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POCUS Certificate of Completion

Program Requirements

This program offers a comprehensive, hands-on experience to learn the fundamentals of point-of-care ultrasound. Take individual courses or earn the SHM-Chest Point-of-Care Ultrasound Certificate of Completion (COC).

All program requirements must be completed within 3 years of starting the program. The requirements are listed in the recommended order of completion. Portfolio images must be generated and collected personally after attending one of the live courses.

1. Attend Ultrasonography: Essentials in Critical Care

During this course, you will review key elements of point-of-care ultrasound applications and practice image acquisition on human models under the guidance of expert faculty. The course provides an in-depth review of ultrasound images demonstrating normal and pathologic findings giving learners a unique and complete learning experience. This course is offered throughout the year at the CHEST Simulation center in Glenview, Illinois.

Please click here for course dates and registration information.

*Member Benefit* SHM members receive special pricing on this course. Contact us for your unique discount code.

2. Complete Online Learning Modules

Supplement, strengthen and refine your ultrasound knowledge by completing SHM’s ten-part online educational series, “Principles of Point-of-Care Ultrasound.” Designed by frontline physician experts in ultrasonography, these interactive, multimedia e-learning tutorials review essential components of point-of-care ultrasound.

Click here to purchase and access the modules in the SHM Learning Portal. Members can purchase the series at a discounted rate.

Alternatively, learners may satisfy this requirement by completing the CAE Healthcare online series, “Bedside Ultrasound in Critical Care.” SHM members also receive special pricing on CAE Healthcare’s modules. Contact us for a unique discount code and click here to purchase.

3. Attend an Approved Regional POCUS Course

Reinforce and refine your skills by attending one of these approved multi-day regional ultrasound courses:

  1. New York Point-of-Care Ultrasound Course - New York, NY (offered biannually). Next in-person course will be October 28-29, 2021. Proof of COVID-19 vaccination will be required to participate in this course. Click here to register. Please contact for additional details.
  2. CHEST: Integration into Clinical Practice course – Chicago, IL (November – offered annually)
  3. Hospital Medicine Point-of-Care Ultrasonography – New York, NY (February & July – offered biannually)
  4. Point-of-Care Ultrasound Workshop – San Antonio, TX – Next live in-person course will be held December 11-12, 2021. Click here if interested in attending an upcoming traditional in-person course, or virtual tele-ultrasound course in 2021 or 2022.
  5. The Rocky Mountain Society of Hospital Medicine Point-of-Care Ultrasound Course – Denver, CO – Registration is open for the March 26-27, 2022 and May 7-8, 2022 courses. Click here to register.
  6. Point-of-Care Ultrasound (sponsored by the SHM Minnesota Chapter) – Minneapolis, MN. Please email to be added to the mailing list for 2022 courses.
  7. Point-of-Care Ultrasound for the Hospitalist – UCSF – San Francisco, CA (Nov 4-5, 2021). Click here to register. Please contact for more details. 
  8. Point-of-Care Ultrasound for the Hospitalist – UCSF/QMC – Honolulu, HI (June 20-21, 2022). Registration opening soon. Please contact for more details.

4. Complete Online Portfolio

After attending one of the live ultrasound courses, you are eligible to enroll in the ultrasound image portfolio. The online portfolio requires submission of ultrasound video clips for review by faculty. Access to the portfolio will only be granted after completing a live course.

A key element to training in point-of-care ultrasound is bedside scanning practice. To foster self-directed learning, you will be required to assemble a portfolio of specific images to be reviewed and approved by a SHM faculty member via the internet. Expect a productive educational experience that will foster ongoing scanning practice and yield high-quality image acquisition. You will need to have access to an ultrasound machine with image storage capability. Images should be recorded and exported directly from an ultrasound machine to the online portfolio.

The emphasis for portfolio development will be on image quality. While specific examples of disease are not required, with the exception of lung and pleural images, abnormal images are welcome. You may submit all normal images. If you will be teaching point-of-care ultrasound to other providers, this online image portfolio is a great way to kickstart developing your own teaching file of images. 

This activity has been approved for CME and MOC points.

Access the Online Portfolio 

5. Pass a Comprehensive Skills and Knowledge Assessment

All previous requirements must be met before taking the final written and hands-on assessment. Opportunities to complete the final assessments are offered during the SHM Annual Conference and approved regional POCUS courses. Final assessments are also offered virtually if required. CME credit is not offered for the final assessment.

Please contact for information about the Assessment fee. This fee allows for two attempts of the written knowledge assessment and one attempt at the hands-on skills assessment. If additional attempts are needed, an additional fee of $300 will apply.

Participants are required to complete all 5 components of the COC program within 3 years.


Frequently Asked Questions

Who can achieve a Certificate of Completion?

The SHM-Chest Point-of-care Ultrasound Certificate of Completion program is designed for all healthcare providers interested in improving their bedside ultrasound skills. The program is geared primarily toward providers that care for acutely ill patients, including hospitalists, internal medicine or family medicine physicians, nurse practitioners and physician assistants.

For more information, contact SHM.

Can other courses count toward the Certificate of Completion?

If your goal is to obtain the SHM-CHEST Point-of-Care Ultrasound Certificate of Completion, then you should attend the courses listed above. These courses are taught by experienced SHM and Chest point-of-care ultrasound faculty and have undergone a detailed review of their curricular components, hands-on training experience, course evaluations, and faculty before inclusion in the COC program. Some learners may receive credit for courses previously attended (see “Is there an alternative pathway?” below), but we strongly discourage learners from actively registering for courses that are not listed above if their goal is to complete the COC.

Is there an alternative pathway?

Starting in January 2022, in lieu of Requirement 1 only, CME certificates from other live or virtual POCUS CME courses may be accepted if the CME course included:

  1. Mentored hands-on scanning practice with live models with a 3:1 or 2:1 (learner:faculty) ratio
  2. ≥24 hours AMA PRA category 1 CME credit
  3. Teaching multi-system POCUS applications (heart, lungs, abdomen, vasculature)

Only credit from accredited CME courses will be accepted, and a copy of an official CME certificate must be provided to receive credit. We cannot accept letters or emails from course directors, invoices or registration receipts, copies of the agenda, etc.. If you are an active POCUS user, have completed ≥24 hours of live POCUS CME, and would like to apply for the alternative pathway, please fill out this form. Please send inquiries to 

What are the image portfolio requirements?

Cardiac Images (20 studies with the following views per study)

  1. Parasternal long-axis view
  2. Parasternal short-axis view at the mid-ventricle/papillary level
  3. Apical four-chamber view
  4. Subcostal 4-chamber view
  5. Inferior vena cava longitudinal view

Lung & Pleural Images (5 studies with the following image views per study)

  1. Normal sliding with A-lines
  2. Consolidation (with high suspicion for pneumonia)
  3. Pleural effusion
  4. B-lines (minimum of 1 B-line)

Abdominal Images (5 studies with the following image views per study)

  1. Right kidney longitudinal view with hepatorenal recess
  2. Left kidney longitudinal view with splenorenal space
  3. Abdominal aorta transverse view
  4. Abdominal aorta longitudinal view
  5. Bladder transverse view
  6. Bladder longitudinal view
  7. Ascites in right or left lower quadrant

Lower extremity DVT Images (5 studies with the following views per study)
All images should be acquired in a transverse orientation and demonstrate compression at each level.

  1. Right common femoral vein
  2. Right common femoral vein – Greater saphenous vein junction
  3. Right femoral vein (superficial) – Deep femoral vein junction
  4. Right mid-/distal femoral vein (superficial)
  5. Right popliteal vein
  6. Left common femoral vein
  7. Left common femoral vein – Greater saphenous vein junction
  8. Left femoral vein (superficial) – Deep femoral vein junction
  9. Left mid-/distal femoral vein (superficial)
  10. Left popliteal vein

Skin & Soft Tissue Images (3 studies with the following image views per study)

  1. Normal skin and subcutaneous tissue (thigh or abdominal wall)
  2. Subcutaneous edema ("cobblestoning")

POCUS Steering Committee

The SHM POCUS Steering Committee is responsible for developing and maintaining the standards for the Certificate of Completion.

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Acquiring the skills and ability to apply POCUS within internal medicine is increasingly important, and there is no better opportunity to grow than learning from the comprehensive curriculum and expert clinicians involved in the SHM COC.

Thomas Robertson, MD

COC has been instrumental in not only initiating my journey to being a content expert, but also introduced me to world class faculty, network/collaborate with regional POCUS enthusiasts, teach POCUS at our residency program and pilot POCUS curriculum development at our organization. Additionally, for my department the certificate can be testament of my attendance in this rigorous curriculum.

Amteshwar Singh, MD, FACP

I finished the SHM Certificate of Completion to ensure I could be an independent POCUS educator in my institution. Since completion I have been promoted as a trainer, and I feel confident integrating POCUS into nearly every day of my practice.

Max Diddams