Application for Introductory course accreditation Survey

Applications can be submitted by course directors only.
There are two requirements for course accreditation:
1. A score of 9/9 points on non-negotiable parameters.
2. A minimum score of 5/7 points on negotiable parameters.
These scores equate to a passing mark of 88%.

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

Question Title

* 1. Please enter the date of the application:

Select the date below:

Date

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* 2. Please enter your name:

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* 3. Please identify your profession:

Nursing professional

Paramedical

Resident

Medical student

Other (please specify)

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* 4. Please complete the following course information:

Course name:

Course date (start, end):

Course duration (hours):

Course location:

Question 5 contains non-negotiable parameters.
A score of 9/9 points is required to achieve course accreditation and proceed to next question.

Question Title

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

1. I am a CPoCUS Master Instructor in the track(s) relevant to instruction. To become a MI, please refer to the MI application form here.

2. I am a Certified member. Please ensure annual membership dues are paid here.

3. All my instructors are CPoCUS IP certified in the track(s) relevant to instruction and Certified members (access to examinations is only available to instructors who are both CPoCUS IP certified and Members). CPoCUS can check this for you.

4. All my participants will achieve at least 5 introductory supervised scans that can be determinate or indeterminate in each application covered in the course.

5. My instructors and I will encourage participants to become IP certified after completion of the Introductory course in a CPoCUS-approved format.

6. Before participants become IP certified, my instructors and I will instruct them to address negative scans as being indeterminate.

7. Before participants become IP certified, my instructors and I will instruct them to address positive scans by seeking confirmatory tests (if patient is stable) or immediate consultation (if patient is unstable).

8. I pledge to not distribute certification exams prior to examination.

9. I pledge to uphold CPoCUS values including rigorous standards of POCUS training.

10. (question removed)

The remaining 7 questions 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)

Yes

If selected Yes, please specify source and material

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* 7. Does your course include written materials covering relevant ultrasound physics, anatomy, and theory?
(1 point)

Yes

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* 8. Does your course include a minimum of 30 minutes of live or on-line lectures?
(1 point)

Yes

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* 9. Do your models/SPs have a variety of body habitus and age?
(1 point)

Yes

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* 10. Do you have pre- and post-course testing?
If yes, please attach pre- and post-course test at end of application.
(1 point)

Yes

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

Yes

If yes, please specify college

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

Yes

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

Please label your file with your full name

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

Choose File

Application for Introductory course accreditation

Question Title

* 1. Please enter the date of the application:

Question Title

* 2. Please enter your name:

Question Title

* 3. Please identify your profession:

Question Title

* 4. Please complete the following course information:

Question Title

* 5. As course director, please confirm that:(9 points)

Question Title

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

Question Title

* 7. Does your course include written materials covering relevant ultrasound physics, anatomy, and theory?(1 point)

Question Title

* 8. Does your course include a minimum of 30 minutes of live or on-line lectures?(1 point)

Question Title

* 9. Do your models/SPs have a variety of body habitus and age?(1 point)

Question Title

* 10. Do you have pre- and post-course testing? If yes, please attach pre- and post-course test at end of application.(1 point)

Question Title

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

Question Title

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

Question Title

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

Application for
Introductory course accreditation

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

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

* 7. Does your course include written materials covering relevant ultrasound physics, anatomy, and theory?
(1 point)

* 8. Does your course include a minimum of 30 minutes of live or on-line lectures?
(1 point)

* 9. Do your models/SPs have a variety of body habitus and age?
(1 point)

* 10. Do you have pre- and post-course testing?
If yes, please attach pre- and post-course test at end of application.
(1 point)

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

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

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