QSONiC POCUS Fellowship
The Queen’s University Point-of-care Sonography Collaborative (QSONiC) Fellowship is a mixed-discipline POCUS training program delivered through a partnership between the Departments of Emergency Medicine, Critical Care Medicine, and Anesthesiology.
This joint initiative brings together faculty expertise and clinical experience across multiple specialties to provide fellows with comprehensive, hands-on training in point-of-care ultrasonography (POCUS).
POCUS has become the standard of care for timely and accurate evaluation and treatment of acutely ill patients. Most acute care disciplines require mastery of basic POCUS skills, but many specialties have advanced expertise in POCUS applications specific to their discipline. By capitalizing on the expertise and experience of POCUS educators from varied specialties, the QSONiC POCUS fellowship program at Queen’s University provides learners with training in the true breadth of POCUS applications. This comprehensive, multidisciplinary model is unique among other POCUS training programs in Canada.
The QSONiC fellowship training at Queen’s focuses on mastery of the fundamental aspects of POCUS: image acquisition, image interpretation, and clinical integration for a full scope of acute care POCUS applications. Beyond developing practical POCUS mastery, fellows learn how to create POCUS workshops, develop curricula, manage a training program, and provide teaching, quality improvement and feedback to learners. Graduates of the QSONiC fellowship will be well equipped to become POCUS Directors and leaders in POCUS education.
This training is delivered collaboratively through POCUS rotations in Critical Care Medicine, Emergency Medicine, Anaesthesiology, Cardiology, Pain Medicine and the Fetal Assessment Unit. A comprehensive curriculum is delivered through academic half-day seminars, image review rounds, content creation workshops, journal clubs, and a series of procedural cadaver workshops. Graduates will have competence in full body diagnostic POCUS, including transesophageal echocardiography and procedural POCUS. Most graduates challenge the National Board of Echocardiography’s Examination of Special Competence in Critical Care Echocardiography and/or the Examination of Special Competence in Advanced Perioperative Transesophageal Echocardiography.
The QSonic Fellowship is 12-months in duration. Fellows rotate through various clinical POCUS rotations but continue to work half-time clinically in their home discipline throughout the fellowship.
What does a typical training year look like?
Fellows rotate through a variety of 4-week POCUS rotations, the exact emphasis and number of each being customized to accommodate the needs of each fellow’s discipline. A fellow’s time is divided (50:50) between clinical service to their home discipline and time devoted to POCUS activities. POCUS rotations are in emergency medicine, critical care medicine, anaesthesiology/transesophageal echo, echocardiography, and content creation. Of note, fellows entering from a critical care discipline would only provide clinical service in the ICU, fellows from emergency medicine would only provide clinical service in emergency medicine, and fellows from anaesthesiology would only provide clinical service in anaesthesiology. Horizontal rotations are in pain medicine and obstetrics/fetal assessment. A robust curriculum of protected academic half-days consists of lectures, cadaver labs, journal clubs, teaching workshops, image review and echocardiography rounds. Electives in pediatric emergency medicine POCUS are available if interested.