Development of a multisystem point of care ultrasound skills assessment checklist

Nilam J. Soni, Robert Nathanson, Mark Andreae, Rahul Khosla, Karthik Vadamalai, Karthik Kode, Jeremy S. Boyd, Charles M. LoPresti, Dana Resop, Zahir Basrai, Jason Williams, Brian Bales, Harald Sauthoff, Erin Wetherbee, Elizabeth K. Haro, Natalie Smith, Michael J. Mader, Jacqueline Pugh, Erin P. Finley, Christopher K. Schott

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Many institutions are training clinicians in point-of-care ultrasound (POCUS), but few POCUS skills checklists have been developed and validated. We developed a consensus-based multispecialty POCUS skills checklist with anchoring references for basic cardiac, lung, abdominal, and vascular ultrasound, and peripheral intravenous line (PIV) insertion. Methods: A POCUS expert panel of 14 physicians specializing in emergency, critical care, and internal/hospital medicine participated in a modified-Delphi approach to develop a basic POCUS skills checklist by group consensus. Three rounds of voting were conducted, and consensus was defined by ≥ 80% agreement. Items achieving < 80% consensus were discussed and considered for up to two additional rounds of voting. Results: Thirteen POCUS experts (93%) completed all three rounds of voting. Cardiac, lung, abdominal, and vascular ultrasound checklists included probe location and control, basic machine setup, image quality and optimization, and identification of anatomical structures. PIV insertion included additional items for needle tip tracking. During the first round of voting, 136 (82%) items achieved consensus, and after revision and revoting, an additional 21 items achieved consensus. A total of 153 (92%) items were included in the final checklist. Conclusions: We have developed a consensus-based, multispecialty POCUS checklist to evaluate skills in image acquisition and anatomy identification for basic cardiac, lung, abdominal, and vascular ultrasound, and PIV insertion.

Original languageEnglish (US)
Article number17
JournalUltrasound Journal
Issue number1
StatePublished - Dec 2022
Externally publishedYes


  • Checklist
  • Education
  • Point of care
  • Ultrasound

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging


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