The EMPA Residency formally incorporated emergency ultrasonography into the curriculum beginning academic year 2004-2005. For some years previously, ultrasonography was taught to PA Residents, but only now has it become an accountable part of the curriculum. There are a number of reasons for this, but the primary reason is the growing acceptance of using this tool in the emergency department. Training consists of one week of classroom instruction with practical applications, followed by one year of supervised ultrasonography during emergency department rotations. The areas of training and practice are those approved by the American College of Emergency Physicians (ACEP) and are: Trauma, Intrauterine Pregnancy, Abdominal Aortic Aneurysm, Cardiac, Billiary, Urinary Tract, Deep Vein Thrombosis, Soft Tissue/Musculoskeletal, Thoracic, Occular and Procedural Guidance . All training and implementation closely follows the recommendations approved by ACEP. There is currently a DScPAS-EM trained physician assistant attending the physician ultrasound fellowship.