Ultrasound Training

Basic & Intermediate Ultrasound Training in Obstetrics & Gynaecology
 
The Royal College of Obstetricians and Gynaecologists (RCOG) has introduced a competency-based ultrasound training programme that forms a compulsory part of the curriculum for doctors undergoing specialty training in obstetrics and gynaecology. 
 
Basic Ultrasound Training
Basic Modules 1 & 2 are compulsory for all trainees in O&G. They are mandatory for progression from ST5 to ST6. In the future they will be mandatory for progression from ST2 to ST3.
 
Basic Module 1 is Basic Early Pregnancy Ultrasound (8-12 weeks)
Basic Module 2 is Basic Ultrasound Assessment of Fetal Size, Liquor & the Placenta
 
The components of Basic Ultrasound Training are:
·     Attendance at a recognised Theoretical Course – the West Midlands course is held annually in October. This is free to trainees in the region. This can be booked through Diane Carter
·     Introductory Simulation Session*– a hands on small group introductory session. This session can be booked with Diane Carter
·     Practical Hands On Training – this is undertaken in the local unit. Sessions should be arranged via the Local Ultrasound Educational Supervisor. All units should offer Basic Ultrasound Training.
·     3 competent OSATs for each aspect are required for confirmation of competency. The OSATs need to be assessed by at least 2 assessors
·    Sign off by Local Ultrasound Educational Supervisor
·    Documentation to be returned to Diane Carter to allow Certificates of Completion to be issued:
o   Certificate of attendance at Theoretical Course
o   All competent OSATs including Generic Technical Skills Assessment sheet for each OSAT
o   Basic Module Completion Form – sign off to be within 3 years of Theoretical Course
 
Intermediate Ultrasound Training
Intermediate Ultrasound Training is available for trainees on completion of Basic Training. There are 3 modules:
 
Module 3 Intermediate Ultrasound of Normal Fetal Anatomy
Module 4 Intermediate Ultrasound of Gynaecology
Module 5 Intermediate Ultrasound of Early Pregnancy Complications
 
Intermediate Ultrasound Training Modules are available around the region. They are awarded on a competitive basis as there are limited spaces. The selection criteria are based on:
 
·     Aptitude for scanning – evidence by support from the Local Ultrasound Educational Supervisor
·     Relevant for chosen career path – evidence by support from the Clinical Tutor
·     Satisfactory completion of Basic Ultrasound Modules 1 and 2
 
Application for Intermediate Ultrasound Training needs to be approved by the Deanery Ultrasound Coordinator. This can be achieved by submitting the relevant application form to Diane Carter by January for consideration for training places commencing in August. For any extraordinary training places the form can be submitted at any time in the year for consideration.
 
The components of Intermediate Ultrasound Training are:
·     Attendance at the relevant Theoretical Course. RCOG runs courses for intermediate ultrasound training.
·     Practical Hands On Training – this is undertaken in the local unit. Sessions should be arranged via the Local Ultrasound Educational Supervisor
·     3 competent OSATs for each aspect are required for confirmation of competency. The OSATs need to be assessed by at least 2 assessors
·    Sign off by Local Ultrasound Educational Supervisor
·    Submit paperwork to Diane Carter for sign off by Deanery Ultrasound Coordinator. Documentation required:
o   Certificate of attendance at Theoretical Course
o   All competent OSATs including Generic Technical Skills Assessment sheet for each OSAT
o   Intermediate Module Completion Form – sign off to be within 3 years of Theoretical Course
 
Simulator Training
For the Basic Modules the simulator sessions are available as an introductory session. These are currently held at South Campus, Birmingham City University.
 
The West Midlands School of Obstetrics & Gynaecology have procured a Medaphor Transvaginal Ultrasound Trainer for use by trainees in O&G in the West Midlands. The ultrasound trainer has self-directed training modules with assessment. Once trainees have reached the appropriate grade they will be issued with a certificate. Trainees can book sessions through Diane Carter. This is a haptic training model which needs to be treated with care.

In 2012 Medaphor will release a Transabdominal Ultrasound Trainer. The West Midlands School of Obstetrics & Gynaecology have set aside money to purchase one when it is released.
 
Curriculum Information
All forms & regulations for RCOG Ultrasound Training can be found in the curriculum section of the RCOG website www.rcog.org.uk. RCOG trainees have free trainee membership of the ISUOG website. This is a valuable training resource with a significant amount of educational material available. Details can be found on the RCOG website.