Postgrad FoCUS Course



Anesthesiology Cardiac Ultrasound Workshop

Release Date: Monday, January 11, 2016
Expiration Date
: Monday, May 2, 2016


CME Information

For CME credit you must read this page


Estimated Completion Time: 8 hours

Method of Participation: To receive a statement of credit, you must:

  1. Watch the videos in their entirety
  2. Complete course evaluation form and submit

Your statement of credit will be recorded with the U of U CME office upon successful completion of the post assessment and submission of the evaluation.

Designed by University of Utah Faculty:

-Josh Zimmerman, MD

-Amber Bledsoe, MD

-Nate Birgenheier,MD

– Candice Morrissey, MD

– Jennifer DeCou, MD

– Natalie Silverton, MD


AMA Credit: The University of Utah School of Medicine designates this enduring material for a maximum of 8 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DISCLOSURE: Neither the speaker(s), planner(s), nor anyone in control of content for the enduring material video “Anesthesiology Cardiac Ultrasound Workshop.” have any financial relationship with commercial products or services discussed.

image004Accreditation:  The University Of Utah School Of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Nondiscrimination and Disability Accommodation Statement: The University of Utah does not discriminate on the basis of race, color, national origin, sex, disability, age, veteran’s status, religion, gender identity/expression, genetic information, or sexual orientation and strives to provide equal access to all its programs, activities, services, and admissions. The University also complies with the Americans with Disabilities Act of 1990, as amended, Section 504 of the Rehabilitation Act of 1973, and other applicable federal and state laws that prohibit discrimination on the basis of disability. Reasonable accommodations will be provided to qualified individuals with disabilities upon request. Reasonable notice is required. Requests for accommodations or inquiries or complaints about these policies may be directed to the Director, OEO/AA, Title IX/Section 504/ADA Coordinator, 201 S President’s Circle, RM 135, Salt Lake City, UT 84112, 801-581-8365 (Voice/TTY), 801-585- 5746 (Fax). Students may request accommodations by contacting: Director, CDS, 162 Olpin Union Bldg., Salt Lake City, UT 84112, 801-581- 5020 (Voice/TTY)


Anesthesiology Cardiac Ultrasound Workshop

– Welcome to the content for this year’s Focused Cardiac Ultrasound workshop.  I’m incredibly excited that you’ve decided to join us!  The plan is for you to watch this excellent CME content prior to joining us, so that we are able to use our time together for 100% hands-on practice.  So what are you waiting for?  Let’s echo!

Why Focused Cardiac Ultrasound: A Case-Based Discussion (30 min)

– If you wonder why cardiac ultrasound is for you, take a look at this talk.  If you’re already convinced (and you are attending one of our workshops) you can watch it because it’s a fun talk but you could also move onto the vast sea of ‘How-to’ below.

What exactly is ”FoCUS”? (30 min)

–  An introduction to the concept of FoCUS as described by the American Society of Echocardiography (and interpreted by our echo group.)  Before you embark on your ultrasound training it is important for us to be on the same page regarding not only the immense value of these techniques but also their limitations.

Cardiac Anatomy for the New Echocardiographer (20 min)

– A brief review of anatomy to refresh your memory before beginning to scan.  Remember that the image is not the thing, and we’re always trying to construct a mental picture of our patient’s actual anatomy from the images we create.

Basic Concepts of Ultrasound (22 min)

– Don’t be scared, this isn’t your college physics class reprised.  You don’t have to be able to calculate a Doppler shift to start using ultrasound in your practice, I promise!  You do need a basic understanding of how an ultrasound image is formed, how to adjust basic image settings, and what common artifacts look like.  That’s what Dr. Decou will review here.

FoCUS How-To (90 min)

– It’s hard to spend too much time with the basics, and these are absolutely the basics.  What do you do when you put the probe on the patient?  Watch these talks now, then come back to them as you continue to develop your skills.

Global Left Heart Evaluation (30 min)

– Assessment of the structure and global function of the left ventricle with Dr. Bledsoe.  The goal here is not to distinguish between an ejection fraction of 34% vs 36%!  We want to know if our patients’ LV function is not too bad, not so good, or terrible.

Global Assessment of the Right Ventricle (30 min)

– Similar concepts apply to Dr. Bledsoe’s discussion of global right ventricular function.  We’d like to know if our patient’s problem (clinical evidence of heart failure, hemodynamic instability, etc) could be related to global dysfunction of the right ventricle.

Basic LV Regional Wall Motion Evaluation (20 min)

– Identification of subtle regional wall motion abnormalities is challenging even for very experienced echocardiographers.  What you’re trying to identify is large areas of hypokinesis that could explain hypotension, or perhaps areas of scar that suggest old myocardial infarctions.  These are less subtle.  In this talk Dr. Curtis will review concepts of normal and abnormal myocardial wall motion and sequelae of infarction.

Basic Valvular Assessment (80 min)

– In this series of three lectures, we’ll review the normal anatomy of the aortic, mitral, and tricuspid valves as well as discuss findings of significant valvular stenosis and regurgitation.

FoCUS to the Rescue! (120 min)

– In this series of lectures, I’ll review the application of FoCUS in the assessment of the hemodynamically unstable patient.  This topic is a ton of fun, but there’s a lot to cover so I’ve broken the 200-some slides into more bite-sized portions.

Instructions for Claiming CME Credit

– Claim your credit and print your certificate once you’ve finished the videos.