Creagh Boulger, MD
- Fellowship Director Medical School: Wright State University Residency: Emergency Medicine, The Ohio State University
The Ohio State Primary Care Ultrasound Fellowship was developed to train family physicians in point-of-care ultrasound. The one-year fellowship is a collaboration between the Emergency Medicine and Family and Community Medicine departments at Ohio State. The primary care ultrasound fellow works alongside the emergency medicine (EM) ultrasound fellow, EM ultrasound faculty, family medicine (FM) ultrasound faculty and sonographers. The goal of the fellowship is to train fellows to utilize point-of-care ultrasound across all clinical settings including the primary care clinic, inpatient setting and the Emergency Department. Core topics covered during the fellowship include cardiac, pulmonary, abdominal, renal, critical care, musculoskeletal, obstetric, procedural ultrasound and more.
Each fellow’s curriculum is designed to fit the needs and interests of the fellow. Basic ultrasound experience is preferred, but extensive experience with point-of-care ultrasound is not required. Curriculum delivery is a combination of hands-on scanning, image review with faculty, didactic sessions and self-learning. Fellows participate in teaching and research within the ultrasound division. The curriculum also exposes fellows to administrative aspects of ultrasound utilization and education (machine selection, image archiving, and billing). Fellows will hold joint appointments as junior faculty in the Department of Family and Community Medicine and ultrasound fellows in the Department of Emergency Medicine. Patient care time will consist of independently seeing patients in Family and Community Medicine primary care clinics.
For more information on the fellowship program, please reach out to Hiten.Patel@osumc.edu.
The curriculum for the fellowship is flexible as it allows fellows to utilize institutional resources and experts to tailor the curriculum to each fellow’s interests. Basic components of the curriculum include:
Scanning time: Fellows will have the ability to scan patients in the emergency department under direct and indirect supervision of ultrasound faculty. Scan time will take place during ultrasound scan shifts, and fellows will have the ability to work with residents and medical students. Fellows also may scan patients in their own clinic or during inpatient coverage. Fellows are expected to perform over 800 scans during their fellowship year.
Image review: All images are saved onto QPath. Fellows will get direct feedback on image acquisition skills and pathologic findings. Fellows will also participate in QPath rounds, during which educational image review with faculty will take place.
Didactic sessions: During the first half of the year, fellows will have didactic sessions with ultrasound faculty during which image acquisition, normal image and pathologic images will be reviewed. Didactic sessions will be blended with self-learning modules provided to fellows. Topics covered are flexible but include cardiac, lung, abdominal, obstetric, vascular, trauma, critical care, renal, musculoskeletal, procedural and small organ ultrasound.
Additional scanning experience: Fellows also have the ability to work with other experts in ultrasound at Ohio State. Possible opportunities including working with sonographers to enhance acquisition skills of advanced imaging, working with obstetricians to improve obstetric ultrasound skills, and working with sports medicine physicians to gain musculoskeletal ultrasound skills.
Simulation: The simulation lab is available for the fellow to practice ultrasound skills. Time can be scheduled to practice acquisition skills using trained simulated ultrasound patients (TSUP). Additional resources include procedural trainers (IVC, PIV or paracentesis), pelvic trainers (IUP, ectopic) and cardiac simulator.
Teaching: Fellows will have ample opportunities to provide educational sessions during their fellowship year. Opportunities include hands-on teaching to medical students, residents and physicians in other departments. Examples of teaching include lectures, workshops, skills sessions and virtual lectures. Ultrasound faculty provide guidance and mentorship on teaching.
Research: The ultrasound division is active in research. Fellows are expected to complete one research project during their fellowship. Research can include clinical, educational or quality improvement projects. Fellows are encouraged to present their work at national conferences.
Approximately 40% of the fellow’s time (or 64 hours a month) will be spent performing clinical care. Given this is a non-ACGME fellowship, fellows can independently see patients as junior faculty. Clinical practice can be a combination of care in outpatient clinics, urgent care or the inpatient setting at Ohio State. Options for outpatient practice include one of the several outpatient primary care clinics. Inpatient care can be provided with the family medicine resident-run inpatient service.
Salary and benefits will fluctuate based on the fellow’s clinical interests and desired practice. Fellows will allocate approximately 60% of their time for fellowship activities, and 40% of their time for patient care. Salary will reflect this with approximately 60% of salary from PGY-4 fellowship, while 40% of the salary will be from junior faculty. This fellowship is a non-ACGME fellowship, and thus fellows can independently practice medicine.
A full list of benefits can be found here.
Candidates should be U.S. MD graduates, licensed in Ohio to practice medicine and board eligible/certified to practice family medicine. All applications are processed through the Society of Clinical Ultrasound Fellowships (SCUF). Applications are accepted between July and October. The application deadline is Oct. 15. Interviews are offered on a rolling basis.
For questions, please contact: