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Launch Special

3/21/2016

We were very excited to officially launch our website last week with a special offer:

Get our 10 hour CME course FREE with a 1 year membership
Less than $5/credit!

We didn't expect to fill them up in 72 hours though!
We were truly humbled by the response!
Due to the popularity, we extended the offer through Sunday March 27

To see what we're all about or join click below

Our latest lecture release on Ovarian Lesions is
free til the end of the week too!
To watch the lecture, click on it below

Amniotic Fluid: Are you Following the rules

9/29/2015

If you do obstetrical ultrasound, you will be assessing amniotic fluid every day.
Do you have some rules you live by?
Do you use visual queues? If so, what are they?... Is just that it "looks normal" or do you know why it looks normal?
How about fluid measurements? Are you doing them right? Do you know where those numbers come from?
I've posed a lot of questions here.....

Check out this video excerpt from Roy Filly's lecture: "Amniotic Fluid - How to get it right" and get some answers...

This is part of our new premium video course and our 10 hour CME course. You can find that course and our basic "e-course" called Demystifying the Second Trimester Scan which will give you a no nonsense overview of "what you really need to know" to perform/interpret OB scans at a high level by clicking here! (You'll be directed away from myminifellowship.com to our Learning Management Site)

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Fetal Biometry: Are you following the rules?

9/17/2015

If you perform OB ultrasound, the biometric evaluation of the fetus is something you do every day. It's not the most complicated thing in the world, but there are definitely some nuances.
If you are learning or new at OB ultrasound, becoming excellent at biometric measurements and learning how to do it the right way now is critical!
At the same time, I see many experienced sonographers make subtle errors on occasion.

Here is another video excerpt from our new 10 hour CME course.

You can find the full lecture in our course by clicking here

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The Amazing Lateral Ventricle

9/10/2015

We all know that the lateral ventricular measurement is a hallmark of the obstetrical sonogram
What makes this measurement so unique and special?
What is the appropriate way to measure it?
What is normal? Is it a spectrum or is there a hard cut off?
Check out this excerpt from Roy Filly's lecture on the Practical Approach to the Fetal CNS from our Premium Video course and CME course at myminifellowship.thinkific.com

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5 Steps to Mastering the Fetal Heart: The 10 second test

3/26/2015

At the beginning of this series, we suggested that watching 5 short videos would allow you to be able to assess the fetal heart for a significant abnormality in under 10 seconds.

Now it's time to put you and us to the test! Watch this short video and see how you do?

As always, Thanks for watching
Tony Filly

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5 Steps to Mastering the Fetal Heart: Step 5

3/10/2015

We've reached the last of our 5 Steps! In this step, we will discuss a single finding that if present, has a 90% chance of an associated cardiac anomaly, whether you see it or not!

Let's recap:
In Step 1, we described a system to identify the chambers that works in all planes and orientations
In Step 2, we found how to compare chamber sizes and use these to our advantage
In Step 3, we used heart position to help us predominantly identify extracardiac abnormalites
In Step 4, we used discussed using the cardiac axis to alert us to subtle extra and intracardiac anomalies

As always, Thanks for watching
Tony Filly

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5 Steps to Mastering the fetal heart: Step 4

3/4/2015

We're finally over the hump and on the down slope. You're very close to mastering the fetal heart!

In step 3, we departed a bit from looking inside the heart and used our 4-chamber view to help us detect chest masses.

In this short step 4 video, we will learn how to quickly and efficiently assess the cardiac axis. A quick look at the axis can help us increase our sensitivity for detecting even more subtle chest masses as well as subtle cardiac defects.

Thanks for watching,
Tony Filly

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5 Steps to Mastering the fetal heart: Step 3

3/1/2015

So far in Step 1, we covered a robust method for identifying chambers that works in all orientations and in Step 2, assessing the size of chambers to avoid missing intrinsic anomalies... particularly, the subtle ones.

If you follow these two steps in every case, you will be well on your way to mastering evaluation of the fetal heart.

So, what's next... Is the 4-chamber view all about the evaluation of cardiac anomalies?

Absolutely not!!

Fortunately, we can also use the view to our advantage in another way: Assessing heart position.

The main way you will identify many chest masses (ESPECIALLY the subtle ones) is not necessarily by seeing the mass or looking at an image of the diaphragm, but rather by evaluating the position of the heart in the 4-chamber view!!

If you follow this next simple step, I can almost guarantee that you won't miss any significant chest masses!

Thanks for watching,
Tony Filly

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5 Steps to Mastering the fetal heart: Step 2

2/25/2015

In step 1 we covered identifying chambers, not just counting chambers. I suggest mentally go through this process every time until it becomes automatic.

Since we don't see anomalies very frequently, we tend to get lulled into a sense of complacency. When an anomaly does arise, our minds will sometimes try to dismiss the abnormality as angle, shadowing or whatever and of course, sometimes it will be just that.... but don't be afraid to bring the patient back to get a better look or send them for an echo... better to be safe than sorry.

The video for step 2 is the longest of our 5 part series, but it is well worth watching and may be the most important step. We will teach you an important, yet easy, way of preventing yourself from missing some of the more challenging and subtle anomalies and give you some "hard lines" you should never cross when approaching the fetal heart.

It's only 12 minutes, but I have a short attention span! If you're like me, you can click on the settings button in the right lower corner of the video and adjust the speed to 1.5x (Yes, Roy will sound a little bit like a chipmunk, but it'll save you time). I haven't figured out how to do it on a mobile device, but if you do, let me know!!

Subscribe below and make sure you don't miss the next step! We'll also let you know when the full website becomes available.

Thanks for watching,
Tony Filly

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5 steps to Mastering the fetal heart: Step 1

2/22/2015

"The 4 chamber view"... seriously, what could sound more simple? Can you count to 4? My 3-year old daughter can. Maybe I should let her read out OB ultrasounds!

Unfortunately, we all know that evaluation of the fetal heart is probably the hardest part of the OB ultrasound and continues to be a pain point for so many.

It is neither easy to obtain the images nor easy to interpret!!

The reasons for this are numerous, but I truly believe that if you follow the easy system we will lay out here in this 5 part series, you can make leaps and bounds in a short period of time!

Even if you are already comfortable, hopefully you will still find a lot of value listening to Roy's well thought out approach he uses on every study and, as I always do, learn some new nuggets.

Subscribe below and make sure you don't miss the next step! We'll also let you know when the full website becomes available.

Thanks for watching,
Tony Filly

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Author

Dr. Roy Filly is professor emeritus of Radiology and Obsetrics/Gynecology at UCSF and co-founder of the fetal treatment program.
Dr. Filly founded the ultrasound department at UCSF 40 years ago and ran one of the most sought after fellowships, training many of the foremost thought leaders in the world.

Dr. Anthony Filly is chief of Radiology in private practice and adjunct faculty in Radiology at Stanford University

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"Roy's Presentations always left you with a deep understanding and at the same time, making it all seem so simple"
Maitray Patel, MD
Radiology Residency Program Director Mayo Clinic Scottsdale

About Us
Obstetrics
1st Trimester
Gyn
MASTERY COURSE
Legal Lessons
- Hypoplastic Left Heart
- Erb's Palsy - Fetal Weight Prediction
Filly's Laws and Memoir
Templates
- Report Templates >
- What do I say about that - Coming Soon >
Blog
New Page