DDU(Vascular) - Australasian Society for Ultrasound in Medicine

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DDU(Vascular) SyllabusMODULE 3: Advanced Ultrasound PracticeLEARNING OBJECTIVESIn order to successfully complete the DDU (Vascular) candidates are expected to be ableto demonstrate, in relation to the list of major clinical areas as listed under “MajorTopics”, the following:• Ability to obtain a detailed, relevant clinical history.• Ability to conduct the ultrasound examination in an appropriately effective mannertaking into consideration the environment, and the patient’s privacy, cultural andreligious needs.• Understanding of, and skills involved in, producing and recognising an accurateand valid ultrasound examination and resultant data, including protocols for, andnormal ranges of, standard measurements and haemodynamic spectral analysisincluding calculations/indices.• Detailed knowledge of relevant: anatomy; physiology; haemodynamics; andpathology.• Detailed knowledge of other diagnostic methods used in vascular diagnosisincluding: ankle-brachial index (ABI); exercise testing; plethysmography;angiography and venography; magnetic resonance angiography (MRA) andcomputed tomography angiography (CTA).• Ability to determine the need for further information such as: extension of theultrasound examination; other tests; further clinical information; follow-upexaminations.• Competence in the recognition of sonographic appearances and relevantinformation including: normal anatomy, physiology and hemodynamics; normalvariants; artifacts; abnormalities of vascular structure, course of vessels,haemodynamics and function.• Detailed knowledge of vascular non-surgical treatments, surgical andinterventional procedures and the relationship of these to ultrasound assessmentand diagnosis.• Competence in determining appropriate provisional diagnosis/diagnoses as aresult of the ultrasound examination and in conjunction with other available clinicalinformation as relevant.• Appreciation of the more rarely seen/uncommon pathologies which may beassociated with the vasculature and related structures.• Ability to perform and/or be able to interpret advanced ultrasound techniques suchas contrast studies and 3D ultrasound as and when required to aid in thediagnosis.• Recognition of any limitations of the ultrasound examination, including technicallimitations and artifacts, and the effect of these on diagnosis and clinicalmanagement.• Ability to prepare a detailed report including information on findings/diagnoses,any limitations of the examination, correlation of findings with other relevantinformation, requirements/suggestions for further testing or follow-upexaminations.16
DDU(Vascular) Syllabus• Ability to be able to communicate effectively with the patient/client and/or theiraccompanying persons in a manner that is timely, relevant and appropriate to thecircumstances, where required.• Ability to identify and act appropriately to ensure timely medicalreview/intervention where an urgent finding is made.• Understanding of the applications of new and advanced techniques such as intravascularultrasound and other techniques as they become available for clinicaluseage.MAJOR TOPICSIntroduction:The DDU (Vascular) candidate is expected to have a deep level of knowledge across abroad range of clinical applications of diagnostic ultrasound irrespective of whether or notall topic areas would usually be expected to be covered by the candidate during thecourse of their professional practice.Candidates are expected to read widely and seek a range of learning opportunitiesincluding those focussed on theoretical and clinical learning, and practical skillsdevelopment in order to be able to demonstrate competence across the syllabus.Vascular Ultrasound:A candidate is expected to be able to competently undertake a vascular ultrasoundexamination, including at least the following abilities:1. Perform and interpret the ultrasound examination using any combination oftechniques such as: B-mode; Doppler (continous wave, pulsed and continuouswave spectral, colour, and amplitude or “power”), clinical evaluation and exercisetesting as required by the presenting circumstances.2. Perform and interpret haemodynamic spectral analysis demonstrating a detailedknowledge of the principles, applications and limitations of all commonly usedcalculations/indices and diagnostic criteria (as described by published standardsand protocols).3. Perform interventional techniques when required by the presenting circumstances.The candidate is expected to be able to demonstrate a detailed knowledge andunderstanding of the role of ultrasound in assessment of, at least, the following:1. Cerebrovascular arterial circulation including:a. Extracranial carotidb. Extracranial vertebralc. Intracranial arteries assessible by trans-cranial ultrasound techniques.2. Vessels of the thoracic outlet (brachiocephalic and subclavian arteries and veins).17
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DDU(Vascular) - Australasian Society for Ultrasound in Medicine

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