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Table 1 Published accreditations in focused cardiac ultrasound and transthoracic echocardiography

From: Ensuring competency in focused cardiac ultrasound: a systematic review of training programs

Organization(s) Applicable to Recommendations/requirements
Accreditations in focused cardiac ultrasound
 American College of Chest Physicians [18], Society of Hospital Medicine [19] US internal medicine and family medicine physicians Point-of-care ultrasound certificate of completion—attend a 2-day course, completion of an online learning module, submission of 20 focused exams, final examination
 American College of Emergency Physicians [20] US emergency medicine physicians Completion of a dedicated ultrasound course or a 1–2 week preceptorship, followed by a period of supervision during clinical application; recommend completion of 25–50 exams in each domain
 Society of Point-of-Care Ultrasound [21] US physicians, nurses, EMS personnel Recommend 25–50 supervised exams for each domain (with 5% demonstrating pathology), followed by ongoing quality assurance
 Society of Critical Care Medicine [22] US critical care physicians At least 20 didactic hours, must perform 30 and interpret 50 focused exams
 British Society of Echocardiography, Intensive Care Society [23] UK critical care physicians Attend an approved 1-day course, perform 50 exams (at least 10 fully supervised), submit log of exam reports for review by a certified mentor
 European Society of Intensive Care Medicine [24] European critical care physicians Recommend 10 h of combined didactic and practical training and completion of 30 supervised exams
Accreditations in transthoracic echocardiography
 American College of Cardiology, American Society of Echocardiography [25] US cardiology trainees to obtain early level competency Level I certification—cumulative 3 months of training, minimum 75 TTE exams performed + 150 exams interpreted
US cardiology trainees interpreting echocardiograms independently Level II certification—cumulative 6 months of training, minimum 150 TTE exams performed + 300 exams interpreted
US cardiologists completing a 3-year fellowship in echocardiography Level III certification—cumulative 9 months of training, minimum 300 TTE exams performed + 750 exams interpreted
 National Board of Echocardiography [26] US and Canadian critical care physicians Critical care echocardiography (CCE) certification—completion of a critical care fellowship, 20 + h of continuing medical education in echocardiography, minimum 150 TTE exams performed and interpreted
 British Society of Echocardiography [27] UK physicians performing bedside ultrasound Level 1 accreditation—75 TTE exams performed over a 12-month period collected in a logbook encompassing a certain pathology, examination
UK clinical echocardiographers Level 2 accreditation—250 TTE exams performed over an 18-month period collected in a logbook encompassing a specific mix of cases, written assessment in theory and reporting, practical assessment, submission of 5 TTE video studies with report
 British Society of Echocardiography, Intensive Care Society [28] UK critical care physicians Adult critical care echocardiography accreditation (ACCE)—250 TTE exams, written assessment, practical assessment
 European Society of Intensive Care Medicine [29] European critical care physicians European Diploma in advanced critical care EchoCardiography (EDEC)—at least 3 courses, 100 TTE cases, and 35 TEE cases over a 2-year period, written examination, practical examination
 European Society of Cardiology [30] European sonographers and physicians European Association of Cardiovascular Imaging (EACVI) adult TTE certification—completion of a written examination, minimum 250 TTE exams performed, submission of 6 TTE cases