Obstetric and gynecologic ultrasound curriculum and competency assessment in residency training programs: consensus report

      Ultrasound imaging has become integral to the practice of obstetrics and gynecology. With increasing educational demands and limited hours in residency programs, dedicated time for training and achieving competency in ultrasound has diminished substantially. The American Institute of Ultrasound in Medicine assembled a multisociety task force to develop a consensus-based, standardized curriculum and competency assessment tools for obstetric and gynecologic ultrasound training in residency programs. The curriculum and competency assessment tools were developed based on existing national and international guidelines for the performance of obstetric and gynecologic ultrasound examinations and thus are intended to represent the minimum requirement for such training. By expert consensus, the curriculum was developed for each year of training, criteria for each competency assessment image were generated, the pass score was established at, or close to, 75% for each, and obtaining a set of 5 ultrasound images with pass score in each was deemed necessary for attaining each competency. Given the current lack of substantial data on competency assessment in ultrasound training, the task force expects that the criteria set forth in this document will evolve with time. The task force also encourages use of ultrasound simulation in residency training and expects that simulation will play a significant part in the curriculum and the competency assessment process. Incorporating this training curriculum and the competency assessment tools may promote consistency in training and competency assessment, thus enhancing the performance and diagnostic accuracy of ultrasound examination in obstetrics and gynecology.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • O’Keeffe D.F.
        • Abuhamad A.
        Obstetric ultrasound utilization in the United States: data from various health plans.
        Semin Perinatol. 2013; 37: 292-294
      1. Accreditation Council for Graduate Medical Education (ACGME). Obstetrics and gynecology case logs: national data report. Available at: Accessed Aug 18, 2017.

      2. American Institute of Ultrasound in Medicine. AIUM ultrasound practice accreditation. Available at: Accessed Aug. 18, 2017.

        • American Institute of Ultrasound in Medicine
        AIUM practice guideline for the performance of obstetric ultrasound examinations.
        J Ultrasound Med. 2013; 32: 1083-1101
        • American Institute of Ultrasound in Medicine
        AIUM practice guideline for the performance of ultrasound of the female pelvis.
        J Ultrasound Med. 2014; 33: 1122-1130
        • Salomon L.J.
        • Alfirevic Z.
        • Berghella V.
        • et al.
        Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan.
        Ultrasound Obstet Gynecol. 2011; 34: 116-126
        • Madsen M.E.
        • Konge L.
        • Norgaard L.N.
        • et al.
        Assessment of performance measures and learning curves for use of a virtual-reality ultrasound simulator in transvaginal ultrasound examination.
        Ultrasound Obstet Gynecol. 2014; 44: 693-699
        • Burden C.
        • Preshaw J.
        • White P.
        • Draycott T.J.
        • Grant S.
        • Fox R.
        Usability of virtual-reality simulation training in obstetric ultrasonography: a prospective cohort study.
        Ultrasound Obstet Gynecol. 2013; 42: 213-217
        • Chalouhi G.E.
        • Bernardi V.
        • Gueneuc A.
        • Houssin I.
        • Stirnemann J.J.
        • Ville Y.
        Evaluation of trainees’ ability to perform obstetrical ultrasound using simulation: challenges and opportunities.
        Am J Obstet Gynecol. 2016; 214: 525.e1-525.e8
      3. American Institute of Ultrasound in Medicine. AIUM official statement. As low as reasonably achievable (ALARA) principle. Laurel (MD); 2014. Available at: Accessed Aug. 13, 2017.

        • Timmerman D.
        • Van Calster B.
        • Testa A.
        • et al.
        Predicting the risk of malignancy in adnexal masses based on the simple rules from the International Ovarian Tumor Analysis group.
        Am J Obstet Gynecol. 2016; 214: 424-437
        • Lee W.
        • Hodges A.N.
        • Williams S.
        • Vettraino I.M.
        • McNie B.
        Fetal ultrasound training for obstetrics and gynecology residents.
        Obstet Gynecol. 2004; 103: 333-338
        • Van den Bosch T.
        • Dueholm M.
        • Leone F.P.
        • et al.
        Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group.
        Ultrasound Obstet Gynecol. 2015; 46: 284-298