Applications can be submitted by course directors only.
There are two requirements for course accreditation:
1. A score of 12/12 points on non-negotiable parameters.
2. A minimum score of 5/7 points on negotiable parameters.
These scores equate to a passing mark of 89%. 

Applications are processed within 30 days.
Asterisk denotes answer required.

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* 1. Please enter the date of the application:

Date

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* 2. Please enter your name:

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* 3. Please identify your profession:

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* 4. Please complete the following course information:

Question 5 contains non-negotiable parameters.
A score of 12/12 points is required to achieve course accreditation and proceed to next question.

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* 5. As course director, please confirm that:
(12 points)

Questions 6-12 contain negotiable parameters.
A minimum score of 5/7 points is required to achieve course accreditation.

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* 6. Does your course provide reading material from a recognized source?
(1 point)

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* 7. For participants who are introductory course-negative, does your course include written materials covering relevant ultrasound physics, anatomy, and theory?
(1 point)

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* 8. For participants who are introductory course-negative, does your course include a minimum of 30 minutes of live or online lectures?
(1 point)

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* 9. For participants who are introductory course-positive, do you have a pre-course test (written and/or visual)?
(1 point)

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* 10. If participants are staff physicians, are CME credits available for your course?
(1 point)

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* 11. Are participant course evaluations collected at the end of the course and available for review for a period of five years?
(1 point)

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* 12. Do you have a method for managing/advising remedial training for participants who fail an exam?
(1 point)

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* 13. Please attach additional material (if applicable)
(Bonus 1 point)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 14. If you are applying for an AC CORE or FM CORE course, will participants include scans performed on an ultrasound simulator
towards the total number of scans required for their IP certification?

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