Emergency Ultrasonography Fellowship

The Department of Emergency Medicine has been a leader in emergency ultrasound since its introduction into Emergency Medicine.

Residents in our residency program are trained in the use of ultrasound to facilitate the diagnosis and management of a wide variety of serious and life-threatening pathologies.

The mission of the Emergency Ultrasound Fellowship is to develop highly motivated emergency physicians that become future educators and researchers with expertise in the wide application of ultrasound to emergency patient care. Working closely with the Jacobs School of Medicine and Biomedical Sciences, the curriculum not only provides fellows with the opportunity to work side-by-side with experts in emergency ultrasound, echocardiography, and vascular ultrasound, but also develop educational skills through lecturing and bed side teaching to residents, medical students, and practicing physicians. Unique to this experience is that the fellow will be an integral component to the development and function of the clinical ultrasound curriculum at the Jacobs School.

To achieve these goals, we offer the following:

  • State of the art facilities
  • Dedicated support on the department, hospital, and university levels
  • Nationally-recognized leaders in emergency ultrasound
  • Tremendous opportunities for travel and exposure to other leaders in emergency ultrasound

Length of Training

The fellowship will be twelve months in length. The start date is negotiable, but will typically begin on or about 1 July of each year. 

Applicant Qualifications

All applicants must have graduated from an ACGME accredited emergency medicine residency and be board-certified or board-eligible with the American Board of Emergency Medicine. In addition, the applicant must qualify for New York Medical Licensure. Outside applicants must complete a formal application and submit three letters of recommendation for training.  One of these letters must be from the applicant’s residency program director. Applicants are not required to have prior experience with clinical ultrasound use, but previous experience will be considered in the selection process. Fellowship applications will be accepted after September 1 of the year preceding the year of training. An interview is required prior to selection for training. Selection for training is determined by the emergency department faculty.

Completion of Training

Upon completion of training the fellow will receive a certificate of fellowship training from Erie County Medical Center and the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo. 

Curriculum Objectives

The curriculum uses the guidelines for ultrasound fellowship developed by the Ultrasound Section of the American College of Emergency Physicians for most of its structure, with directed reading and experience in ultrasound teaching and administration.

  • Develop clinical expertise in EUS
  • All primary applications of EUS
  • Secondary applications including:       
    • Ultrasound-guided procedures
    • Critical Care ultrasound
    • Advanced Cardiac
    • Pulmonary
    • Ocular ultrasound
    • Musculoskeletal
    • Vascular ultrasound
  • Develop educational skills to instruct clinicians in ultrasound techniques
    • Educational software skills
    • Video and Image management skills
    • Public speaking   
  • Develop administrative skills to direct EUS program
    • Image archiving
    • Curriculum development
    • Billing knowledge
    • Physician credentials
    • Equipment maintenance
  • Involvement with National Organizations that promote EUS
    • American College of Emergency Physicians
    • Society for Academic Emergency Medicine
    • American Institute of Ultrasound in Medicine   


  • Ultrasound Examinations
    • Perform a minimum of 1000 reviewed studies over the course of fellowship
    • Monthly shift with echocardiology
    • Monthly shift with vascular ultrasound
  • American Registry of Diagnostic Medical Sonographers (ARDMS) Certification
    • Physics
    • Instrumentation
    • Abdomen
  • Registered Physician in Vascular Interpretation (RPVI) Certification
  • Research
    • One original research project ultimately resulting in publication & presentation in which the fellow is first author   
  • Education and Lectures
    • One original lecture for presentation to residency
    • Monthly M&M CQI case related to ultrasound
    • Semi-annual lecture to UB medical students
    • Annual journal club assignment (with EUSF director)
    • Participation in outside CME courses (e.g. Buffalo/Rochester US course, The Emergency Ultrasound Course)   
  • Clinical Instruction
    • Twelve hours per month of bedside instruction in the emergency department
      • EM resident on ultrasound rotation
      • UB medical students on ultrasound rotation
      • EM Faculty
  • Quarterly skills lab with UBSOM medical students
  • Forty-eight hours per month as a clinical attending in the emergency department   
  • Administrative Duties
    • Departmental ultrasound QA and exam review
    • Working with EUS fellowship director to administer resident EUS rotation
    • Scheduling
    • Resident and Medical Student Testing
    • Attendance at the following national meetings (funded by program)
      • American College of Emergency Physicians
      • Society of Academic Emergency Medicine
      • American Institute of Ultrasound in Medicine


  • Ultrasound Equipment
    • Sonosite MicroMaxx, 180 (2 systems)
    • Siemens G60
    • Siemens Prima
  • Department of Emergency Medicine – Buffalo General Medical Center
    • Fellowship Office


  • Competitive Salary
  • UBMD Emergency Medicine standard benefits
  • Faculty appointment in the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo
  • Funding for travel to ACEP, SAEM, AIUM national meetings 


Those interested may contact:

Staff Assistant

Carmella R. Spina

Staff Assistant

Emergency Medicine

Phone: (716) 898-4430

Email: cspina@ecmc.edu

Fellowship Faculty

Program Director

St. James, Erika

Erika St. James, MD

Clinical Assistant Professor in the Department of Emergency Medicine

462 Grider Street Buffalo, NY 14215

; Fax: 716-898-4432

Email: erikastj@buffalo.edu

Staff Assistant

Carmella R. Spina

Staff Assistant

Emergency Medicine

Phone: (716) 898-4430

Email: cspina@ecmc.edu