CLINICAL SYLLABUS



Diagnostic Medical Sonography ProgramCLINICAL PERFORMANCE EVALUATION Rotation #________Clinical Practicum# ________Name: __________________________ Clinical Affiliate _________________Date: sent out__________________ Date due: _________Marking to be determined by the following:N/ANot applicable3Satisfactory2Satisfactory, but limited1UnsatisfactorySignatures:Team Leader or Lead Sonographer ________________________________Designated Clinical Instructor(s) _______________________________ Abdomen ________________________________ OB/Gyn ________________________________ RVT ________________________________ Breast Student Signature ______________________________________________Date Reviewed with student ______________________________________School Faculty Signature ________________________________________SECTIONS:SECTION A: CLINICAL PERFORMANCESECTION B: WORK ATTITUDESECTION C: PROFESSIONAL BEHAVIORSECTION D: ABDOMINAL SONOGRAPHYSECTION EBREAST SONOGRAPHYSECTION F: GYNECOLOGICAL SONOGRAPHYSECTION G: OBSTETRICAL SONOGRAPHYSECTION H: VASCULAR TECHNOLOGYSECTION I: COMMENTS/WORKSHEETNOTE: A student can be officially evaluated on a particular exam when the didactic box is checked and initialed by program faculty. A student may still perform an exam even if the didactic box is not checked but, this will count only as a practice exam. Section A, B, C must ALWAYS be evaluated.SECTION ACLINICAL PERFORMANCE N/A 3 2 1 COMMENTSIdentifies correct patient by checking the identification bracelet or by asking his/hers age; DOB etc. Documents accurate, pertinent & adequate history by Reviewing patients chart and by/or verbal questioning.Attend to patient’s safety and comfort.Explains the exam to the patient in a professional & understandable manner.Selects proper transducer for the exam, determines to change transducer to improve exam quality, by using proper procedure while changing.Assists in keeping all necessary records.Understands principles of film handling, recording, and/or processing (i.e. PACS)Helps to keep a neat, orderly, and properly supplied room.Has a systemic approach to each examination. Follows a scanning protocol.SECTION BWORK ATTITUDE N/A 3 2 1 COMMENTSIs cooperativeConstructive use of timeShows initiativeDisplays pride in workWillingly assumes assignments/various duties.Seeks guidance when necessary.Follows directionsAccepts criticismHas a good working relationship with department sonographers.Maintains a good rapport with staff physicians.SECTION CPROFESSIONAL BEHAVIOR N/A 3 2 1 COMMENTSIs courteous to patients and staff.Observes department’s rules and regulations.Is dependable and reliable.Attendance and punctuality.Dresses in an appropriate manner (full uniform with ID badge)SECTION DABDOMINAL SONOGRAPHYVessels N/A 3 2 1 COMMENTSRecognize and record diagnostic images of common variations of the abdominal vasculature.Recognize normal vs. abnormal appearances of the great vessels, their branches, and the portal system. Liver N/A 3 2 1 COMMENTSRecognize normal variants in liver size and shape.Recognize normal vs. abnormal appearances of the liver.Specify the location of pathology and expand the scope of the examination if appropriate.Recognize abnormal fluid collections and identify the location. Biliary System N/A 3 2 1 commentsRecognize normal vs. abnormal appearances of the gallbladder and bile ducts.Specify the location of pathology and expand the scope of the examination if appropriate.SECTION DABDOMINAL SONOGRAPHYPancreas N/A 3 2 1 COMMENTSRecognize normal variants in size, shape, and echogenicity of the pancreas.Differentiate between the normal and abnormal pancreasSpleen and Lymphatic System N/A 3 2 1 COMMENTSRecognize normal variants in size, shape, and number for the spleen.Recognize normal vs. abnormal appearances of spleen and lymph chain. SECTION DABDOMINAL SONOGRAPHYKidneys andUrinary System N/A 3 2 1 COMMENTSRecognize normal variants of size, shape, and location of the kidneys.Recognize normal vs. abnormal appearances of the ureters and bladder.SECTION ETHE BREAST N/A 3 2 1 COMMENTSInteracts appropriately with hospital personnel.Can ID pertinent clinical questions and goals for the examination.Recognize clinical information and historical facts which may impact the examination.Review data from current and previous exams to produce an oral and written summary of findings.Select the correct transducer types Adjust instrument controlsDemonstrate knowledge and understanding of anatomy and physiology of the breastPerform related measurements from images and data.Has a good working relationship with department sonographers.Maintains a good rapport with staff physicians.SECTION FGynecology Sonography N/A 3 2 1 COMMENTSRecord diagnostic images of the female pelvis in normal and abnormal state.Can recognize if the bladder is appropriately filled for the examIdentify if the sonogram is consistent with the phase of the menstrual cycle.SECTION GObstetrical Sonography N/A 3 2 1 COMMENTSFIRST TRIMESTERIdentify and record CRLIdentify the presence/absence of fetal heart activity and record with M-mode.Identify the presence of multiple gestational sacs and assess each embryo/fetus accordingly.Identify placental location (week 10) with relationship to internal os.Alter patient position as required.Recognize pathological conditions of first trimester pregnancies.SECTION HVASCULAR TECHNOLOGYDiagnostic Medical Sonography ProgramExtra-cranial Arterial ScansClinical CompetencyStudent Name ____________________________ Date __________________Performance ObjectivesMetDid not meetCommentsPositions the patient correctly for each viewCheck for indicationsFollow the suggested protocolOptimizes 2D image (gain, TGC, depth, etc.)Manipulates transducer properlyDemonstrates the anatomy in the sagittal planeDemonstrates transverse-Proximal CCA to Distal CCADemonstrates transverse ECA.Demonstrates flow in CCA and performs appropriate flow measurements in the CCA.Demonstrates flow in ICA and performs appropriate flow measurements in the ICADemonstrates flow in ECA with appropriate tapping maneuvers & velocity measurements.Demonstrates flow & direction in the Vertebral artery in comparison with CCA.Identifies plaques and artifacts.Describes and explains findings. Didactic component completed? ___________ Program official initialALL COMPETENCIS MUST BE MET TO COMPLETE THIS PERFORMANCE EVALUATION.Clinical Preceptor/DateStudent Signature/DatePLEASE CHECK THE APPROPRIATE BOXDiagnostic Medical Sonography ProgramLower Venous ScansClinical CompetencyStudent Name ____________________________ Date __________________Performance ObjectivesMetDid not meetCommentsPositions the patient correctly for each viewObtains a patient history and assessmentChooses the correct transducer and exam settingsOptimizes 2D image (gain, TGC, depth, etc.)Manipulates transducer properlyFollows the suggested protocolDemonstrates longitudinal/transverse views from CFV and SFV with color and spectral DopplerDemonstrates longitudinal /transverse greater saphenous vein with compressionsDemonstrates longitudinal/transverse lesser saphenousDemonstrates longitudinal /transverse Popliteal to Posterior Tibial and Peroneal veinsDemonstrates correct augmentation with reflux maneuvers and compression throughout.Identifies limitations and pitfalls.Describe and explain findings Didactic component completed ? ___________ Program official initialALL COMPETENCIS MUST BE MET TO COMPLETE THIS PERFORMANCE EVALUATION.____________________________Clinical Preceptor/Date____________________________Student Signature/DateSECTION IPlease use this section to add any additional comments that you may have regarding this student and a possible course of action for him/her to achieve the desired goals. Please list if student showed initiative in participating in any studies other than listed in this evaluation package. (i.e., Thyroid, testicles, OB II)___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Below this line to be completed by School Faculty: __________________________________________________Summation of this evaluation:Exams evaluated _______________ _________________________________________________________________ _______________ ________________________________________________________________________________ _________________________________________________________________Final grade for this evaluation ___________Faculty signature __________________________________ Student ____________________________ ................
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