Application forIP certification course accreditation Survey

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 (Section A).
2. A minimum score of 5/7 points on negotiable parameters (Section B).
These scores equate to a passing mark of 89%.

Course directors can apply to use simulators for certification scanning (Section C).
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

Question Title

* 2. Please enter your name:

Question Title

* 3. Please identify your profession:

Nursing professional

Paramedical

Resident

Medical student

Other (please specify)

Question Title

* 4. Please complete the following course information:

Course name:

Course date (start, end):

Course duration (hours):

Course location:

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

Question Title

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

1. I am a CPoCUS Master Instructor in the track(s) relevant to the course. 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. For RESUS, RESUS TEE, DIAG, MSK, or Internal Medicine courses, all my instructors are Track Instructors in the track relevant to instruction. CPoCUS can check this for you.

4. All my model/SPs will have a variety of body habitus and age, and be representative of patients encountered in clinical practice.

5. For participants that are introductory course-negative, they will achieve at least 5 introductory scans that can be determinate or indeterminate in each application covered in the course.

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. All participants will achieve or exceed the CPoCUS number of required determinate scans per application. Every POCUS scan being counted for certification will be supervised by an instructor one-on-one for the ENTIRETY of the scan.

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

10. I pledge to conduct Written, Visual, and Practical exams in a manner that meets or exceeds the rigour of the CPoCUS exams.

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

12. I have reviewed the CFPC ethical guidelines for speakers of Mainpro+ certified programs (English guidelines or French guidelines).

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

Question Title

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

Yes

If selected Yes, please specify source and material

Question Title

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

Yes

Question Title

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

Yes

Question Title

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

Yes

Question Title

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

Yes

If selected Yes, please specify college.

Question Title

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

Yes

Question Title

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

Yes

Section C
Questions 13-18 relate to the use of simulators for CORE certification scanning.
These questions do not accrue points.

Question Title

* 13. Will you be using simulators in your course? If no, proceed to Question 19.

Yes

Question Title

* 14. Do you agree to read and abide by the CPoCUS guidelines for scans performed on an ultrasound simulator?
(View guidelines on the website or here)

Yes

Question Title

* 15. Will scans performed on an ultrasound simulator count towards the total number of scans required for IP certification?

Yes

Question Title

* 16. Please indicate the individual number of scans performed on a simulator per CORE module per IP candidate.

Subxiphoid cardiac:
Number of simulated scans allowed=

Aorta:
Number of simulated scans allowed=

Abdomen-Upper quadrant:
Number of simulated scans allowed=

Abdomen-Pelvis:
Number of simulated scans allowed=

First trimester obstetrics-Abdominal:
Number of simulated scans allowed=

First trimester obstetrics-Transvaginal:
Number of simulated scans allowed=

Pleural effusion:
Number of simulated scans allowed=

Pneumothorax:
Number of simulated scans allowed=

Question Title

* 17. What is the make and model of the simulator(s) that the IP candidate will use?

Question Title

* 18. Does the simulator have the ability to simulate more than one ultrasound image? i.e. can the simulator demonstrate multiple pathologies or multiple normal variants?

Yes

If yes, how many different simulated images can be demonstrated on the ultrasound simulator?
(Note: CPoCUS does not permit scanning the same static simulator image multiple times).

Question Title

* 19. 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 forIP certification 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:(12 points)

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 11. 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

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

Question Title

* 13. Will you be using simulators in your course? If no, proceed to Question 19.

Question Title

* 14. Do you agree to read and abide by the CPoCUS guidelines for scans performed on an ultrasound simulator? (View guidelines on the website or here)

Question Title

* 15. Will scans performed on an ultrasound simulator count towards the total number of scans required for IP certification?

Question Title

* 16. Please indicate the individual number of scans performed on a simulator per CORE module per IP candidate.

Question Title

* 17. What is the make and model of the simulator(s) that the IP candidate will use?

Question Title

* 18. Does the simulator have the ability to simulate more than one ultrasound image? i.e. can the simulator demonstrate multiple pathologies or multiple normal variants?

Question Title

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

Application for
IP certification course accreditation

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

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

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

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

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

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

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

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

* 14. Do you agree to read and abide by the CPoCUS guidelines for scans performed on an ultrasound simulator?
(View guidelines on the website or here)

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