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


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


  • $120,000/year plus full benefits
  • Fully matched 403b retirement/ ($22,500/calendar year/resets Jan 01)
  • Moonlighting at affiliated community hospitals ($210/hr)
  • Other financial opportunities (teaching US courses)
  • $6000/year Business Expenses/CME
Application Deadline
  • October 1

David Martin, MD

Director, Ultrasound Fellowship

Current Fellows


Carlos Mikell, MD

I was born in Hawaii, but grew up in Northern California between Shasta, Humboldt County, and finally Sacramento. I went to American River Jr College and transferred to UC Davis. After graduating from UCSF for medical school, I ventured out of California for residency at Cook County Hospital, but I prefer my winters a week long and in Tahoe, so I came back to California. My ultrasound interests include cardiac and resuscitation ultrasound, using ultrasound as a teaching tool across all levels of learners, and regional anesthesia. Outside of the hospital I enjoy cooking a new recipe, riding/working on my bikes, going to a grungy music venue, and being a cat dad. 

Joseph Stegemen, MD

I’m an Illinois native coming to Highland via Texas, where I was a diver and biology major at TCU followed by medical school at UT Southwestern, and Boston, where I completed emergency medicine residency at Mass General and Brigham and Women’s. In the ED, my main clinical interest is ultrasound guided nerve blocks. I’m a firm believer that most problems can be solved with some well placed bupivacaine. Outside the department you can find me biking to a brewery or smoking a brisket and watching college football.

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.