Basic Echocardiography Training

Basic Echocardiography Training and Certification

 

Basic Transthoracic echocardiography is defined within the intensive care curriculum as desirable for one year trainees and mandatory for those undertaking the full two year programme.

It is anticipated that over the next decade the JFICMI will develop its own centralised training structure for BCCE including didactics, courses and centralised administration and certification. For now the following routes to BCCE accreditation are available. Both should be completed within 12 months of starting.

 

1) JFICMI Approved Pathway in Local Training Site:

 

The JFICMI shall recognise Basic Critical Care Echo (BCCE) at defined training sites based on submission of their BCCE training programme to the JFICMI Irish Intensive Care Core Training Echocardiography & Ultrasound Committee (formerly known as the Irish PoCUS Committee).

Certification at such sites shall support the ability of a candidate to progress to advanced CCE training and accreditation. A list of sites with local recognised BCCE training pathways will be posted here when available.

The JFICMI Basic Critical Care Echo (BCCE) revision 2020 document outlines the prerequisites for trainees, mentors and supervisors together with the expected knowledge and skills essential to accreditation at this level. An approved logbook is available below.  In addition, a digital logbook such as the one available from sonoclipshare.com may be used concurrently. This free service would allow the uploading of anonymised images for review and comment by the candidates mentor or supervisor. 

JFICMI Suggested Echo Log Book

 

2) FUSIC Heart Pathway:

 

The JFICMI recognises the Focused UltraSound In Intensive Care (FUSIC) programme of the Intensive Care Society (ICS) and British Society of Echocardiography (BSE), and the echo committee of the JFICMI has published a list of Irish FUSIC mentors to assist candidates.

FUSIC Heart Accreditation

FUSIC Credentialing Pathway recognised by the JFICMI 

FUSIC Heart Mentors and Supervisors (this list is being updated currently. Please contact JFICMI if you would like your name added or removed)

Of note mentors and supervisors will be limited in the number of trainees they can take on. Some hospitals will have no registered FUSIC Heart mentor, JFICMI acknowledges this and it should be noted that some mentors are willing to travel to facilitate echo training. This is best discussed with the mentor/supervisor directly. It is important to note that mentors need to have an identified supervisor. At present the number of FUSIC registered supervisors in Ireland is small. Any trainees beginning the FUSIC heart process should discuss identifying a supervisor with their mentor at an early stage. The distinction in the role of the mentor and supervisor is discussed further in the FUSIC Heart documentation

A useful video summary of an Irish trainee’s perspective on completing FUSIC Heart is available below:

Advanced Echocardiography Accreditation

 

Completion of BCCE as defined above affords the trainee a route for application to higher professional training in echocardiography, such as the ESICM EDEC training programme. Whereas this would be desirable for any specialist embarking upon a career in intensive care medicine, it is not mandatory for completion of JFICMI approved training. However, it is recommended for those seeking to attain a higher level of echocardiography training and accreditation. JFICMI has not endorsed any particular advanced echocardiography accreditation and the information below is intended to help trainees and consultants decide. 

Below are a number of video interviews and written summaries of Irish trainees who have completed or in the process of completing some of the advanced or level 2 echocardiography accreditation processes. 

British Society of Echocardiography Advanced Critical Care Echo (BSE ACCE)

 

Link to full guidance

Timescale

  • 24 months to complete process

Studies Required

  • 250 comprehensive echocardiograms performed and reported
  • 5 detailed video cases to be submitted with all images and measurements

Examination

  • Two part written exam
    • Theory
    • Reporting
  • In person viva

Approximate Cost

  • 250 sterling for process
  • 70 sterling for BSE membership

 

European Association of Cardiovascular Imaging (EACVI)

Link to full guidance

Timescale

  • Logbook completed over a single 12 month period

Studies Required

  • 250 comprehensive echocardiograms performed and reported
  • 6 detailed video cases to be submitted with all images and measurements

Examination

  • Two parts
    • Theory
    • Reporting

Approximate Cost

  • €560 (less for ESC members)

 

European Diploma of EchoCardiography (EDEC)

Interview with Dr Jennifer Hastings on EDEC (pdf)

Link to full guidance

Timescale

  • 24 months to complete process

Studies Required

  • 100 TTE
  • 35 TOE

Examination

  • Two part written exam
    • Theory
    • Reporting
  • In person viva on mannequins
  • Attendance at mandatory ESICM courses

Approximate Cost

  • ESICM Member – €700
  • Non-ESICM Member – €1150

Other Training Opportunities:

Of note the Intensive Care Society UK (ICM) offers several ultrasound modalities within the FUSIC umbrella including lung and abdominal point of care ultrasound. This is not well established in Ireland as yet but JFICMI is trying to develop this and identify FUSIC mentors for the other modalities. The JFICMI stipulates use of ultrasound for vascular localisation as a required competence, often achieved within the primary specialty programme. 

Other excellent training opportunities exist such as Echo Guided Life Support (EGLS) and the JFICMI wishes to support these.

At times, the suite of echo and ultrasound courses available can be extensive and it can be difficult for the candidate to be certain of core training requirements vs excellent education and skill acquisition. The JFICMI would therefore refer you to the JFICMI Basic Critical Care Echocardiography (BCCE) 2020 document

Other documents

Echocardiography & Ultrasound Committee

Cardiac Echo and Critical Care Ultrasound Training Structure

Proposed fee structure for FUSIC Heart Mentor process