ECHO20003 - Fetal Echocardiography
Term 2 - 2017


All details in this unit profile for ECHO20003 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

Both echocardiographers and sonographers require expertise in fetal echocardiography. This unit will cover fetal cardiac structure, function, pathophysiology and scanning techniques at an advanced level. During this unit you will progress through standard heart views to focus on the ultrasound appearance and Doppler haemodynamics of congenital and acquired cardiac abnormalities and common syndromes. You will develop the ability to recognise fetal arrhythmias. You will acquire knowledge of advanced imaging techniques tailored to fetal echocardiography including spatio-temporal imaging correlation (STIC), 3 / 4-D colour Doppler, tissue Doppler imaging (TDI) and some common cardiac physiological measurements.

Details

Career Level Postgraduate
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Pre-requisite:

Students must be enrolled in
EITHER
CV69 Bachelor of Echocardiography (Cardiac Physiology) / Graduate Diploma of Echocardiography
OR
CV83 Master of Medical Ultrasound

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 2 - 2017
  • Distance

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Online Quiz(zes) 30%
2. Portfolio 30%
3. Written Assessment 40%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
Students feedback concerning unit content, lecture notes, response to email enquiries and textbook were excellent. Student evaluation "Have your say" and emails. Ensure unit content, lecture notes and textbook remain current. Continue prompt response to emails.
Students appreciated the opportunity to discuss learning material and interact on the online tutorials platform. Student evaluation "Have your say" and emails. Continue online tutorials.
Students would like to see a change in the assessment items. Student evaluation "Have your say" and emails. Number and content of assessment items will be reviewed for unit delivery in 2017.
On successful completion of this unit, you will be able to:
  1. Differentiate the aetiology and Doppler haemodynamics of fetal cardiac abnormalities
  2. Contrast typical 2-D and Doppler fetal echocardiographic views used to assess the fetal heart.
  3. Evaluate existing and emerging technology and diagnostic parameters in fetal echocardiography
  4. Apply practical skills and critical thinking to fetal cardiac assessment

Linked to National and International Standards
1. ASAR Accreditation Standards for Cardiac Sonography - critical practice Unit 8 - Cardiac
2. European Association of Cardiovascular Imaging Core Syllabus
3. American Registry for Cardiac Sonography Core Syllabus

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Online Quiz(zes)    
2 - Portfolio    
3 - Written Assessment    

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Knowledge
2. Communication
3. Cognitive, technical and creative skills
4. Research      
5. Self-management      
6. Ethical and Professional Responsibility    
7. Leadership        

Alignment of Assessment Tasks to Graduate Attributes

  • Professional Level
  • Advanced Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Online Quiz(zes)        
2 - Portfolio    
3 - Written Assessment    

Prescribed Textbooks

A Practical Guide to Fetal Echocardiography: Normal and Abnormal Hearts
Author/s: Alfred Abuhamad and Rabih Chaoui Year: 2016
Edition: 3rd Publisher: Wolters Kluwer
City: Philadelphia
Country: USA
View textbooks at the CQUniversity Bookshop

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
All submissions for this unit must use the American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorAnn Quinton (a.quinton@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 10-07-2017

Human heart embryology-part 1

  • The primordial heart tube
  • Looping of the heart tube
  • Atrial and ventricular septation

Lecture notes and lecture

Zoom session

Week 2 17-07-2017

Human heart embryology-part 2

  • Aortic arch
  • Development of heart valves
  • Anomalies of coronary arteries
  • The fetal circulation

Lecture notes and lecture

MCQ quiz

Week 3 24-07-2017

Screening views and fetal echocardiography of the normal fetal heart

  • Assessing fetal lie, determining fetal right and left
  • Position, axis, situs, size
  • Segmental anatomy of the fetal heart
  • Detailed cardiac sonographic anatomy

Chapters 6-10

Lectures

Zoom session

Week 4 31-07-2017

Common cardiac physiological measures

  • Colour Doppler
  • Pulsed Doppler
  • Cardiac function and measurements

Chapters 12-14

Lectures

MCQ quiz

Week 5 07-08-2017

Abnormalities of the 4 chamber view

  • Ventricular septal defects
  • Atrial septal defects
  • Atrioventricular septal defects

Chapter 18

Lectures

Zoom session

Vacation Week 14-08-2017 Break week
Week 6 21-08-2017

Left sided heart anomalies

  • Hypoplastic left heart syndrome
  • Aortic stenosis (critical and mild)
  • Coarctation of the aorta
  • Interrupted aortic arch
  • Right aortic arch
  • Double aortic arch
  • Aberrant subclavian artery

Chapters 21, 22, 23, 29

Lectures

MCQ quiz

Week 7 28-08-2017

Right sided heart anomalies

  • Hypoplastic right heart syndrome
  • Pulmonary stenosis
  • Pulmonary atresia with intact ventricular septum
  • Tricuspid atresia with VSD (Chapter 19, p288-295)
  • Ebstein anomaly
  • Tricuspid valve dysplasia

Chapter 19, 20, 24

Lectures

Zoom session

Week 8 04-09-2017

Conotruncal anomalies

  • Tetralogy of Fallot
  • Complete transposition of the Great Arteries (TGA)
  • Congenitally corrected TGA
  • Double outlet right ventricle
  • Common arterial trunk

Chapter 25, 26,27, 28

Lectures

MCQ quiz

Week 9 11-09-2017

Fetal heterotaxy

  • Left atrial isomerism
  • Right atrial isomerism
  • Situs inversus

Anomalies of systemic and pulmonary venous connections

Chapters 30 and 31

Lecture

Zoom session

Week 10 18-09-2017

Fetal arrhythmias

  • Irregular heart rhythm
  • Bradycardia
  • Tachycardia

Chapter 33

Lecture

MCQ quiz

Portfolio Due Friday (22 Sep 17) 04:00 PM AEST
Week 11 25-09-2017

Cardiac tumours

Pericardial effusions

Cardiomyopathies

Chapter 32

Lecture

Zoom session

Online Quiz(zes) Due Monday (25 Sep 17) 04:00 PM AEST
Week 12 02-10-2017

New technologies

  • STIC
  • 3D/4D
  • Tissue Doppler Imaging

Chapter 15

Review/Exam Week 09-10-2017
Written Assessment Due Friday (13 Oct 17) 04:00 PM AEST
Exam Week 16-10-2017

Dr Ann Quinton BAppSc(MRS), GradDip (ultrasound), MAppSc (ultrasound), PhD (medicine), GradCert (Higher Education) is the unit coordinator for Fetal Echocardiography ECHO20003. Ann has worked clinically in fetal medicine units performing obstetric ultrasound and fetal echocardiography. She continues to work part-time clinically, performs research and lectures extensively nationally and internationally in the field of fetal echocardiography. The best way to contact Ann is via email: a.quinton@cqu.edu.au or ph:+61 2 9324 5008 as she is often in labs with students.

Mr Christopher Kramer is an echocardiographer and experienced academic who is also teaching into this unit. Chris Kramer BA, ACS, RDCS, FASE, is an Advanced Cardiac Sonographer and Program Director for the School of Diagnostic Medical Sonography at Aurora St. Luke's Health Care in Milwaukee Wisconsin, USA. He is active in the American Society of Echocardiography as a member of the Sonographer Counsel, Board Member of the Joint Review Committee on Education in Diagnostic Medical Sonography and is a team member on the American Registry of Diagnostic Medical Sonography writing and mentoring group. Chris has been in the field of echocardiography for the past 13 years, with interests in sonography education, quality and new technology. His writing includes articles in 3D echocardiography, athletic conditioning and left ventricular assist devices. Chris is a core member of the National Education Curriculum writing group on cardiac sonography education and leadership. He trained at the Mayo Clinic in Rochester, Minnesota and worked for the Mayo Clinic Arizona after graduation. As Chris resides in Milwaukee USA, there may be delay in his responses to questions. Chris can be contacted on email: c.kramer@cqu.edu.au

Access to the internet is required to undertake and complete this unit.

There will be readings and tutorials provided on the unit Moodle site, however you will need to purchase the prescribed textbook to complete this unit.

1 Online Quiz(zes)

Assessment Title Online Quiz(zes)
Task Description
  • There will be five (5) multiple choice online Moodle quizzes which will be released on the Monday in weeks 2, 4, 6, 8 and 10. Each quiz is due for completion one week later on the following Monday of week 3, 5, 7, 9 and 11 respectively.
  • Each quiz will test the knowledge obtained from the previous 2 weeks unit work.
  • Each quiz will have six (6) multiple choice questions, each question will be worth 1 mark. Each quiz is worth 6% of your total grade giving a total of 30% of your total grade.
  • The pass rate is a cumulative mark of 50%.
  • Each quiz will open at 8am on the Monday and close at 4pm the following Monday.
Number of Quizzes 5
Frequency of Quizzes Fortnightly
Assessment Due Date Week 11 Monday (25-Sep-2017) 04:00 PM AEST
Please note that this is the due date for the final online Moodle quiz. Please refer to the schedule for the dates of each quiz
Return Date to Students Students will receive their fortnightly score once all students have completed the quiz
Weighting 30%
Assessment Criteria

Answers will be either correct or incorrect and will be tabulated by the Moodle online unit system.

Students must achieve a cumulative pass rate of 50% across the five quizzes to pass this component.

Conditions Minimum mark or grade - You must obtain a cumulative 50 % of the maxium marks available in the test to achieve a passing grade.
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Differentiate the aetiology and Doppler haemodynamics of fetal cardiac abnormalities

2. Contrast typical 2-D and Doppler fetal echocardiographic views used to assess the fetal heart.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills



2 Portfolio

Assessment Title Portfolio
Task Description

Routine assessment of the fetal heart is usually performed by following screening guidelines that have been published by professional bodies, for example the International Society of Obstetrics and Gynecology (ISUOG). Guidelines for fetal echocardiography assessment have also been published (see papers uploaded on the unit Moodle site). Referral for suspected abnormal fetal heart or recognition of an abnormal fetal heart from the screening views should result in the initiation of extended fetal echocardiography views which may include 2D (images and measurements), m-mode assessing rhythm, rate and dimensions, 3D/4D ultrasound, colour Doppler imaging (CDI) and pulsed Doppler (PD) ultrasound imaging with measurements. These techniques are used to confirm no abnormality detected or to help in obtaining a diagnosis and/or exclude any further pathology.

For this assessment item you will put together a portfolio of one normal fetal heart and one abnormal fetal heart using:

  1. A normal fetal heart from the second or third trimester you have scanned yourself or sourced (source referenced), and
  2. An abnormal fetal heart from the second or third trimester you have scanned yourself, or have been involved in, or sourced (source referenced).

You will create a PowerPoint presentation comparing and contrasting your normal and abnormal images and clinical history. As you will be comparing and contrasting the two fetal hearts, ensure both cases are from the same trimester of pregnancy. The presentation will be suitable for a multi-disciplinary team educational meeting. You will ensure that all identifying information will be removed from the images and patient history.

There will be five sections to the presentation:

  1. Title of presentation, your name, student number and unit details (1 slide)
  2. Patient histories (2 slides)
  3. Imaging (include 10-24 images +/- video clips) including critique of image quality and an explanation of technical factors used for assessment. You will label the images for educational purposes. It is expected you will demonstrate the anatomical ultrasound planes in 2D and CDI, and correct placement of PD and 2D and/or m-mode callipers for measurements (12 slides maximum, 2 images per slide maximum)
  4. Diagnosis (this includes aetiology, echocardiography findings, differential diagnosis, patient management, other testing and follow-up). Use your knowledge of 2D screening views and extended views, segmental sequential analysis, m-mode, CDI, PD and possibly 3D/4D sonography to explain how to interrogate the fetal heart and arrive at a diagnosis. By evaluating the fetal hearts you will report recommendations on the ultrasound views/techniques that would be used or are of no use for reaching a diagnosis for the normal and abnormal fetal heart (7 slides maximum)
  5. References (2 slides)

The presentation should be written so the message is clearly conveyed, the information can be generalised and will be relevant to other practitioners.

The presentation should have no more than 24 slides, use a minimum of 24 point font size and would be suitable for a 25 minute presentation which could be uploaded for teaching purposes onto a website or presentation at a conference. Referencing font size can be smaller to allow the referencing to fit into the presentation and fit onto two slides at the end of the presentation. Excess slides and/or unreadable font size will result in a 10% reduction in marks.

In the absence of an approved extension via the unit moodle site there will be a 5% reduction in marks per day for late submissions.

Assessment Due Date Week 10 Friday (22-Sep-2017) 04:00 PM AEST
Return Date to Students Week 12 Friday (06-Oct-2017)
Weighting 30%
Assessment Criteria
  • Layout of portfolio which leads the reader through the development of knowledge
  • Correct usage of spelling, scientific, medical and fetal echocardiography pathological terminology
  • Succinct and relevant description of patient history, aetiology, echocardiography findings, other testing, patient management and follow-up
  • Accurate and complete description of the normal and abnormal fetal hearts and explanation of the techniques used to reach a diagnosis
  • Correct and complete referencing
Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Differentiate the aetiology and Doppler haemodynamics of fetal cardiac abnormalities

4. Apply practical skills and critical thinking to fetal cardiac assessment

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

5. Self-management

6. Ethical and Professional Responsibility



3 Written Assessment

Assessment Title Written Assessment
Task Description

This task is designed so you can evaluate existing or emerging technology or diagnostic parameters in fetal echocardiography. You will research a topic that is related to fetal echocardiography and interests you. The topic can include but is not limited to:

  • New or existing technology available on or potentially used on ultrasound machines
  • New or existing technology available with other imaging or diagnostic modalities
  • New or existing technology or diagnostic parameters available in the field of genetics
  • New or existing diagnostic parameters in fetal echocardiography
  • New or existing safe patient care in fetal echocardiography
  • New or existing quality practice in fetal echocardiography

You need to have the following outline: Title, unstructured Abstract (200 words), Introduction, Body, Conclusion, References. Headings and subheadings may be used within the text to guide the reader through the chosen topic. Images, diagrams and tables may be used to illustrate points and must be correctly referenced. Diagrams and tables must be original and the source material referenced. Images that are not the author's own work must be referenced.

Within the body of the paper you need to include information about the following:

  • Principles involved in the technology, diagnostic parameters, safe patient care or quality practice
  • Advantages
  • Disadvantages
  • Current or potential use in fetal echocardiography

Information should be drawn from scientific journal articles and current textbooks. Referencing must be done using the APA system.

Word limit is 2000 words +/-10%.

There will be a 10% reduction in marks for exceeding the word limit. Images, diagrams, tables and the reference list are not included in the word limit.

In the absence of an approved extension via the unit moodle site there will be a 5% penalty per day for late submissions.

Assessment Due Date Review/Exam Week Friday (13-Oct-2017) 04:00 PM AEST
Return Date to Students Exam Week Friday (20-Oct-2017)
Weighting 40%
Assessment Criteria
  • Layout of report which leads the reader through the development of knowledge
  • Correct use of spelling, grammar and technological terminology
  • Accurate and complete description of new or existing technology, diagnostic parameters, safe patient care or quality practice which includes a discussion of principles involved, the advantages, disadvantages, and assessment of current or potential use in fetal echocardiography
  • Use of images, tables or diagrams to illustrate points
  • Correct and complete referencing
Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Contrast typical 2-D and Doppler fetal echocardiographic views used to assess the fetal heart.

3. Evaluate existing and emerging technology and diagnostic parameters in fetal echocardiography

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research

6. Ethical and Professional Responsibility



Engagement

The Fetal Echocardiography ECHO20003 unit teaches cognitive, technical and creative skills that will ensure you can engage with the workplace and wider community.

Graduate Attributes

Graduate attributes developed in this unit include knowledge, communication skills, cognitive, technical and creative skills, research skills, the ability to self-manage, ethical and professional responsibility.

Indigenisation of Curriculum

Consideration is given to Aboriginal and Torres Strait Islander culturally competent aspects of patient interaction. First Nation pedagogy is incorporated in the use of lectures by experts in the field, industry relevant content and the use of videos and clinical scenarios to create a realistic clinical context. Unit and research material are reviewed for their Aboriginal and Torres Strait Islander peoples cultural sensitivity.

Internationalisation of Curriculum

Unit readings include relevant international information which is appropriately referenced. Students are encouraged to search for information internationally and think about their studies and future working life in an international context.

Sustainability

Consideration is given to unit lectures, readings and teachings that do not have negative consequences for future generations. This unit will ensure advancements in health, echocardiography and medical sonography are by sustainable ethical research around the topic of fetal echocardiography.

Work Related Learning

This unit will provide knowledge and evidence based skills in fetal echocardiography that will be used throughout your working life to improve patient related care.


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