October marks Medical Ultrasound Awareness Month #MUAM which is held annually to spread awareness of the important role sonographers play in the medical community. The goal is to educate the public about medical ultrasound and its many uses throughout a patient’s life. Many people in our community do not realize that ultrasound is utilized in all parts of your life to assess patients from head to toe.
Sonographers are the doctor’s eyes. The images they produce can help detect and diagnose life-threatening diseases. Sonographers are there for their patients during the highs and lows of their healthcare journey. From OB to echo, abdominal to musculoskeletal, and beyond, sonographers have impacted someone’s life and health.
Ultrasound and the Heart
Ultrasound can be used as a diagnostic or screening tool to confirm medical disorders such as issues in the heart. Echocardiography (heart ultrasound), also known as ECHO, is a common way to evaluate the overall function of the heart. It is used to evaluate the flow of blood through the chambers and valves of the heart. It also assesses the strength of the heartbeat and the volume of blood pumped through. Doppler ultrasound echocardiography is often used for the following:
- Heart valve problems, such as mitral valve prolapse or aortic stenosis
- Congestive heart failure
- Blood clots due to irregular heartbeats such as in atrial fibrillation
- Abnormal fluid collections around the heart, such as pericardial effusions
- Pulmonary artery hypertension
Ultrasound is also useful in testing and detecting problems with most of the larger bloodvessels in the body. Using Doppler Ultrasound Technology, the flow of blood through the vessels can be observed and measured. The narrowing of vessels (stenosis) or widening of vessels (dilatation/aneurysms) can be detected. Ultrasound testing of blood vessels includes:
- Carotid Ultrasound
- Abdominal Aorta Ultrasound for Abdominal Aortic Aneurysm
- Blood clots in veins
A Musculoskeletal (MSK) Ultrasound is a specialized exam that looks specifically at your muscles and joints. MSK ultrasound technologists have special training in looking at muscles, some ligaments, nerves, and tendons. MSK ultrasound is particularly helpful in the diagnosis of orthopedic and sports injuries, such as rotator cuff tears, and chronic conditions, such as rheumatoid arthritis. Sometimes, pain or injury is triggered by movement, which cannot be captured in a static image. Ultrasound is performed in real time and can provide unique information that cannot be detected by any other imaging method. MSK ultrasound is used to diagnose a wide range of injuries and chronic conditions, including:
- muscle tears
- joint problems
- rheumatoid arthritis
- and masses such as tumors or cysts.
Sonographers can also specialize in vascular ultrasound, which evaluates the body’s circulatory system. Oftentimes, sonographers will utilize Doppler Ultrasound Technology. Doppler ultrasound will be used to observe and measure the flow of blood through the vessels. Vascular ultrasound is often performed to:
- help monitor the blood flow to organs and tissues throughout the body.
- locate and identify blockages and abnormalities
- detect blood clots (deep venous thrombosis (DVT) in the major veins of the legs or arms.
- evaluate the success of procedures that graft or bypass blood vessels.
- determine if there is an enlarged artery or aneurysm.
- evaluate varicose veins.
In children, vascular ultrasound is used to:
- aid in the placement of a needle or catheter into a vein or artery to help avoid complications such as bleeding, nerve injury, or pseudo-aneurysm.
- and evaluate a connection between an artery and a vein which can be seen in congenital vascular malformations and in dialysis fistula.
Abdominal ultrasound is used to view structures inside the abdomen, such as:
- Blood vessels in the abdomen
An abdominal ultrasound can help your doctor evaluate the cause of stomach pain or bloating. It can help check for kidney stones, liver disease, tumors, and many other conditions.
Obstetrics/Gynecologic and Pelvic Ultrasound
Obstetrics and gynecologic ultrasound, while known by many to evaluate a pregnancy, can also assess and produce images of the bladder, uterus, fallopian tubes, cervix, and ovaries. Ultrasound images can be used in gynecologic care to diagnose and help treat many diseases and conditions in the pelvic region.
Ultrasound probes come in many different shapes and sizes. In this part of the field, some transducers are used on the skin of a woman’s abdomen, while others are placed inside the vagina by utilizing a transvaginal ultrasound. Transvaginal ultrasound allows the sonographer to get the transducer close to the cervix, uterus, and ovaries which will produce more detailed images to be created.
Ultrasound can also be used to evaluate the:
- kidney or bladder stones
- pelvic pain
We are just touching the surface with the use cases of ultrasound and every day there is advancement in the medical field to utilize safer medical imaging alternatives like ultrasound. The number of sonographers needed to support these advancements and support patients will continue to grow. If you’ve considered a career in sonography, now is the time to pursue it! There is a place in the field for everyone, from sports medicine, children, heart specialists, abdomen, OB/GYN, and more.
WCUI is now enrolling for our Pediatric Echocardiography program at our Los Angeles and Ontario, California campuses; classes will begin Winter 2021 (January 2nd)! Interested in learning more about our program? Meet virtually with WCUI’s own Assistant PEDECHO Program Director, Karen Ambrowitz, MPH, RDMS, RDCS (AE, PE, FE), and our admissions team from both campuses to learn about this great opportunity to further your education as echocardiologists.
WCUI Pediatric Cardiac Ultrasound and Congenital Heart Disease Virtual Open House – Saturday, November 7th at 1:00 pm PST
Register today to meet with us on Zoom and learn more about this great opportunity: https://wcui.zoom.us/meeting/register/tZApfuuqrjouG9XrWysYSM70f2ByDk53SX8z
About the WCUI PedECHO Diploma Program:
- 9-month advanced Pediatric Cardiac Sonography Program for graduates from an Adult Cardiovascular sonography program
- Classes are taught by experienced and practicing pediatric echocardiologists
- Hybrid Learning – Online lecture courses & hands-on lab courses on campus
- Weekend Classes!
- Train with real pediatric patients
- 1-month externship at a hospital/clinic site
- 90% Average Employment Rate*!
Graduates of the program will be eligible to take the Pediatric Echocardiography registry exam (ARDMS) and have the skills to perform ultrasound on newborns and children. We look forward to seeing you soon!
*Employment rate is based off the cohort of students starting between 3/2017 and 2/2018 at our Los Angeles and Ontario campus. Individual campus rates can be found in our full 2019 ACCSC Annual Report: wcui.edu/consumer-information/
Meet Karen Ambrowitz – PedECHO Assistant Program Director
Karen Ambrowitz is the Assistant Program Director of the Pediatric Cardiac Ultrasound and Congenital Heart Disease Program at WCUI and has worked at WCUI since 2007. She has also been the technical director of the Pediatric Echocardiography Lab at Mattel Children’s Hospital at UCLA Medical Center since 2005. Karen received her RDCS credential in adult and pediatric echocardiography in 1997 and her fetal echocardiography credential in 2010. Karen has practiced in the pediatric and fetal echocardiography field since 1997 working at prestigious medical institutions in New York City, Denver, and Los Angeles. In addition, she has an extensive background in teaching and curriculum writing, having taught at the first Diagnostic Medical Sonography Bachelor’s Degree program at SUNY Health Science Center at Brooklyn. Karen also co-wrote the pediatric echocardiography curriculum for the pediatric cardiac ultrasound program at WCUI.
Karen has a true enthusiasm for teaching in the classroom (an now online!) and in a laboratory setting. She is thrilled to be leading another class of future pediatric echocardiologists. In addition to her experiences in leading education, Karen has participated in medical missions to Peru, Native American Indian reservations, and high school health fairs, screening children for life-threatening cardiac disorders.
FURTHER EDUCATION HISTORY: Karen received her MPH from Columbia University/Argosy University and her bachelor’s degree in Diagnostic Medical Sonography at the SUNY Health Science Center at Brooklyn.
WCUI is hosting another virtual CME seminar designed to help you become a more effective preceptor. Whether you are currently a preceptor or interested in learning more about how a preceptor can impact education and the future of healthcare, this seminar is a great opportunity to connect and learn from experts in the field!
Join us on Thursday, September 24th, 2020 at 5:30 pm PST on Zoom as WCUI Externship Director, Jason Grabham RDCS, FASE, and owner of Sounds Sports Imaging and WCUI CME Director, Malka Stromer, MEd, BSc, RDMS, CRGS will lead a virtual seminar on becoming a more effective preceptor.
As a preceptor, it is critical to have a strong relationship with the students you take on during externship. In order to connect with the many new generations entering the field, preceptors must also continue to improve their communication skills, in the same manner, that we adapt to changes or new technology in the industry. In the Student Externship Preceptor Virtual Seminar, we will train attendees in the skills needed to be an effective preceptor through communication, conflict resolution, and building solid relationships with students and the school. In addition, the seminar is approved by SDMS and attendees will receive 2 CME credits for participating.
Register to save your spot today!
CME COURSE DETAILS:
- When: Thursday, September 24th at 5:30 pm PST
- Topic: Student Externship Preceptor Virtual Seminar
- CME credits: 2 SDMS credits
- Register Here: https://wcui.zoom.us/meeting/register/tZUrceqprzMuEtM9Wxwd4poF4U24wuPcvKUH
Meet the Speakers
Jason Grabham, RDCS, FASE
Jason Grabham is a cardiac sonographer registered in pediatric, fetal, and adult echocardiography. He began his career at the University of Kentucky Medical Center and has spent nearly 30 years in the field. Jason’s clinical experience includes leading large, nationally ranked echocardiography programs including Phoenix Children’s Hospital and the Cincinnati Children’s/Kentucky Children’s Joint Heart Program in Lexington.
Throughout his career, Jason has focused heavily on programmatic and community outreach development, quality improvement, and sharing his passion for delivering the highest quality imaging for patients with congenital heart disease. He is also a reviewer for the Intersocietal Accreditation Commission for pediatric and fetal laboratories and is a Fellow of the American Society of Echocardiography.
Jason has shifted his passion from delivering quality patient care into helping to develop and inspire the next wave of sonographers in his new role as Director of Externship for WCUI’s Phoenix campus.
Malka Stromer, MEd, BSc, RDMS, CRGS
Malka Stromer is a registered diagnostic medical sonographer whose clinical skills were fostered at the University Health Network and Mount Sinai’s Center of Excellence in Obstetrical Ultrasound, in Toronto, Canada. Malka has spent the past 15 years of her career sharing her enthusiasm for sonography as a professor, first at her alma mater, Mohawk College (the collaborative Mohawk-McMaster Institute for Applied Health Sciences), and then at Gateway Community College in Phoenix, Arizona. She earned her Bachelor of Science and Master’s of Education from York University in Toronto, Canada.
Malka has spoken at various professional events and educational institutions on topics including sonography of the bowel and her research in the ethics of obstetrical ultrasound. She has authored a chapter in a sonography text, and has won a research award through the SDMS, and most recently the John and Suanne Rouche Excellence Award through the League for Innovation in the Community Colleges.
Malka is the owner of Sound Sports Imaging, LLC, and together with her colleague Jeannine Noble, now teaches POCUS and MSK ultrasound to health care professionals around the world. In addition, Malka has been leading the CME development program as the newest WCUI CME Director. This year the CMEs have transitioned to an online format with opportunities to join via live webinar or by registering for asynchronous courses. To learn more and register for our current list of asynchronous CME courses fill out the form here: WCUI CME Course Enrollment Form or email CME@wcui.edu
TAKE A CME COURSE ON YOUR OWN SCHEDULE, REGISTER TODAY!
Last month, WCUI hosted a LIVE CME webinar with guest speakers, Amy Zazerra OB, FE, RVT, and Jason Grabham RDCS, FASE over the topic “Anatomical Survey – A Case Study Analysis of Hypoplastic Left Heart Syndrome”. If you missed the opportunity to log in, WCUI is now providing access to the free CME course worth 2.5 CME credits through SDMS! Once you gain access, you will be able to complete the course on your own time.
To gain access, please fill out the CME Course Enrollment Form and you’ll receive an invitation from the WCUI CME team: WCUI CME Course Enrollment Form
The course is a great opportunity for Diagnostic Medical Sonographers and OB/GYNs who are interested in reviewing the importance of the fetal heart views and gain additional knowledge through a case study on hypoplastic left heart syndrome (HLHS).
CME COURSE DETAILS:
- When: Anytime! Enroll today & take the course on your own time: WCUI CME Course Enrollment Form
- Topic: Anatomical Survey – A Case Study Analysis of Hypoplastic Left Heart Syndrome
- CME Credits: 2.5 SDMS credits