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Comprehensive Point-of-Care Ultrasound Course

POCUS360: Integrating Ultrasound Into Outpatient and Inpatient Care 2026

Diagnostic Ultrasound · Guided Procedures · Critical Care · RUSH Protocol

Build practical point-of-care ultrasound skills for outpatient clinics, inpatient care, emergency medicine, critical care, vascular assessment, focused cardiac evaluation, lung ultrasound, and ultrasound-guided procedures.

3Course Days
20+Faculty Members
2Clinical Settings
Why Attend?

Bring practical ultrasound skills into everyday clinical care

The use of ultrasound to diagnose disease and guide procedures continues to grow rapidly. Evidence increasingly supports its ability to improve procedural success while helping reduce complications.

This course presents current techniques for diagnosis and ultrasound-guided procedures in both outpatient and inpatient settings. The curriculum combines foundational ultrasound principles with real clinical applications that can be incorporated into existing practice.

Participants review abdominal, vascular, lung, cardiac, thyroid, renal, bladder, FAST, vascular access, shock assessment, and procedural ultrasound topics.

  • Review the basic science and diagnostic use of ultrasound
  • Assess thyroid, gallbladder, kidneys, bladder, aorta, and DVT
  • Use ultrasound in FAST, lung, IVC, and cardiac assessment
  • Improve peripheral and central venous access technique
  • Apply the RUSH protocol to shock and hypotension
Clinical Value

Why This Course Matters

Develop a structured approach to diagnostic and procedural point-of-care ultrasound.

Each section addresses practical examination, interpretation, equipment, safety, positioning, needle placement, and clinical integration challenges encountered across outpatient and inpatient care.

01

Strengthen outpatient diagnosis

Review ultrasound assessment of the thyroid, gallbladder, kidneys, bladder, abdominal aorta, deep veins, RUQ, and common abdominal pathology.

02

Improve procedural guidance

Understand patient preparation, indications, contraindications, safety protocols, positioning, equipment, and needle placement for common ultrasound-guided procedures.

03

Evaluate critically ill patients

Integrate FAST, lung, IVC, focused cardiac ultrasound, vascular access, shock assessment, and respiratory failure evaluation.

04

Apply the RUSH protocol

Use the pump, tank, and pipes framework to assess hypotension, hemodynamic compromise, and the major forms of shock.

Full Course Content

Complete POCUS360 Curriculum

Open each course day to review the lectures, workshops, faculty, and simulation sessions.

Thursday, May 7, 2026 — Outpatient Day 9 sessions
  • 7:45 am
    Opening

    Welcome and Introduction

    John Hanicak, MD and Shetal N. Shah, MD

  • 8:00 am
    Fundamentals

    Basics of Diagnostic Ultrasound Lecture

    Shetal N. Shah, MD

  • 8:45 am
    Outpatient Imaging

    POCUS for Thyroid, Gallbladder, and Kidney/Bladder

    John Hanicak, MD, Shetal N. Shah, MD, and Joyce Shin, MD

  • 9:30 am
    Vascular

    POCUS of Abdominal Aorta and DVT

    Douglas Joseph, DO

  • 10:30 am
    Workshop

    Hands-On POCUS Workshop: Vignettes with Guided Practice

    John Hanicak, MD, Douglas Joseph, DO, Shetal N. Shah, MD, and Joyce Shin, MD

  • 12:45 pm
    Procedural Basics

    Patient Preparation, Equipment, and Technique

    Alex Ockerse, PA-C, D. Alex Paratore, DO, and Shetal N. Shah, MD

  • 1:15 pm
    Clinic Procedures

    Joint Injections, Nerve Blocks, and Soft Tissue Aspirations

    John Hanicak, MD, D. Alex Paratore, DO, Robert Stenberg, MD, and Jessica Tomazic, MD

  • 1:45 pm
    Fluid Procedures

    Thoracentesis, Paracentesis, and Arthrocentesis

    Lacey Grego, PA-C, John Hanicak, MD, Eileen Nelson, APRN, CNP, and Daniel K. Schneider, MD

  • 2:45 pm
    Workshop

    Hands-On Procedural POCUS Workshop: Vignettes with Guided Practice

    Lacey Grego, PA-C, John Hanicak, MD, Eileen Nelson, APRN, CNP, Alex Ockerse, PA-C, D. Alex Paratore, DO, Chris Riwniak, DO, Daniel K. Schneider, MD, Shetal N. Shah, MD, Robert Stenberg, MD, and Jessica Tomazic, MD

Friday, May 8, 2026 — Inpatient Day 8 sessions
  • 7:45 am
    Opening

    Welcome and Introduction

    Courtney Smalley, MD

  • 8:00 am
    Technique

    Quick Ultrasound Technique Review and Introduction to the Day

    Katherine Lang, DO

  • 8:30 am
    FAST Workshop

    Oh, the Pain! Focused Assessment with Sonography for Trauma

    Lead: Brian Makowski, DO. Assistants: Joshua Jacquet, MD, Katherine Lang, DO, and Martina McDermott, MD

  • 8:30 am
    Lung and IVC

    Intrathoracic and Intravascular Compromise

    Lead: Ajit Moghekar, MD. Assistants: Siddharth Dugar, MD, Lacey Grego, PA-C, Katherine Lang, DO, and Martina McDermott, MD

  • 11:00 am
    Cardiac POCUS

    Show Me Where Your Pump Is

    Leads: Ben Alencherry, MD and Gary Parizher, MD. Assistants: Joshua Jacquet, MD, Katherine Lang, DO, Brian Makowski, DO, and Martina McDermott, MD

  • 1:00 pm
    Vascular Access

    Peripheral IV and Central Venous Access Lectures

    Aanchal Kapoor, MD and Michael Taylor, MD

  • 1:30 pm
    Workshop

    Peripheral IV and Central Venous Access Workshops

    Aanchal Kapoor, MD, Michael Taylor, MD, and Avneep Aggarwal, MD

  • 3:50 pm
    Shock

    Introduction to RUSH and Shock

    Siddharth Dugar, MD and Martina McDermott, MD

  • 4:00 pm
    Simulation

    Putting Your Skills Into Practice: Diagnosing Shock with POCUS

    Siddharth Dugar, MD, Lacey Grego, PA-C, Joshua Jacquet, MD, Katherine Lang, DO, Brian Makowski, DO, Martina McDermott, MD, Ajit Moghekar, MD, and Courtney Smalley, MD

Saturday, May 9, 2026 — Simulation Workshops 4 modules
  • 8:00 am
    Workshop Rotation

    RUSH Into Your Practice — Group A

    Assessing critically ill patients in shock

  • 8:00 am
    Workshop Rotation

    POCUS360: Waves in the Longitudinal Clinic — Group B

    Outpatient abdominal and procedural ultrasound

  • 10:15 am
    Workshop Rotation

    RUSH Into Your Practice — Group B

    Pump, tank, pipes, shock recognition, and simulated cases

  • 10:15 am
    Workshop Rotation

    POCUS360: Waves in the Longitudinal Clinic — Group A

    RUQ, renal, abdominal, thoracentesis, paracentesis, and aspiration skills

Four Clinical Tracks

A practical review across the major areas of POCUS

Each track connects examination technique, interpretation, clinical use, and procedural safety.

D

Diagnostic POCUS

Thyroid, gallbladder, kidney, bladder, abdominal aorta, DVT, RUQ, renal, and common abdominal pathology.

C

Critical Care

FAST, lung ultrasound, IVC evaluation, focused cardiac assessment, shock, and respiratory failure.

P

Guided Procedures

Joint injections, nerve blocks, soft tissue aspiration, thoracentesis, paracentesis, arthrocentesis, and vascular access.

R

RUSH Protocol

Hemodynamic compromise, pump-tank-pipes assessment, simulated cases, and ultrasound findings across shock states.

Course Information

Learning objectives, audience, and activity directors

A practical course for clinicians using ultrasound across outpatient and inpatient care.

Learning Objectives

After completing this course, participants will be able to:

Thursday – Outpatient Day – POCUS360: Waves in the Longitudinal Clinic

  • Summarize the basic science and diagnostic use of ultrasound imaging.
  • Describe the basics of ultrasound to assess the thyroid, gallbladder, kidneys, and bladder.
  • Describe the most effective diagnostic use of ultrasound to assess vascular abnormalities including aortic pathology and deep venous thrombosis.
  • Demonstrate competency for understanding the indications and contraindications, patient preparation and universal safety protocol, patient positioning, and needle placement for each of the ultrasound-guided procedures listed below.
  • Describe the fundamental principles and necessary equipment for ultrasound-guided joint injections, nerve blocks, and soft tissue aspirations.
  • Describe the fundamental principles and necessary equipment for ultrasound-guided thoracentesis, paracentesis, and arthrocentesis.

Friday – Inpatient Day – 360 Seconds: Hands-On POCUS Skills for Critically Ill Patients

  • Summarize the basic science and diagnostic use of ultrasound imaging.
  • Review the role of ultrasound in a focused assessment with sonography in trauma (FAST) exam to assess for free fluid in the abdomen or around the heart.
  • Summarize the basics of using ultrasound to assess lungs.
  • Describe the protocols, evaluation, and best use of echocardiography in critically ill patients.
  • Describe the fundamental principles, indications, and necessary equipment for ultrasound-guided peripheral and central venous access.
  • Demonstrate competency for needle placement for peripheral IV access and blood draws.
  • Recognize complications and discuss aftercare related to each of the ultrasound-guided procedures listed above.
  • Practice the evaluation of shock and respiratory failure with integration of skills utilizing the Rapid Ultrasound for Shock and Hypotension (RUSH) exam in a simulated setting.

Saturday – Hands-On Simulation Workshops

“RUSH” Into Your Practice: Assessing Critically Ill Patients in Shock
  • Identify the hemodynamically compromised patient.
  • Describe the three components of the Rapid Ultrasound for Shock and Hypotension (RUSH) exam: Pump, Tank, and Pipes.
  • Utilize the Rapid Ultrasound for Shock and Hypotension (RUSH) exam protocol in simulation cases.
  • Explain the ultrasound findings seen in the four types of distributive shock.
POCUS360: Waves in the Longitudinal Clinic
  • Describe how to perform and recognize common pathologies using RUQ, renal, and abdominal ultrasound in the outpatient setting.
  • Perform paracentesis, thoracentesis, and soft tissue or large-joint aspiration, including describing patient preparation, indications and contraindications, the universal safety protocol, needle placement, and recognition of common complications of these ultrasound-guided procedures.

Who Should Participate

This activity is designed for physicians, physician assistants, nurse practitioners, nurses, fellows, and residents working across outpatient, inpatient, emergency, hospital, and critical care environments.

Family Medicine Emergency Medicine Internal Medicine Gastroenterology Sports Medicine Hospital Medicine Critical Care Cardiology Anesthesiology Pulmonology Urology Radiology
Activity Directors
Lacey Grego, PA-C
Lacey Grego, PA-C

Department of Classical Hematology
Cancer Institute
Cleveland Clinic

John Hanicak, MD
John Hanicak, MD

Department of Family Medicine
Primary Care Institute
Cleveland Clinic

Shetal N. Shah, MD
Shetal N. Shah, MD

Department of Diagnostic Radiology
Diagnostics Institute
Cleveland Clinic

Courtney Smalley, MD
Courtney Smalley, MD

Department of Emergency Medicine
Integrated Hospital Care Institute
Cleveland Clinic

Faculty

Meet the Cleveland Clinic faculty

A multidisciplinary teaching team from emergency medicine, critical care, radiology, cardiology, surgery, and primary care.

Lacey Grego, PA-C

Department of Classical Hematology
Cancer Institute
Cleveland Clinic

John Hanicak, MD

Department of Family Medicine
Primary Care Institute
Cleveland Clinic

Shetal N. Shah, MD

Department of Diagnostic Radiology
Diagnostics Institute
Cleveland Clinic

Courtney Smalley, MD

Department of Emergency Medicine
Integrated Hospital Care Institute
Cleveland Clinic

Avneep Aggarwal, MD

Department of Intensive Care and Resuscitation

Ben Alencherry, MD

Robert and Suzanne Tomsich Department of Cardiovascular Medicine

Marina Boushra, MD

Department of Critical Care
Department of Emergency Medicine

Siddharth Dugar, MD

Department of Pulmonary Medicine

Joshua Jacquet, MD

Department of Emergency Medicine

Douglas Joseph, DO, RVT, RPVI

Robert and Suzanne Tomsich Department of Cardiovascular Medicine

Aanchal Kapoor, MD

Department of Critical Care Medicine

Katherine Lang, DO

Department of Emergency Medicine

Brian Makowski, DO

Department of Emergency Medicine

Martina McDermott, MD

Department of Emergency Medicine

Ajit Moghekar, MD

Department of Critical Care Medicine

Lauren Moore, MD

Department of Critical Care
Department of Emergency Medicine

Eileen Nelson, APRN, CNP

Department of Diagnostic Radiology

Alex Ockerse, PA-C

Department of Critical Care Medicine

D. Alex Paratore, DO

Department of Diagnostic Radiology

Gary Parizher, MD

Robert and Suzanne Tomsich Department of Cardiovascular Medicine

Chris Riwniak, DO

Department of Emergency Medicine

Daniel K. Schneider, MD

Department of Diagnostic Radiology

Joyce Shin, MD

Center for Endocrine Surgery

Robert Stenberg, MD

Department of Emergency Medicine

Michael Taylor, MD

Department of Cardiothoracic Anesthesiology

Jessica Tomazic, MD

Department of Orthopaedic Surgery

Brian Kissinger, MSN, RN

Simulation and Advanced Skills Center

Eduardo Mireles-Cabodevila, MD

Simulation and Advanced Skills Center
Department of Critical Care Medicine

Build a more practical and confident approach to point-of-care ultrasound

Review the complete outpatient, inpatient, procedural, critical care, and simulation curriculum and revisit the topics most relevant to your clinical practice.

Download Course

6 reviews for Meetings By Mail Cleveland Clinic POCUS360 Integrating Ultrasound Into Outpatient and Inpatient Care – 2026 Update

  1. Cornell Ramsey
    This program is a solid multidisciplinary review for clinicians interested in point-of-care ultrasound. The outpatient day covers common abdominal, t...More
    This program is a solid multidisciplinary review for clinicians interested in point-of-care ultrasound. The outpatient day covers common abdominal, thyroid, renal, bladder, aortic, and venous applications, while the inpatient day shifts toward FAST, lung, cardiac, IVC, vascular access, shock, and respiratory failure. The simulation workshops reinforce the material by asking learners to combine findings and apply the RUSH approach. The course is especially helpful as a structured educational resource, although hands-on competency would still require supervised scanning and procedural practice beyond recorded content. I appreciated the clear emphasis on indications, contraindications, equipment, positioning, safety protocols, complications, and aftercare because those details are essential for responsible clinical use.
    Helpful? 0 0
    Christa Franklin
    The course provides a comprehensive overview of bedside ultrasound across outpatient, emergency, and inpatient environments. The faculty cover a wide...More
    The course provides a comprehensive overview of bedside ultrasound across outpatient, emergency, and inpatient environments. The faculty cover a wide range of topics, and the agenda is logically divided between diagnostic scanning, guided procedures, critically ill patients, and simulation. The RUSH protocol section is useful for organizing the evaluation of a hemodynamically unstable patient, and the FAST and lung ultrasound material adds practical context. I would have liked even more case-based image interpretation examples within every module, but the existing curriculum still gives learners a strong framework for further practice. The attention to patient preparation, contraindications, safety, needle visualization, complications, and aftercare makes the procedural content particularly valuable.
    Helpful? 0 0
    Rueben Holden
    POCUS360 offers a useful balance between diagnostic imaging and ultrasound-guided procedures. The course explains not only what structures to examine...More
    POCUS360 offers a useful balance between diagnostic imaging and ultrasound-guided procedures. The course explains not only what structures to examine, but also why each scan matters and how it may influence management. The workshop content on abdominal, renal, vascular, lung, and cardiac ultrasound is complemented by practical sessions on IV access, blood draws, aspirations, thoracentesis, paracentesis, and arthrocentesis. I liked that complications and aftercare are included rather than focusing only on successful needle placement. The simulated shock cases provide a strong conclusion because they require learners to integrate several views instead of interpreting one image in isolation. The material is detailed enough to support review while still remaining accessible to clinicians from several specialties.
    Helpful? 0 0
    Dion May
    This is a broad and clinically focused introduction to integrating ultrasound into everyday practice. The outpatient curriculum covers several examin...More
    This is a broad and clinically focused introduction to integrating ultrasound into everyday practice. The outpatient curriculum covers several examinations that can support faster bedside decision-making, including thyroid, gallbladder, renal, bladder, aortic, and DVT assessment. The procedural modules go beyond simple descriptions and address indications, contraindications, patient preparation, universal safety steps, positioning, equipment, and common complications. The critical-care portion adds FAST, lung ultrasound, echocardiography, vascular access, shock, and respiratory failure. I found the pump, tank, and pipes structure of the RUSH examination especially memorable. Overall, the course is well suited to clinicians who want a structured overview before expanding their supervised hands-on ultrasound practice.
    Helpful? 0 0
    Jamar Jones
    The strongest part of this course is the way it connects point-of-care ultrasound with real clinical decisions. Rather than treating ultrasound as a ...More
    The strongest part of this course is the way it connects point-of-care ultrasound with real clinical decisions. Rather than treating ultrasound as a collection of isolated scans, the program explains how findings from FAST, lung, IVC, cardiac, abdominal, and vascular examinations can be combined during patient assessment. The inpatient sessions are particularly helpful for clinicians working with acutely ill patients, while the outpatient day covers common longitudinal-care applications. I also appreciated the detailed coverage of peripheral and central venous access, joint and soft-tissue procedures, thoracentesis, paracentesis, and arthrocentesis. The faculty perspectives make the material feel relevant across emergency medicine, internal medicine, critical care, and primary care.
    Helpful? 0 0
    Dena Charles
    This POCUS360 course presents a clear progression from basic ultrasound principles to practical outpatient and inpatient applications. The sections o...More
    This POCUS360 course presents a clear progression from basic ultrasound principles to practical outpatient and inpatient applications. The sections on thyroid, gallbladder, renal, bladder, aortic, and deep venous thrombosis assessment are organized in a way that makes the clinical purpose of each examination easy to follow. I especially valued the procedural discussions covering preparation, positioning, safety protocols, equipment selection, and needle placement. The combination of lectures, guided practice, and simulation gives the curriculum a practical focus. The RUSH content also provides a useful framework for connecting cardiac, lung, vascular, and volume findings when evaluating patients with hypotension or shock.
    Helpful? 0 0
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