Percutaneous Ultrasound-Guided Gastrostomy (PUG) Course

2024 Courses:

2024 course dates are pending interest.  If you are interested in this course please email: .

Registration Cost: $650

**Also check out our Critical ProceduresComplex Procedures courses**


Please if you have any questions or challenges registering or adding your name to the waiting list.

Why PUG (Percutaneous Ultrasound-Guided Gastrostomy)?

Traditionally, patients requiring a gastric feeding tube will have the tube placed under endoscopic or fluoroscopic guidance.  This novel approach involves the use of ultrasound, Seldinger technique and magnet technologies.  This technique was developed as a response to the delays patients faced once a request for a feeding tube was made.  This novel technique simplifies the tools and equipment needed for gastric feeding tube placement and opens the opportunity for trained physicians already facile with the use of ultrasound-guided Seldinger technique (such as central venous access placement), to place a gastric feeding tube at the bed side.  In the near future, the proceduralist can go to the nursing home and place a PUG, eliminating the need for patient transport.

Target learners include practitioners in the following fields:

Course Outline

Self study: 

Procedure lab:

Course Location:

Department of Emergency Medicine
University of Maryland School of Medicine
22 S. Greene St.
Baltimore, Maryland

Hotel Accommodations:
Please click here to view a full list of our area hotels.
Maps, Directions, and Parking
Click here for a map of the campus, including available parking garages.
Additional information about parking for the course will be emailed after registration. 


CME Information
The University of Maryland School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Statement:
The University of Maryland School of Medicine designates this Live activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Target Audience: 
The target audience for this event includes physicians, residents, advance practice providers in the fields of emergency and critical care medicine.
Course Objectives
At the conclusion of this activity, participants will be able to:
  1. Describe the indications and contraindications for PUG placement
  2. Describe the potential complications and management of patients undergoing U/S guided PG placement
  3. List the tools required for placement of a PUG.
  4. Competently place a PUG in a human cadaver without guidance.
Americans with Disabilities Act
If you require special accommodations to attend or participate in this CME activity, please provide information about your requirements to at least five business days in advance of the activity.
Applicable Fees
The cost of your CME certificate is included in your registration fee. All participants are required to sign in for each event and complete the applicable post-conference and/or workshop survey(s) before a certificate will be issued. 

Cancellation and Rescheduling Policy
Cancellations will be accepted 30 days prior to the conference date, and tuition will be refunded less a $40 administrative fee unless the registration can be transferred. A request to reschedule your participation for a future course (based on space and availability) will be accepted one time, and only if made 30 days prior to the conference date at no additional cost. No cancellations or rescheduling will be accepted within 29 days of the conference date, but you may transfer your registration to another provider if you are unable to attend (at no additional cost). All cancellations must be sent in an email to



Please contact
Conference Planning Specialist
Department of Emergency Medicine
110 S. Paca Street
Sixth Floor, Suite 200
Baltimore, MD 21201
(667) 214-2208