The Emergency Ultrasound Fellowship at AHS – Highland is a 1-year program designed to train leaders in the field of emergency ultrasound through establishing technical expertise, developing and improving teaching abilities, and providing research opportunities and experiences. Graduates of this fellowship typically go on to academic or expert positions, usually in the role of Emergency Ultrasound Director or Fellowship Director. We hope you will consider being a part of the Highland Emergency Ultrasound legacy.

  • Attending shifts in AHS: Highland Hospital, Alameda Hospital and San Leandro Hospital: 65 hours/month (approximately 8 shifts/month)
  • 1-2 ultrasound (US) scanning shifts/week
  • Minimum 600 US exams (150 confirmed by formal US/CT/surgery)
  • Weekly US journal club and video review/CQI
  • 1-2 research projects - publication & presentation expected
  • Assistance with resident & student US rotations
  • Edit US for video database
  • 2 resident US training sessions
  • 4-5 Residency Conference lectures/small group sessions
  • Outside US teaching with faculty group


  • Designing Clinical Research (TICR) course at UCSF
  • ED scanning shifts with core US faculty
  • Echocardiography technologist
  • Vascular lab, OB/GYN, US techs
  • RDMS prep course optional
  • Monthly Research in Progress meetings and research methods support


  • Multiple core US faculty who are international leaders in teaching and publication
  • Unrestricted use of US in the ED
  • Advanced applications of Emergency US, Regional Anesthesia, TEE.
  • High acuity, urban, county ED
  • Research assistants
  • Opportunity to interface with US industry
  • Advanced multimedia training
  • Bay Area quality of life
  • International emphasis
  • Travel opportunities


  • 1 year

  • Completed 4-year emergency medicine residency or 3-year residency with ≥ 1 year postgraduate experience


  • $100,000/year plus benefits
  • Travel assistance for research presentation
  • Other financial opportunities (e.g. moonlighting, teaching US courses)
  • 10,200 Business Expenses/CME

  • October 1

Daniel Mantuani, MD/MPH

Director, Ultrasound Fellowship

Current Fellows

Akash Desai, MD

I am a Bay Area native who completed my undergraduate studies at UCLA in Psychobiology (Go Bruins!), medical school at Keck USC, and emergency medicine residency at the Icahn School of Medicine at Mount Sinai in New York City. In my two gap years between college and medical school, I returned to the Bay to research the neurological implications of HIV at the Memory and Aging Center at UCSF. My professional interests include Emergency Ultrasound (duh), the intersection of ultrasound with International/Global Health and medical education, and the application of regional anesthesia in emergency medicine. My personal interests include DJing, discussing philosophy, exploring nature, and learning how to maintain physical and mental fitness (i.e. "wellness") in day-to-day life. I have an identical twin brother Sagar who graduated medical school at UCSF in 2020, so if you think you're seeing double, you just might be!"

Kaitlen Howell, MD

I am from Tennessee where I studied biology and German at Middle Tennessee State University.  After a Fulbright scholarship in Germany evaluating neurologic outcomes after cardiac arrest, I attended Harvard Medical School where the snow and cold taught me how much I need sunshine!  I fell in love with Highland during my subinternship rotation and am thankful to have been able to complete residency here.  My clinical passions are point-of-care ultrasound (especially for vascular access and echocardiography), on-shift teaching, and learning the finer points of EKGs.  Outside of work I enjoy growing unusual fruits, learning about other people’s experiences, and watching sci-fi.  I used to draw and write poetry and hope to pick those back up during fellowship.

Nathaniel Leu, MD

"I was born and raised in San Mateo and am excited to be returning to the Bay Area for my ultrasound fellowship. I went to college at UC Davis, med school at Eastern Virginia Medical School, and most recently completed my EM residency at Cook County Hospital in Chicago. Over the next year I hope to hone my skills with the probe and needle while dipping my feet into research and teaching. During my spare time I enjoy brewing kombucha, board gaming, and indoor rock climbing. 

Max Sobrero,MD