The Ultrasound-Guided Regional Anesthesia (UGRA) Education and Clinical Training Portfolio is a joint initiative from ASA and the American Society of Regional Anesthesia and Pain Medicine (ASRA) designed for anesthesiologists who wish to distinguish themselves in the field and provide evidence of training and experience to share with employers. The program guides participants through specific criteria to demonstrate knowledge and achievement in UGRA procedures. The program requires participants to progressively build knowledge through participation in specific CME activities and validate experience via case log documentation. The completed portfolio contains data that defines all UGRA achievements, the criteria required to meet the achievement and evidence of how those criteria were met.
The portfolio does not intend to restrict the practice of UGRA, nor does participation ensure competency or certification in the performance of UGRA techniques.
I. Portfolio Eligibility
II. Portfolio Components
A. Knowledge Base (Didactics: 10 hours of AMA PRA Category 1 Credits™)*
Didactic objectives (and suggested CME hours) should include:
*Credit will be given to pre-determined lectures provided by (or endorsed by) the American Society of Regional Anesthesia and Pain Medicine or the American Society of Anesthesiologists.
B. Technical Skills (Workshops: 6 hours of AMA PRA Category 1 Credits™)*
Workshop objectives should include:
*Credit will be given to pre-determined workshops provided by (or endorsed by) theAmerican Society of Regional Anesthesia and Pain Medicine or the American Society of Anesthesiologists.
Additional Application details or lists of approved Didactic & Technical Skills courses can be found here.
C. Clinical Experience (case log)*
*Self-performed case log should be submitted after attending preapproved didactic sessions, participating in preapproved technical skills workshops, and passing the knowledge-based examination (see below).
The case log must be accompanied with a letter from the department chairman, practice chair, or ultrasound-guided regional anesthesia (UGRA) practice coordinator attesting to the candidate’s clinical experience.
†Cases within the case log must be available for confirmation and random audit.
III. Portfolio Evaluation
A. Knowledge-Based Examination (50 questions)
Examination topics will include:
IV. Portfolio Application Process
UGRA Review Committee:
John Antonakakis, M.D., Richard Brull, M.D., Joseph M. Neal, M.D., Brian D. Sites, M.D., Francis V. Salinas, M.D., Ban Tsui, M.D., Steven R. Clendenen, M.D., J.C. Gerancher, M.D., James R. Hebl, M.D., Dan Kopacz, M.D., Sandra L. Kopp, M.D., Spencer S. Liu, M.D. and Anahi Perlas, M.D. have reported no financial relationships with commerical interests.
Vincent W.S. Chan, M.D. reported that he received material support from SonoSite, GE, Ultrasonix and BK Medical.
David B. Auyong, M.D. reported that he received funded research from Sonosite, and honoraria from Sonosite and Kimberly Clark.
Jean-Louis Horn, M.D. reported receiving Consulting Fees from I-Flow.
Dolores Njoku, M.D. reported receiving royalties from McGraw-Hill Publishing Company.
Brian C. Spence, M.D. has provided no disclosure information.
Robert S. Weller, M.D. has reported receiving material support from I-Flow Corp.
The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.