To earn a Diagnostic POCUS Certificate of Completion, you will need to complete all five parts of the program within two years from the date of enrollment.
Part 1: Quality Improvement (QI) Action Plan
Create an action plan for improvement of your practice. Answer seven questions to help formulate your plan. After completing parts 2-4 of the program, complete a reflection and outcomes report to qualify for MOCA Part 4 points. Answer seven questions to report outcomes.
Parts 2, 3, and 4 may be performed concurrently.
Part 2: Evidence of Diagnostic POCUS Training: Obtained from CME/NBE/Residency/Fellowship
Submit a minimum of 10 CME credits or 10 hours of equivalent training obtained during residency/fellowship by selecting from a regularly updated and growing list of ASA-approved programs and uploading your certificates*. Access approved program list here.
The training can come from any combination of the following: CME credits for approved courses; certain National Board of Echocardiography exams/certifications (CCEeXAM or ASCeXAM); and/or POCUS training obtained during residency/fellowship. Simply select what you have participated in and upload your relevant course completion document(s). For individuals who do not currently have access to POCUS training (e.g., due to COVID travel restrictions), the ASA is partnering with a third-party to offer web-based POCUS training that would fulfill this Part 2 requirement (coming soon).
Forms may be submitted by learners, organizations, and residency/fellowship programs for activities that were completed within the 5 full calendar years preceding the year of enrollment, and up to 24 months after the program enrollment date. For example, if a learner enrolled in the POCUS Certificate Program on March 1, 2021, credits would be eligible if they were earned between January 1, 2016 and March 1, 2023.
Exclusive offer to ASA Diagnostic POCUS Certificate Program participants courtesy of USabcd.org
USabcd.org is offering FREE access to their online POCUS training to the first 500 registered ASA Diagnostic POCUS Certificate participants. The use of a unique code will auto-enroll learners into ALL of the courses listed below. A score of 85% or higher on each post-test is required to claim credit towards Part 2 of the ASA's Certificate Program
- Basic Ultrasound Physics (1hr CME equivalent)
- Basic Lung Ultrasound (2 hrs CME equivalent)
- Basic FATE (5 hrs CME equivalent)
- Ultrasound Assessment of Gastric Content (2 hrs CME equivalent)
Don’t see a relevant course on the approved list? As a learner, you may submit an activity for approval and inclusion in the program.
Faculty CME POCUS Training Form
Residency/Fellowship POCUS Training Form
Faculty (non-CME) POCUS Form (until December 31, 2021)
If you plan to fulfill all or part of your Part 2 requirement with prior POCUS training from a non-CME faculty POCUS course, you will need to use this form to submit ALL of your prior POCUS training. For example, if you obtained a total of 10 hours of prior POCUS training from a combination of non-CME faculty courses, POCUS CME courses, and POCUS training during residency/fellowship, please use the Faculty (non-CME) POCUS form to submit ALL of your prior POCUS training. If you submit this form for Part 2 of the Certificate, do not submit any other form for Part 2.
*Audits will be conducted on a random basis to verify legitimacy of certificates submitted toward minimum external training requirements.
Part 3: Image Interpretation Training: Online Case-Based Diagnostic POCUS Modules
Review 140 unique online cases—including 100 cardiac, 20 lung, and 20 gastric cases—complete with image clips, questions for interpretation, and detailed explanations with references for further reading.
The cases are designed to train you to identify and interpret normal and abnormal pathology. The abnormal pathology includes the range of cases relevant an anesthesiologist’s practice, including hypovolemia, cardiac dysfunction, pericardial and pleural effusions, pneumothorax, pulmonary edema, and empty vs. full stomach.
Part 4: Image Acquisition Training: Portfolio of Diagnostic POCUS Studies Performed
Demonstrate competence in image acquisition by submitting a diagnostic POCUS studies log that you performed, a subset of which needs to be reviewed by an approved local mentor or by ASA faculty.
- 30 lung ultrasounds
- 30 gastric ultrasounds
- 50 focused cardiac ultrasounds
Please download the log of studies template (.xlsx, editable in MS Excel, Apple Numbers, and Google Sheets). Review image criteria here.
Please note: for this section of the Certificate (Part 4: Image Acquisition), there is no requirement that the exams contain pathology. The goal of Part 4 is merely to demonstrate the ability to obtain standardized, interpretable clips.
Part 5: Take the Final Exam
Complete a 100-question timed final exam. The final exam is made up of four topic-focused sections to demonstrate knowledge of POCUS fundamentals, as well as cardiac, gastric, and lung image interpretation. Each section is timed to allow approximately 80 seconds per item and graded independently with a minimum passing score of 70%. Take each exam section separately or at different times. However, each section must be completed in one sitting for progress to be saved.
You will earn a digital badge for each section passed and marked complete. Digital badges recognize and validate your qualifications in each content area and can be downloaded and shared on LinkedIn or other platforms.
You will achieve a Diagnostic POCUS Certificate of Completion when you pass all four sections of the final exam by scoring 70% or higher. If you score below 70% and do not pass a section, you will not be able to access that exam section for one month before being able to try again and retake it. A maximum of three attempts to pass is permitted for each section of the exam.
Following three unsuccessful attempts on any given section, you will need to repurchase the program, re-enroll, and successfully complete the program to obtain the Diagnostic POCUS Certificate of Completion. CME credit and MOCA Part 4 points may still be claimed.
IMPORTANT: Learners may choose to take each exam section separately or at different times. However, each section must be completed in one sitting.
Additionally, all learners who have completed parts 1-4 are eligible to obtain 40 CME credits and 10 points of MOCA Part 4.