Fellowship

Eligibility: Applicants must have completed a three- or four-year ACGME-accredited Emergency Medicine residency and be ABEM board-certified or board-eligible

Fellowship Duration: One year

Positions Per Year: 1-2 Positions

Salary: Minimum salary of $100,000 per year

  • Fellows may pursue internal moonlighting in the CRMC ED or external moonlighting for additional income, as long as all fellowship duties and educational expectations are maintained.

Continuing Medical Education (CME): $2,500 per year

Benefits: Medical, vision, dental, disability, and life insurance; 401(k) with employer match 

Clinical Site: The primary clinical site is Community Regional Medical Center (CRMC) in downtown Fresno, a high-volume Level I trauma center with more than 110,000 annual emergency department visits. CRMC serves as the tertiary referral center for much of California's San Joaquin Valley and provides fellows with extensive exposure to high-acuity emergency and critical care ultrasound.

Additionally, some educational ultrasound scanning shifts are completed at Valley Children's Hospital (VCH), the only comprehensive pediatric specialty hospital serving Central California and one of the largest freestanding children's hospitals in California. Under the supervision of UCSF Fresno ultrasound faculty, fellows gain experience in pediatric emergency ultrasound, including pediatric image acquisition, interpretation, and ultrasound-guided procedures in a high-volume tertiary pediatric referral center.

Clinical Responsibilities: 

  • Fellows work an average of eight 8-hour shifts per month as a junior faculty member in the emergency department at CRMC.
  • Clinical work is divided equally between teaching shifts—where the fellow supervises residents and advanced practice providers—and clinical shifts, during which the fellow provides direct care to patients in the emergency department, ED observation unit, or urgent care.

Ultrasound Equipment:

  • 1 Mindray TEX (curvilinear, linear, phased array, and endocavitary probes)
  • 1 Sonosite LX (curvilinear, linear, phased array, and endocavitary probes)
  • 5 Sonosite X-Porte (curvilinear, linear, and phased array probes)
  • 3 Sonosite ST for procedures (linear probe)
  • 1 BK Medical 3500 Machines (curvilinear, linear, phased array, and endocavitary probes)
  • 1 Butterfly IQ handheld probe for rotating residents

Ultrasound Imaging Worflow Management:

  • The Emergency Department at CRMC utilizes Sonosite Synchronicity, a web-based system for storing images and overseeing quality assurance, education, research, billing, and credentialing.
  • Study interpretations are completed within Synchronicity and subsequently submitted for quality assurance.
  • Ultrasound exams used for clinical decision-making can be further transmitted to PACS and the Epic EMR by credentialed emergency physicians.
  • A portion of the exams submitted for QA are reviewed during weekly QA sessions for educational purposes, while the remainder are reviewed on an ongoing basis by ultrasound faculty.