AEMUS Ultrasound Fellowship Program: Teaching Philosophy

The Emergency Medicine Ultrasound Fellowship at Mount Sinai Medical Center, Miami Beach is a 1-year program open to candidates who have successfully completed a 3 or 4 year Allopathic or Osteopathic Emergency Medicine Residency with board eligibility. Our mission is to train leaders to be experts in the field of Emergency Ultrasound.

A comprehensive curriculum will include the basics of emergency point-of-care ultrasound, systems and administrative responsibilities involved in leading an ultrasound division and advanced applications. Internal and external support and teaching from Cardiology, Anesthesiology, Radiology, Sports Medicine and Pediatrics will be integrated into the program.

Advanced applications include:

• Advanced Regional Anesthesia
• Advanced Echocardiography and Transesophageal Echocardiography
• Advanced Musculoskeletal Sonography
• Exposure to Elastography
• Exposure to Contrast Enhanced Ultrasound
• Pediatric Sonography

Education involving formal didactics, literature review, online resources, hands-on scanning, and advanced SIM models will be part of the curriculum.

We provide plenty of lecture opportunities nationally and internationally. Recent international lectures include Buenos Aires, Argentina and Dubrovnik, Croatia. Once a year, we hold a growing annual MSMC Ultrasound Conference in which 200 participants, including 9 residency programs.. Teaching and educational opportunities will be available.

Responsibilities

Clinical duties include attending shifts at the main campus located in Miami Beach featuring a brand-new state of the art emergency department and our two freestanding ED’s in Aventura and Hialeah, which provide a diverse experience.

• Fellow salary: 100k/ year plus benefits and CME
• Internal and external moonlighting opportunities
• Academic research requirement
• Resident and student teaching opportunities

Scan shifts: 10 hours/week scan time which will involve scan time with the ultrasound faculty and opportunities to scan

David Kinas, DO
US Division Director
Medical School: Nova Southeastern University. Class of 2014
Residency and Graduation Date: Mount Sinai Medical Center Class of 2018
Fellowship: Ultrasound Fellowship, Mount Sinai St Luke’s Class of 2019
Specialty Interest: Ultrasound, Graduate Medical Education

Robert Farrow, DO
Fellowship Director
Medical School: Kansas City University of Medicine and Biosciences Class of 2015
Residency and Graduation Date: Mount Sinai Medical Center Class of 2018
Fellowship: Ultrasound Fellowship, Highland Hospital. Class of 2020
Specialty Interest: Ultrasound, Graduate Medical Education

Daniella Lamour, DO
Ultrasound Fellowship Core Faculty
Medical School: Edward Via College of Osteopathic Class of 2020
Residency and Graduation Date: Florida Atlantic University Class of 2023
Fellowship: Ultrasound Fellowship, Mount Sinai Class of 2024
Specialty Interest: Point of Care Ultrasound

Daniel Puebla, MD
Ultrasound Fellowship Core Faculty
Medical School: Florida International University Class of 2020
Residency and Graduation Date: Mount Sinai Medical Center Class of 2023
Fellowship: Ultrasound Fellowship, Mount Sinai Class of 2024
Specialty Interest: Point of Care Ultrasound

David Farcy, MD
Chair of Emergency Medicine
Medical School: University of Auto De Guadalajara, Jalisco, Mexico. Class of 2000
Residency and Graduation Date: Maimonides Medical Center, Brooklyn, NY. Class of 2005
Fellowship: R. Adams Cowley Shock Trauma Center. Critical Care. Class of 2006
Specialty Interest: Administration, Critical Care, Disaster Medicine, EMS, Graduate Medical Education

Michael Rosselli, MD
Clinical Ultrasound Faculty
Medical School: Memorial University of Newfoundland Fac of Medicine, St. Johns, Newfoundland
Residency and Graduation Date: St. Luke’s/Rossevelt Hospital Medical- Columbia University NY. Class of 2009
Fellowship: Sports Medicine. North Shore University Hospital- New York University, Manhasset, NY. Class of 2010
Specialty Interest: Graduate Medical Education, Sports Medicine

Stephanie Fernandez, MD
Clinical Ultrasound Faculty
Medical School: Florida International University Class of 2018
Residency and Graduation Date: Mount Sinai Medical Center Class of 2021
Fellowship: Emergency Ultrasound Fellowship. Mount Sinai Medical Center, Class of 2022
Specialty Interest: Point of Care Ultrasound

Melissa Smith, MD
Clinical Ultrasound Faculty
Medical School: Ross University School of Medicine, Class of 2018
Residency and Graduation Date: University of Connecticut, Class of 2022
Fellowship: Emergency Ultrasound Fellowship. Mount Sinai Medical Center, Class of 2023
Specialty Interest: Point of Care Ultrasound

Alumni Faculty

Michael Shalaby, MD
University of Pennsylvania

PGY – 4

Danielle Glaze, DO
Residency: Florida State University, Sarasota, FL
Medical School: Rocky Vista University, Parker, CO

Neha Gupta, MD
Residency: UT Health Science Center, TX
Medical School: SUNY Downstate, NY

Andreea Popa, MD
Residency: HCA Florida Kendall, Miami, FL
Medical School: LSU Health Shreveport, LA

Alumni

Recent Graduates

CLASS OF 2024

Daniella Lamour, DO
Mount Sinai Medical Center Miami Beach, FL

Daniel Puebla, MD
Mount Sinai Medical Center Miami Beach, FL

Brian Torres Gonzalez, MD
University of Missouri – Columbia

CLASS OF 2023

Melissa Smith, MD
Mount Sinai Medical Center Miami Beach, FL & Advent Health, Kissimmee, FL

Lam Tran, DO
HCA Lawnwood Hospital Fort Pierce, FL

CLASS OF 2022

Stephanie Fernandez, MD
Mount Sinai Medical Center, Miami Beach, FL

Michael Shalaby, MD
Mount Sinai Medical Center, Miami Beach, FL

Publications and Presentations

Journal Publications

Farrow RA 2nd, Shalaby M, Newberry MA, Montes De Oca R, Kinas D, Farcy DA, Zitek T. Implementation of an Ultrasound-Guided Regional Anesthesia Program in the Emergency Department of a Community Teaching Hospital. Ann Emerg Med. 2024 Jun;83(6):509-518. doi: 10.1016/j.annemergmed.2023.11.013. Epub 2023 Dec 22. PMID: 38142373.

Lamour D, Farrow RA, Pierre J, Puebla D, Khalil P. Diagnosis of Cutaneous Larva Migrans using Point of Care Ultrasound. POCUS J. 2024 Apr 22;9(1):33-35. doi: 10.24908/pocus.v9i1.17470. PMID: 38681149; PMCID: PMC11044923.

Chamberlain O, Portuondo S, Shalaby M. Utility of the occipital nerve block in the emergency department: A case series. Am J Emerg Med. 2024 Jun:80:228.e5-228.e6. PMID: 38705757 

Shalaby M, Sahni R, Puebla D, Fernandez S. Modified PECS II Block for Axillary Hidradenitis Suppurativa. J Emerg Med. 2024 Jun;66(6):e701-e703. PMID: 38762374

Sanoja AJ, Shalaby M. Use of Point-of-care Ultrasound to Diagnose Rectus Abdominis Strain in the Acute Setting: A Case Report. Clin Pract Cases Emerg Med. 2024 May;8(2):159-162. PMID: 38869342

Puebla DL, Luchitsky I, Montes De Oca R, Shalaby M, Farrow RA 2nd. Ultrasound-Guided, Mid-Forearm Median Nerve Block for Relief of Carpal Tunnel Syndrome Pain in the Emergency Department: A Case Report. Clin Pract Cases Emerg Med. 2024 Feb;8(1):68-71. PMID: 38546317

Lamour D, Bruno TW, Shih RD, Solano JJ, Alter SM. Exogenous Peptide Injection Causing Medial Thigh Compartment Syndrome. J Emerg Med. 3 Dec 2023. PMID: 38461135

Farrow RA 2nd, Shalaby M, Newberry MA, Montes De Oca R, Kinas D, Farcy DA, Zitek T. Implementation of an Ultrasound-Guided Regional Anesthesia Program in the Emergency Department of a Community Teaching Hospital. Ann Emerg Med. 2023 Dec 22:S0196-0644(23)01382-3. doi: 10.1016/j.annemergmed.2023.11.013.

Shalaby M, Sahni R. Supraclavicular brachial plexus block: the unsung hero of emergency department regional anesthesia. Clin Exp Emerg Med. 2023 Sep;10(3):342-344. PMID: 37818547

Shalaby M, Arslan O, Mechanic O, Zitek T. Low CERVICAL-2 plane block, a proposed regional anesthetic technique for acute cholecystitis. Am J Emerg Med. 2023 Sep;71:69-73.

Shalaby M, Sanoja A, Rosselli M. Posterior Tibial Nerve Block for the Treatment of Plantar Fasciitis in the Emergency Department. J Emerg Med. 2023 Nov;65(5):e441-e443. PMID: 37739850

Shalaby M, Smith M, Tran L, Farrow R. Utility of Supraclavicular Brachial Plexus Block for Anterior Shoulder Dislocation: Could It Be Useful? West J Emerg Med. 2023 Jun 30;24(4):793-797. PMID: 37527391

Shalaby M, Smith M, Tran L, Farrow R. Utility of Supraclavicular Brachial Plexus Block for Anterior Shoulder Dislocation: Could It Be Useful? Wesr J Emerg Med. 2023 Jun 30; 24(4):793-797.doi:10.5811/westjem.59272 PMID: 37527391; PMCID: PMC10393458.

Michael Shalaby, Orhan Arslan, Oren Mechanic, Tony Zitek. 2023. Low CERVICAL-2 plane block, a proposed regional anesthetic technique for acute cholecystitis. PMID: 37343341 DOI: 10.1016/j.ajem.2023.06.011

Luke Weber, Michael Shalaby. 2023. Bilateral Erector Spinae Plane Block for Man o’ War Stings: A Case Report. PMID: 36859330 PMCID: PMC9983346 DOI: 10.5811/cpcem.2022.12.58093

Tony Zitek, Stephanie Fernandez, Mark A Newberry, Roman Montes De Oca, David Kinas, Tarang Kheradia, David A Farcy. 2023. The use of additional imaging studies after biliary point-of-care ultrasound in the emergency department. PMID: 36279080 DOI: 10.1007/s10140-022-02095-5

Robert A Farrow, Mark Newberry, Tony Zitek, Jackie Farrow, Oren J Mechanic, Michael Rosselli. 2023. Ultrasound-Guided Trigger Point Injections for the Treatment of Neck and Back Pain in the Emergency Department: A Randomized Trial. PMID: 36214230 DOI: 10.1002/jum.16113

Melissa Yu, Michael Shalaby, Josh Luftig, Maxwell Cooper, Robert Farrow. 2022. Ultrasound-Guided Retroclavicular Approach to the Infraclavicular Region (RAPTIR) Brachial Plexus Block for Anterior Shoulder Reduction. PMID: 35934656 DOI: 10.1016/j.jemermed.2022.04.011

Daniel L Puebla, Matthew Apicella, Oren J Mechanic, Robert A Farrow. (2022) Point of care ultrasound needle guidance to assist diagnosis of acute gluteal compartment syndrome. PMID: 36163064 DOI: 10.1016/j.ajem.2022.09.004

Yu M, Shalaby M, Luftig J, Cooper M, Farrow R. (2022) “Ultrasound-guided retroclavicular approach to infraclavicular region (RAPTIR) brachial plexus block for shoulder reduction: A Case Series.”  Journal of Emergency Medicine

Puebla, D, Farrow II, R. Ultrasound Guided Arthrocentesis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2021 July

Hill, A., Farrow II, R. Rusoja, E., Nagdev, A. (2021). “Indirect Signs of Aortic Dissection on POC-TTE Despite an ADD-RS of 0 and D-dimer < 500 ng/mL: A Case Report” American Journal of Emergency Medicine. 2021, ISSN 0735-6757, https://doi.org/10.1016/j.ajem.2021.05.068. PMID: 34099310

Perez J, Sorensen S, Rosselli M. Utilization of Musculoskeletal Ultrasonography for the Evaluation of Septic Arthritis in a Patient Presenting to the Emergency Department with Fever During the Era of COVID-19. BMJ Case Reports. 2021 Apr 13;14 (4):e242370. doi: 10.1136/bcr-2021-242370. PMID: 33849885.

Singh MR, Jackson JS, Newberry MA, Riopelle C, Tran VH, Posaw LL. “Barriers to point-of-care ultrasound utilization during cardiac arrest in the emergency department: a regional survey of emergency physicians.” Am J Emerg Med. 2020 Dec 16;41:28-34. doi: 10.1016/j.ajem.2020.12.040. Epub ahead of print. PMID: 33383268.

Farrow II, R., Becherer-Bailey, G., Mantuani, D., & Nagdev, A. (2020). Early Multi-organ Point-of-Care Ultrasound Evaluation of Respiratory Distress During SARS-CoV-2 Outbreak: Case Report. Clinical Practice and Cases in Emergency Medicine. 4(2), 129-33.

Nimjareansuk WS, Rosselli M. Pyogenic Flexor Tenosynovitis as a Rare Complication of Dyshidrotic Eczema. Clinical Practice and Cases in Emergency Medicine. 2020 Mar 27;4(2):174-177. doi: 10.5811/cpcem.2020.1.45414. eCollection 2020 May. PMID: 32426665

Boswell B, Farrow R, Rosselli M, Farcy DA, Santana L, Santos CD, Cubeddu LX. Emergency Medicine Resident-Driven Point of Care Ultrasound for Suspected Shoulder Dislocation. Southern Medical Journal. 2019 Dec; 112(12):605-609. doi: 10.14423/SMJ.0000000000001046.PMID: 31796968

Natasha Brown, Paul Petersen, David Kinas, Mark Newberry, “Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department,” Case Rep Emerg Med, 2019 Sep 2; 6903193. 5 pages. https://doi.org/10.1155/2019/6903193. PMID: 31565445. Advanced Emergency Medicine Ultrasound Fellowship 8

Margus C, Correa A, Cheung W, Blaikie E, Kuo K, Hockensmith A, Kinas D, She T. Stellate Ganglion Nerve Block by Point-of-Care Ultrasonography for Treatment of Refractory Infarction-Induced Ventricular Fibrillation. Ann Emerg Med. 2020 Feb;75(2):257-260. doi: 10.1016/j.annemergmed.2019.07.026. Epub 2019 Sep 26. PMID: 31564380.

Joseph Shiber, Emily Fontane, Mark Newberry. Comment on, “Transesophageal Echocardiography use during Cardiopulmonary Resuscitation.” Ann Emerg Med. 2019 Dec;74(6):823. https://doi.org/10.1016/j.annemergmed.2019.06.017. PMID: 31779960.

Mauricio Baca, Mark Newberry. “Amyloid Cardiomyopathy in the Emergency Department.” J Emerg Med. 2019 Feb; 56(2): 205-209. https://doi.org/10.1016/j.jemermed.2018.10.023. PMID: 30553561

Scientific Abstract Presentations

Lamour D, Lopez E, Jean-Giles J, Kinas D, Farrow RA. Is there a FB in the GI tract? Poster presented by EM ultrasound fellow Lamour at FLAAEM’s scientific assembly in Miami Beach, FL in May 2024. (Regional conference).

Shalaby M, Zitek T, Smith M, Farrow RA, Farcy D. An Assessment of the Prevalence of Clostridium Tetani in the Environment.  Presented by EM attending Shalaby at ACEP’s scientific assembly in Philadelphia, PA in October 2023. (National conference).

AIUM Annual Integrative Ultrasound Meeting 2022: RAPTIR for Anterior Shoulder Reduction – Micahel Shalaby, Stephanie Fernandez, Rob Farrow

Point of Care Ultrasound Evaluation of Rhabdomyolysis in the Acute and Recovery Phase
May 2022
FLAAEM Poster Abstract – David Kinas

Quality training of emergency ultrasound at Florida emergency medicine residency programs: A pilot Study
December 2021
SAEM Abstract – David Kinas

Scientific Poster Presentations

FLAAEM 2022 Scientific Assembly

“Point of Care Ultrasound Needle Guidance to Assist Diagnosis of Acute Gluteal Compartment Syndrome” – Apicella, Puebla, Mechanic, Farrow

“Doc, My Chest Hurts!” – Poster presentation 25th Annual American Academy of Emergency Medicine Scientific Assembly Caesars Palace. Las Vegas, Nevada, March 10, 2019

Other Publications

Nagdev, A., Becherer-Bailey, G., Farrow II, R., Mantuani, D. (2020). “How to Perform Ultrasound-Guided Interscalene Nerve Blocks.” ACEP Now, Volume Advanced Emergency Medicine Ultrasound Fellowship 10 39(4) 21-22. www.acepnow.com/article/how-to-perform-ultrasound-guided-interscalene-nerve-blocks/.

Nagdev, A., Becherer-Bailey, G., Farrow II, R. and Mantuani, D., 2020. EMRA Pain Management Guide. 1st ed. Chapter 16: US Guided Nerve Blocks. Irving, Texas: EMRA, pp.73-76.

Lentz, B., Farrow, R., Nagdev, A. “IDEA Series: Big Screen Ultrasound in Resuscitation Bays.” ALiEM, 17 July 2020, www.aliem.com/idea-series-big-screen-ultrasound-resuscitation-bays/.

Nimjareansuk WS, Farrow R, Rosselli M. Anterior Shoulder Dislocations: Radiographs or Point-of-Care Ultrasound? The POCUS Report – Newsletter of EUS-AAEM. Volume 3, Issue 1. Summer 2020.

Nimjareansuk WS, Rosselli M. Ultrasound-guided Aspiration of Olecranon Bursitis. The POCUS Report – Newsletter of EUS-AAEM. Volume 3, Issue 1. Summer 2020.

Nimjareansuk WS, Rosselli M. Ultrasound-guided Glenohumeral Intra-articular Hematoma Block for Anterior Shoulder Dislocation. The POCUS Report – Newsletter of EUS-AAEM. Volume 2, Issue 2. Fall 2019.

Regional, National and International Invited Speaker/Teaching Engagements:

“Infection Containment in Point-of-Care Ultrasound” and

“Point-of-Care Ultrasound in COVID.” Speaker. 3^rd International Red Sea Emergency Medicine Virtual Conference. Jeddah, Saudi Arabia. October 10, 2020.

Mark A Newberry. “Ultrasound in the Community, Ain’t Nobody Got Time for That,” Invited Speaker. 25th Annual American Academy of Emergency Medicine Scientific Assembly. Caesars Palace. Las Vegas, Nevada. 2019 March 12

Mark A Newberry. Ultrasound Guided PJV Small Group Workshop, Small Group Instructor. 25th Annual American Academy of Emergency Medicine Scientific Assembly. Caesars Palace. Las Vegas, Nevada. 2019 March 12

Additional Faculty Involvement

Faculty for Resuscitative TEE Workshop, Miami, FL – Rob Farrow, David Kinas, Stephanie Fernandez, Michael Shalaby

Section Editor for ACEP PEER Review AEMUS FPD-Exam Question Bank – Rob Farrow

Content Editor for Core Ultrasound / 5 Minute Sono – Rob Farrow

ACEP Ultrasound Quizzes November 2020

Co-author in creating ACEP Ultrasound Quizzes, an educational portal on the ACEP website – David Kinas, Rob Farrow

Three positions are offered at Mount Sinai Medical Center’s Emergency Medicine Ultrasound Fellowship Program

Applications are accepted through the Society of Clinical Ultrasound Fellowship (SCUF) process and matched through the National Resident Matching Program (NRMP). Interviews are granted upon receipt and review of the applications. The application requires a Curriculum Vitae (CV), a cover letter, and 3 letters of recommendation. For more information, or to apply for the Ultrasound Fellowship, please see contact:

Robert Farrow, DO
Fellowship Director
Ra.farrow2@gmail.com

David Kinas, DO
US Division Director
Davidkinasdo@gmail.com

Daniella Lamaour, DO
Ultrasound Fellowship Core
FacultyDaniellalamour@gmail.com

Daniel Puebla, MD
Ultrasound Fellowship Core Faculty
Danielluispuebla@gmail.com

Cassandre Jones
Program Coordinator
Cassandre.Jones@msmc.com
305-535-7953