During core training the Emergency Medicine trainee will focus on learning the theory of ultrasound and gaining experience of the procedural modalities.
The diagnostic modalities are introduced in intermediate training and developed further during higher training.
After logging into your RCEM Learning account, complete all Ultrasound eLearning modules under the curriculum tab. These are
Also completed online learning on (added in 2021 Curriculum)
This is a great book from RCEM website on all of the Level ONE scans.
It has details of the POCUS Curriculum,
OSCE sheets used for triggered assessments of the 4 required scans and the Final Sign off sheet.
FRCEM Final SAQ exam will have about 3 questions on POCUS
(about 10 marks of the 180). Use this book to read up.
These courses usually run over 1-2 days.
There are lectures on basics of ultrasound, knobology, various scan modalities & governance followed by hands on training with tutors.
You will be given a certificate of attendance at the end of the course which could be used as evidence of learning.
It is not mandatory to attend a course.
You can demonstrate learning with certificates from online learning modules, reading books/blogs, attending webinars and lectures or attendance at POCUS regional training days.
Added in 2021 curriculum
Sonography in Hypotension and
Cardiac Arrest (SHoC) Protocol
ALL SCANS DONE IN THE EXPERIENCE PHASE MUST BE SUPERVISED !!
If you would like to keep a log of your scans on paper - you might find this template of use.
Each page has 4 sections. Print out about 25 copies of this (front & back is good).
That makes 100 sections (25 scans AAA scans, 25 eFAST scans, 25 Shock Assessment scans,
10 echo in life support scans, 10 Fascia Iliaca Block scans and 5 Vascular Access scans)
Keep these pages inside clear plastic pockets in a ring folder for easy access.
If you don't want to maintain a paper portfolio, then use your Kaizen portfolio account to keep a record of your scans.
Send tickets as DOPS to the person who supervised your scans.
Total 30 reflective entries required!
5 for each modality.
You could just use the Kaizen E-portfolio!
If you prefer writing on paper/word document please use the following checklist.
We have many consultants & registrars who would be happy to do this for you! Please ask the consultant or registrar on shift with you to supervise your scan, so they can offer advice, correct your technique, provide tips/tricks to improve your scanning!
50% of your log-book can be practice scans! So come along to one of our monthly HOT-POCUS sessions at the John Radcliffe Emergency Department. We can do just the scans you need! You will be given feedback on each scan you perform - correcting your technique, tips to acquire and optimize your scans. All scans performed can be logged and signed off on the day.
Are you ready with the following?
Additional (optional) evidence of webinars, podcasts, videos, blogs, research, attendance at conferences lectures or workshops may be submitted.
The goal of training is to achieve competency rather than rigid adherence to a fixed number of training scans however an indicative minimum number of scans is provided as guidance to both trainees and trainers about the number of scans that would reasonably be expected of a trainee. If the indicative number of scans is not met by the end of the training programme then the supervisor should record on e-portfolio that they are aware of this but this should not impede progress if the appropriate entrustment level for the stage of training has been obtained.
It should be the exception that sign off for all modalities is not achieved by the end of ST5.
In ST6, trainees are expected to undertake enhanced training, consolidate log book by performing 1 scan per week and consider teaching colleagues and improve governance.
The goal of training is to achieve competency rather than rigid adherence to a fixed number of scans.
In keeping with the other clinical SLO’s the entrustment scale is used to describe the observed and predicted capability of obtaining an adequate clinical image.
The sign off for the scan is undertaken locally.
Doctors in training - please discuss with your Educational Supervisor.
For those doctors not in a training programme/CESR aspirants, please speak with departmental POCUS lead!
Once you are ready with the checklist (see above) ask your ES/POCUS lead to watch you perform this scan (on a patient or simulated) and then give you an entrustment level on a DOPS ticket.
This page is managed by OUH Emergency Medicine POCUS Lead Dr Priyadarshini Marathe