A basic introduction to ultrasound should be acquired by attending an introductory course. This course should comply with following requirements: 16 hours of training, with sufficient attention for hands-on practice and a maximum ratio of 4 candidates per teacher. The introductory course should contain the four topics written below.
Scanning period and logbook
After the introductory course, the candidates are supposed to apply this knowledge in clinical practice. In the course of minimum 1 year and maximum 2 years they are expected to log images as written below:
- eFAST : 25 scans (min 5 pathological)
- Abdominal Aorta Aneurysm : 25 scans (min 5 pathological)
- RUSH : 5 full RUSH, 20 Echo in Life support (only heart) (min 5 pathological)
- Vascular access : 10 procedures (min 2 central venous lines)
Candidates are expected to complete the logbook per patient and per exam, and to collect these images on a USB-stick, in order to evaluate the images during the competence testing day. These images are preferentially stored as loops, as this facilitates interpretation. For the cardiac echo’s (included in the RUSH exam), loops (3s) are obligatory, because still images provide insufficient information. As a backup procedure for ultrasound machines incapable of storing loops, loops may be recorded on a smartphone. Minimum 50% of scans should be supervised, as supervision contributes to faster acquisition and more accurate interpretation of the images.
During one day, both theoretical (knobology, basic physics and artefacts) and practical knowledge are tested.
Becoming a supervisor
After acquiring a level 1 attestation, progression to supervisor can be made. The only requirement is attaining one year of regular ultrasound practice after the completion of level 1. The request can be done through an email to the ultrasound taskforce. The candidate will then be added to the register.