT, CNMT
Ed South/216
501-686-6510
David Rands,
B.A., RDCS, RVT, RDMS
Ed South/212
501-686-6510
Summer 2004 Juniors
"The materials used in this course may include copyright protected
materials provided for the personal educational use of the enrolled students
and may not be further redistributed."
DMS 3631: Clinical Practicum III (6 Credit Hours)
1.0 GENERAL INFORMATION
1.1 Catalog
Description
Continuation
of clinical course work at the intermediate skill level.
Prerequisite: DMS 3824
1.2 Course
Rationale
A
sonographer must develop psychomotor and affective learning experiences in
practical sonographic scanning in a clinical setting in order to develop
competency in this diagnostic modality.
Clinical assignments are structured to give the student a broad variety
of sonographic observations and scanning experiences under the supervision of
practicing sonographers and physicians.
The student will be expected to participate in all aspects of the
sonographic examinations as delineated by the clinical site’s protocol. The sonographer must be able to prepare the
patient for the examination, obtain the medical history, select the appropriate
equipment, follow the established examination protocols, record diagnostic
images, discuss the case with the supervising physician, and understand the
medical record filing system of the clinic. During this course the student is
expected to perform complete, basic examinations, including the gall bladder, biliary system, hepatic, renal, aortic, pancreatic,
splenic, pelvic (transabdominal & transvaginal), obstetrical, and
superficial structures (thyroid, breast, scrotal) examinations.
1.3 General
Course Objectives
Upon completion of this course the student will be able to:
A. Demonstrate
knowledge and understanding of related imaging, laboratory, and testing
procedures as they contribute to the clinical evaluation of anatomy and
pathology to include: patient medical history and physical examination,
differential diagnosis, diagnostic protocols, basic principles and procedures
of pertinent protocols, and the role of sonography in patient management.
B. Demonstrate
effective oral and written communications skills using appropriate medical
terminology.
C. Demonstrate an
understanding of acoustic physics and the analysis of sonographic artifacts as
they relate to sonographic equipment, patient care, and pathology.
D. Demonstrate
knowledge of ultrasound instrumentation, instrument options, operator controls,
principles of instrument control, and modes of operation.
E. Demonstrate an
understanding of patient transportation, standards of care, personal health,
psychological support, patient rights, and patient comfort.
F. Demonstrate an
acceptable level of professional judgment, discretion, professional interaction
skills, and ethical performance of duties.
G. Exhibit an
understanding of medicolegal principles associated
with patient care.
H. Be able to perform
complete sonographic examinations of the following organs: liver, gallbladder, biliary system, left & right kidneys, pancreas, spleen,
abdominal aorta, inferior vena cava, uterus, ovaries, fetal anatomy, thyroid,
breast, & scrotum.
2.0 INSTRUCTIONAL METHODOLOGY
2.1 General
Techniques
The
following general teaching techniques will be used during this course:
A. Demonstration and observation
B. Discussion
C. Practice
D.
Assigned readings from professional journals and textbooks may be
required.
2.2
Resource-Based Techniques
Active
participation, observation, and scanning using standard sonographic equipment
in the assigned clinic. Film portfolios
will be developed by the student to document their progress and to provide
images for self-study.
3.0 INSTRUCTIONAL MATERIALS/SUPPLIES
3.1 References --
Print Materials
The following print materials relate to this course. Note that the item marked by an asterisk (*)
is required for use during this course.
A. *DIAGNOSTIC
MEDICAL SONOGRAPHY: A Guide to Clinical Practice; Volume 1: Obstetrics and
Gynecology. Berman, MC; J. B. Lippincott Company,
B. *DIAGNOSTIC
MEDICAL SONOGRAPHY: A Guide to Clinical Practice; Volume 2: Abdomen &
Superficial Structures. Kawamura,
DM; J. B. Lippincott Company,
C.
*ULTRASONOGRAPHY: AN INTRODUCTION to
D.
*FETAL
SONOGRAPHY. DuBose, TJ. W. B. Saunders,
E.
*ULTRASOUND
EXAMINATION GUIDELINES. Society of
Diagnostic Medical Sonographers.
F. INTRODUCTION
to ULTRASONOGRAPHY and PATIENT CARE: Craig, M.
W. B. Saunders, 1993; ISBN:
0-7216-4229-2. Available at the
Department of Radiologic Technology
Library.
4.0 GENERAL EVALUATION PROCEDURES
4.1 Student Evaluation Procedures
A. Students will be
evaluated at the end of each rotation by a Clinical Instructor at the clinic(s)
to which the student is assigned. All
evaluations will be averaged for the Clinical Grade of Record at the end of
each semester.
B. Student image
portfolios will include student-generated images described on page number
nine. These images must demonstrate
appropriate planes of view, content, and quality in order to receive proper
credit. Additional images, as
recommended by the Clinical Instructor(s), should also be included. The portfolio will be turned in for
evaluation at the end of each semester and will be finished by the end of the
Summer, 2004 semester.
C. A written final
examination covering the Society of Diagnostic Medical Sonographers (SDMS)
Ultrasound Examination Guidelines for the performance of abdominal,
gynecological, obstetrical, and superficial structures examinations, daily
sonographic laboratory start-up, operation, and shutdown, and patient care will
be administered at the end of the last clinical rotation.
D. Film critique will be part of the final examination. This will evaluate the student’s ability to recognize sonographic anatomy and pathology.
E. A record of each
case observed or participated in will be maintained by the student. The
student is expected to participate in a minimum of 250 cases during the summer
semester. Grades will be
assigned by the number of cases as a percentage of the minimum requirements:
< 175
cases = 0
points
175 - 224
cases = 30 points
225 - 249
cases = 65 points
250 - 275
cases = 75 points
276 - 300
cases = 84 points
301-325
cases = 93 points
> 325
cases = 100 points
F. The letter grade for
this course will be calculated as follows:
Clinical
Grade of Record 25%
Case
participation (number) 25%
Final
Exam/Film Critique 25%
Image
Portfolio 25%
100%
G. The grading scale for determining letter
grades in this course is as
follows:
A 100 – 93 %
B 92 – 84 %
C 83 – 75 %
D 74 – 66 %
F 65 – 0 %
H. Students will
demonstrate their clinical competency by completing 13 clinical competency evaluations during
the first three semesters of the program.
These evaluations must be
completed by the end of Clinical Practicum III. Only a properly certified sonographer
registered with the American Registry of Diagnostic Medical Sonographers
(ARDMS) will sign the STUDENT COMPETENCY EVALUATION form.
4.2 Clinical
Evaluation Procedures
Students
will evaluate the Clinics using the Clinical Rotation Evaluation form.
4.3 Performance: Lab, Clinic, and Portfolio Evaluation
The
student's performance will be evaluated at the end of each clinical rotation by
the Clinical Instructor(s) using the CLINICAL INSTRUCTOR’S EVALUATION OF THE
STUDENT form. These evaluations will
cover the objectives for this course, including: equipment start-up and
shut-down, transducer selection, routine cleaning and care of equipment,
patient care, medical history, medical records, sonographic examination
protocols, and student interactions with the patients and clinical staff. Each clinic will have varying equipment, exam
protocols, medical record procedures, and other unique conventions which the
student will be expected to master during a given rotation.
During
the summer semester the student will be expected to competently perform the
following examinations according to the Society of Diagnostic Medical
Sonographers (SDMS) Ultrasound Examination Guidelines. Independent performance will be verified by
the respective clinical instructors and documented on the Student Competency
Evaluation forms.
A. Gallbladder
B. Liver
C. Renal
D. Pancreas
E. Aorta
F. Spleen
G. Pelvis (non-pregnant) Transabdominal &
Transvaginal
H. Obstetrical
I.
Superficial Structures (Thyroid, Testicular,
Breast)
4.4 Make up of
Clinical Hours
A. The student may
request to arrange a make up of clinical hours after the student’s return to
the department.
B. Outline of
steps to be taken regarding the make up of clinical hours:
I. Notify the
Clinical Instructor and the Program Director that you will be unable to be in
clinic on the scheduled day.
II. Contact the
Clinical Instructor to schedule the make up hours.
III. Agree on a time for the make up clinical
hours.
IV. Attend the make-up clinic as agreed.
V. Students who schedule a make-up day and
then miss that day will have to make up two days, the original absence plus the
missed make-up day.
5.0 GENERAL PROCEDURES
A. Students are expected to participate in
the clinic under the supervision of the
Clinical Instructor(s).
B. The student
may request a student/instructor conference concerning any clinical rotation,
etc. by contacting the Diagnostic Medical Sonography Program Director and
requesting an appointment. These
conferences should be scheduled for your benefit since the Clinical Instructors
are here to help.
C. Any contested
clinical evaluation must be resolved within two weeks after the return of the
graded item to the student. After this
time, all grades are final.
6.0 CLINIC ATTENDANCE/CONDUCT/DRESS POLICY
6.1 General
Remarks
Students
should attend every clinical session. Students who miss more than 16 clinical
hours (2 days) will be required to make up the missed hours. Failure to make up the missed clinical time
will result in a grade of Incomplete (I) for the semester. If unable to attend
a clinical session, common courtesy dictates that the Clinical Instructor and
Diagnostic Medical Sonography Program Director receive prior notification of
the impending absence. If a student is not present in clinic at
the appropriate times and does not notify both the Clinical Site and the DMS
Program office PRIOR TO the program faculty’s discovery of the absence, an
automatic five (5) points will be deducted from the final Clinical Practicum
grade for each occurrence. Please refer to the Student Handbook for
specifics concerning student absences.
6.2 Clinical
Absences and Tardiness Grading Effects
Dependability
and promptness are essential to effective clinical work; therefore tardiness and absences will affect your clinical evaluations
and your grade. Excessive clinical
absences will also lower the number of cases a student observes. The student should be aware that Clinical
Affiliates are also potential employers of graduates. Work habits will be closely observed in the
clinical settings.
6.3 Conduct/Dress
Student
conduct and dress should reflect an awareness of the student’s role as an
aspiring health care professional and as a representative of the Diagnostic
Medical Sonography Program of the Department of Radiologic Technology. Please refer to the Student Handbook for
specifics concerning dress and conduct.
7.0 DUE DATES/DEADLINES
All
clinical paperwork, competency evaluations, and image portfolios will be due
the last day of the clinical practicum.
Clinical Final Examination: July 30th, 2004
8.0 SESSION SCHEDULE
8.1 General
Remarks
Clinical session schedules will be
distributed by the DMS Program faculty.
DIAGNOSTIC MEDICAL SONOGRAPHY
Clinical Image Portfolios
I.
Students will assemble a portfolio of their
ultrasound images taken during the first three Clinical Practicums
of the DMS program. The portfolios are
required for graduation from the
II. The portfolios will be assembled with images related to the courses taught during the semester.
1. Clinical Practicum I, Fall 2001 – Abdomen
2. Clinical Practicum II, Spring 2002 – Abdomen, Gynecology & Obstetrics
3. Clinical Practicum III, Summer 2002 – Abdomen, Gynecology, Obstetrics, & Superficial Parts
III. Each portfolio will consist of longitudinal and transverse images of the following anatomy:
1. Abdomen:
A. Liver (Right & Left Lobes) E. Pancreas
B. Gallbladder F. Spleen
C. Common Bile Duct G. Aorta
D. Right & Left Kidneys H. Inferior Vena Cava
2.
Gynecology:
A.
Non-gravid
Uterus D. Endometrium
B.
Cervix
C.
Right &
Left Ovaries
3.
Superficial
Parts
A.
Thyroid (Right
& Left Lobes, Isthmus)
B.
Scrotum (Right
& Left Testicles, Epididymis)
C.
Breast (Right
& Left)
4.
Obstetrics
A.
First
Trimester Pregnancy
1.
Gravid Uterus 5.
Yolk Sac
2. Cervix 6.
Crown-Rump Length
3.
Right & Left Ovaries 7.
Gestational Sac Diameter
4. Gestational Sac
8. Embryonic Heart Rate
B.
Second and
Third Trimester Pregnancy
1.
Uterine Fundus 11.
Cerebellum
2.
Cervix 12.
Cisterna Magnum
3.
Placenta 13.
Right & Left Kidneys
4.
Four-Quadrant
Amniotic Fluid 14.
Complete Spine
5.
Biparietal
Diameter 15. Umbilical Cord Insertion
6.
Transverse
Head Circumference 16. Face & Lips
7.
Coronal Head
Circumference 17.
Coronal Trunk (Heart,
8.
Abdominal
Circumference (Stomach, Bladder)
9.
Femur Length 18.
Hands & Feet
10. Humerus Length 19.
Size/Age Report Sheet
IV.
Images to be
used for the portfolio must be of actual patients scanned in the clinics. The images will be clearly labeled and stored
in a film jacket. In order to keep the
clinical site’s film costs at a reasonable level, please put as many images as
possible on one sheet of film.
V.
Image
portfolios will make up 25% of the Clinical Practicum III grade. Students that turn in incomplete portfolios
will have points deducted from their clinical grade. In addition, incomplete portfolios will
result in a grade of Incomplete for this semester until all required images are
turned in.
VI. Students will
be scheduled to attend a variety of clinical sites during the DMS program. This will ensure everyone gets exposure to
the various ultrasound protocols needed to build their portfolios.
Link back to Clinical Records: http://www.uams.edu/chrp/academicprograms/dms/clinrecords.asp
Diagnostic
Medical Sonography Program
Curriculum
Summer, Fall, Spring, 2003 -
2005
Summer, 2003
|
Course # |
Course Title |
Credit Hours |
|
RAD 2321 |
Basic Patient Care |
3 |
|
|
Total |
3 |
Fall, 2003
|
Course # |
Course Title |
Credit Hours |
|
DMS 3211 |
Sectional Anatomy |
2 |
|
DMS 3312 |
Introductory
Physics |
3 |
|
DMS 3313 |
Abdominal
Sonography |
3 |
|
DMS 3221 |
Gynecological
Sonography |
2 |
|
DMS 3514 |
Clinical Practicum
I |
5 |
|
|
Total |
15 |
Spring, 2004
|
Course # |
Course Title |
Credit Hours |
|
DMS 4242 |
Sonographic
Conference |
2 |
|
DMS 3222 |
Advanced Physics |
2 |
|
DMS 3321 |
Sonographic
Applications: |
3 |
|
DMS 3824 |
Clinical Practicum
II |
8 |
|
|
Total |
15 |
Summer, 2004
|
Course # |
Course Title |
Credit Hours |
|
DMS 3631 |
Clinical Practicum
III |
6 |
Diagnostic
Medical Sonography Program
Curriculum
Fall, Spring, Summer, 2003 - 2005
Fall, 2004
|
Course # |
Course Title |
Credit Hours |
|
DMS 4241 |
Advanced
Obstetrical Sonography: Genetics & Pathology |
2 |
|
DMS 3323 |
Sonographic Survey |
2 |
|
DMS 4352 |
Doppler Sonography
& Advanced Hemodynamics |
3 |
|
DMS 4843 |
Clinical Practicum
IV |
8 |
|
|
Total |
15 |
Total Advanced Certificate hours: 51
Spring, 2005
|
Course # |
Course Title |
Credit Hours |
|
DMS 4251 |
Cardiovascular
Pathophysiology |
2 |
|
DMS 4261 |
Current Issues in
Health Care |
2 |
|
DMS 4353 or DMS 4354 |
Vascular Sonography
or Echocardiology |
3 |
|
DMS 4854 |
Clinical Practicum
V |
8 |
|
|
Total |
15 |
Total Bachelor's Degree Hours 69
Link back to Clinical Records: http://www.uams.edu/chrp/academicprograms/dms/clinrecords.asp