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Effective: Summer 2015

Prerequisites: Prerequisite: DMS 70A.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
32 hours laboratory. (384 hours total per quarter)

Student Learning Outcomes -
  • Recognize normal and abnormal anatomical structures.
  • Obtain pertinent studies, reports, lab values as they relate to the examination.
  • Perform ultrasound exams according to the Scope of Practice for sonographer's identified by the SDMS and according to recognized examination protocols.
Description -
Preceptorship in a medical setting allows the student to obtain the technical expertise with emphasis on mastery of knowledge, skills, and abilities required performing sonographic studies and procedures. The student is exposed to varied methodologies and practice philosophies in a variety of clinical settings. Major emphasis is on the knowledge and performance for abdominal, obstetrics, and gynecology examinations. Intended for students in the Diagnostic Medical Sonography Program; enrollment is limited to students accepted in the program.

Course Objectives -
The student will be able to:
  1. competently perform all primary examinations and procedures in a timely manner requiring elementary sonographic applications including translating and calculation of quantitative data
  2. obtain accurate clinical history, physical findings, laboratory data for all types of patient procedures and examinations.
  3. operate with supervision several different types of sonography equipment.
  4. demonstrate excellent communication skills with patients, physicians, staff and the public.
  5. reinforce standards of practice when working with cultural sensitive environments including various age and gender populations.
  6. complies with standards of professional behavior including ethical behavior in a clinical practice.
Special Facilities and/or Equipment -
Hospital and medical facilities, access to medical equipment, lab coat, name tag.

Course Content (Body of knowledge) -
This course is a clinical preceptorship with the student assigned to a hospital or other qualified medical facility. It is designed as an integrative approach to:
  1. Performance and application of didactic information and principles of all examinations and procedures, with supervision, including
    1. gynecology
      1. transabdominal application
      2. endovaginal application
    2. obstetrics
      1. transabdominal application
      2. endovaginal application
    3. abdominal examinations
      1. tranabdominal application
      2. subcostal approach
      3. intercostal application
    4. invasive applications
      1. appropriate application to setting up sterile trays and instruments
      2. ascertain the correct patient information matches the patient and is entered appropriately in the computer system
      3. acquire patient data including medical history, laboratory data relevant to the invasive procedure
  2. Knowledge and application of anatomy, physiology, and pathophysiology.
    1. gynecology
    2. obstetrics
    3. abdominal applications
  3. to perform the sonographic examination in a timely manner consistent with this level of training
    1. uncomplicated abdominal examinations within 45 minutes
    2. uncomplicated gynecological examinations within 40 minutes
    3. uncomplicated obstetrical examinations for the 1st trimester within 30 minutes
    4. uncomplicated obstetrical examinations for the 2nd trimester within 50 minutes
    5. uncomplicated obstetrical examinations for the 3rd trimester within 50 minutes
  4. to identify the various computer onboard calculations
    1. to input calculations accurately
    2. to recognize and explain the types and purposes of the various onboard computer calculations per patient examination
  5. to obtain appropriate to the examination patient history
    1. to obtain appropriate to the examination information from the patient's physical examination
    2. to obtain appropriate to the examination information from laboratory data
    3. to analysis and predict the probable outcome based on this information and in conjunction with the sonographic examination.
  6. is able to perform and operate various ultrasound machines
    1. is able to demonstrate the key functions and knobology of each ultrasound system
    2. is able to explain the methods to improve the sonographic image using the appropriate key functions
    3. is able to judge quality of images based on accepted criteria
    4. is able to apply measurements correctly
    5. is able to criticize, appraise, and validate excellent image quality from nondiagnostic images.
  7. demonstrates excellent verbal, nonverbal, written communication skills with patients, staff, physicians, and the public
    1. demonstrates excellent communication skills with physicians
    2. demonstrates excellent communication skills with staff
    3. assumes responsibility for patient examinations and presentation through action
    4. applies program and department policy and procedures
  8. recognizes and applies "standards of practice" when working with cultural sensitive patient, physicians, staff, and the general public through the use of excellent communication skills.
    1. oral skills
    2. written skills
    3. nonverbal skills
    4. Standards of Professional behavior in a clinical practice
    5. demonstrates age related competency
  9. Traits of the health care professional
    1. punctuality and dependable
    2. accepts constructive criticism and complies
    3. follows instruction
    4. receptive
    5. demonstrates enthusiasm
Methods of Evaluation -
  1. Clinical case presentations as presented orally, with demonstration, and written assignment. Assessment will include clinical research conducted prior to presentation.
  2. Skills and performance testing and evaluation by observation of performance.
  3. Clinical competency and proficiency assessment will be conducted at mid-quarter and end of quarter.
  4. Behavioral objectives evaluated by written form and observation.
  5. Site Visits in the clinical facility by faculty.
  6. Practicum examination.
Representative Text(s) -
Kawamura, D., Lunsford, B.; Abdomen and Superficial Structure, 3rd ed., Baltimore: Lippincott Williams& Wilkins, Baltimore, MD, 2012.
Kawamura, D., Lunsford, B.;Workbook for DMS: A Guide to Clinical Practice, Abdomen and Superficial Structure, 3rd ed., Baltimore: Lippincott Williams& Wilkins, Baltimore, MD, 2012.
Stephenson, S., Diagnostic Medical Sonography: Obstetrics and Gynecology, 3rd ed., Baltimore: Lippincott, Williams & Wilkins, Baltimore, 2012.
Hall-Terracciano, B., Stephenson, S., Workbook for Diagnostic Medical Sonography: A Guide to Clinical Practice, Obstetrics and Gynecology, 3rd ed., Baltimore: Lippincott, Williams & Wilkins, Baltimore, 2012.

Disciplines -
Diagnostic Medical Technology
Method of Instruction -
Lecture presentations, Cooperative learning exercises, Oral presentations, Demonstration, Internship/preceptorship, Clinical Lab.
Lab Content -
The laboratory portion of this course may include any of the following: in a live or simulated patient environment, patient exams, clinical assessment, case analysis, normal and pathology analysis, patient interview, medical history and other relevant data.
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Reading materials from texts and website research on patient pathology.
  2. Critical analysis of patient examinations and findings.
  3. Review of relevant published data as related to sonographic evidence of pathology and/or variants.
  4. Report writing per patient case.