ASUM Certificate in Clinician Performed Ultrasound (ASUM-CCPU)

The ASUM Certificate in Clinician Performed Ultrasound (ASUM-CCPU) is a credential awarded by the ASUM Board to medical practitioners who are not imaging specialists but who may use ultrasound as a diagnostic tool at the point of care. The ASUM-CCPU represents a level of proficiency in image acquisition, optimisation and ultrasound skills relevant to the specialty medical area.

The ASUM-CCPU is a professional credential issued by the Australasian Society for Ultrasound in Medicine. It is not an AQF qualification and is not nationally recognised training under the Australian VET system.

ASUM education programs are professional development credentials designed for clinicians and allied health professionals.

These programs are not accredited under the Australian Qualifications Framework (AQF), are not nationally recognised training in the Australian Vocational Education and Training (VET) system and are not delivered or awarded by a Registered Training Organisation (RTO).

Admission

How to Apply for ASUM-CCPU Enrolment

To apply, complete the ASUM-CCPU Enrolment Application Form and pay the prescribed fee.

Required Documents

Include the following with your application:

Proof of identity — ID Verification is completed through an external third party; you will receive instructions on how to do this at the time of enrolment. Do not email copies of your ID to the ASUM office.
Proof of registration — AHPRA Registration (Australia) or MCNZ Registration (New Zealand).
Primary Supervisor Declaration Form

Incomplete applications will not be considered. ASUM reserves the right to refuse or return any application that does not meet these requirements.

Recognition of Prior Learning (RPL)

If you have already completed any components of the ASUM-CCPU pathway — such as the accredited course, logbooks, or assessments — you must declare these at the time of application. Visit the RPL page for resources and information on how to apply.

Enrolment Validity

ASUM-CCPU enrolment is valid for three (3) years from the date of enrolment.

Supervision

Supervision Requirements for the ASUM-CCPU

A designated Primary Supervisor is mandatory to complete the ASUM-CCPU. Every scan must be performed under the supervision of either the Primary Supervisor or a delegated Associate Supervisor.

Candidates are expected to begin under direct supervision and progress to indirect supervision once they have demonstrated a safe level of proficiency in performing and interpreting scans.

Supervisor Roles and Responsibilities

Primary Supervisors

Criteria are specified within each Unit.
May delegate supervision responsibilities to an Associate Supervisor.
Must complete and submit the Primary Supervisor nomination form.
Must sign off the candidate’s logbook.
ASUM must be notified promptly of any changes to the nominated Primary Supervisor (e.g. workplace changes or unit selection).

Associate Supervisors

Must meet the same criteria as the Primary Supervisor for the relevant Unit.
Must hold current registration with AHPRA or MCNZ.

Note: All nominees for both Primary and Associate Supervisor must hold current registration with AHPRA or MCNZ.

Patient Safety and Legal Obligations

Patient safety must be the primary consideration when determining whether direct or indirect supervision is appropriate at any stage of training.

Supervisors are also reminded of their obligations under the Australian Health Practitioner Regulation National Law, which requires practitioners, employers, and education providers to report notifiable conduct to AHPRA. Notifiable conduct is defined in section 140 of the National Law and must be reported to protect the public from harm.

Course Fees and Charges

ASUM-CCPU Course Fees

Please click here for more information on fees

The ASUM-CCPU Pathway

ASUM-CCPU ENROLMENT AND SUBMISSION PATHWAY

ASUM-CCPU Units

AAA

Purpose	This unit is designed to cover the theoretical and practical curriculum for Abdominal Aortic Aneurysm
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to demonstrate: Effective performance and interpretation of ultrasound in AAA An understanding of the implications of the measurement of the abdominal aorta in the clinical setting An understanding of the limitations of ultrasound of the abdominal aorta
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months. A current CCPU RCE holder can supervise the FELS unit of study. A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Acute Scrotum

Purpose	This unit is designed to cover the theoretical and practical curriculum for Abdominal Aortic Aneurysm
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to demonstrate: Demonstrate detailed understanding of the gross anatomical structure and surface anatomy of the relevant organ systems and the anatomical relationship to surrounding organs and structures. Attain proficiency in image optimisation in order to enable appropriate diagnosis Demonstrate optimisation and limitations of colour Doppler Diagnose an ischaemic testis Diagnose epididymoorchitis
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Advanced Early Pregnancy

Purpose	This unit is designed to cover the theoretical and practical curriculum for advanced early pregnancy ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this unit learners should be able to demonstrate: Effective performance and interpretation of anatomical structure of the female pelvis, and cyclic changes observed during reproductive life. Attain proficiency in image optimisation of the following in order to enable appropriate diagnosis: Cervix Uterus Fallopian tube (often not visible on ultrasound unless abnormal) Ovaries Endometrium Gestational sac Fetus: Placenta Normal versus abnormal appearance in first trimester eg. Molar pregnancy Diagnose an early intrauterine pregnancy and be able to establish its gestational age Determine whether or not an early pregnancy is viable Write a structured report or complete proforma report for early pregnancy assessment
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Basic Early Pregnancy

Purpose	This unit is designed to cover the theoretical and practical curriculum for Basic Early Pregnancy Ultrasound
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completion of the course learners should be able to: Demonstrate an understanding of the relevant anatomy and organ systems Demonstrate the ability to effectively perform early pregnancy imaging Confirm intrauterine pregnancy Confirm viability of pregnancy Identify and assess pelvic free fluid and clot, bleeding/haemorrhage Understand the limitations of ultrasound of organ system in diagnosis of early pregnancy problems Write a structured report or complete proforma report for early pregnancy assessment Have the clinical knowledge and ultrasound skill to be able to make appropriate management decision according to the clinical situation Understand the requirement for urgent formal scan and senior medical input in certain settings
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Basic Gynea

Purpose	This unit is designed to cover the theoretical and practical curriculum for Basic Gynaecology ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to demonstrate: Demonstrate detailed understanding of the gross anatomical structure and surface anatomy of the relevant organ systems and the anatomical relationship to surrounding organs and structures. Produce optimised images of relevant pelvic organs Demonstrate normal uterine, endometrial and ovarian appearances in reproductive life and post menopause Recognise uterine, endometrial ovarian abnormalities Attain proficiency in image optimisation in order to enable appropriate diagnosis Recognise sonographic features that may be associated with significant acute pathology Understand limitations and pitfalls of basic gynaecological ultrasoundNote that early pregnancy ultrasound requirements are also described in the units Basic and Advanced Early pregnancy. These units may be undertaken concurrently (see logbook requirements)
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Basic Monitoring of the Fetus

Purpose	This unit is designed to cover the theoretical and practical curriculum for monitoring the fetus in the 2nd and 3rd trimesters of pregnancy.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to demonstrate: Recognise normal fetal anatomy and demonstrate a detailed understanding of the gross anatomical structure and surface anatomy of the relevant organ systems. Attain proficiency in image optimisation in order to enable appropriate diagnosis Demonstrate 3rd trimester biophysical profile (a detailed assessment of fetal structure or accurate biometry/EFW is not expected). Understand how biometry is done and EFW calculated (a detailed assessment of fetal structure or accurate biometry/EFW is not expected)
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Basic Soft Tissue

Purpose	This unit is designed to cover the theoretical and practical curriculum for Basic Soft Tissue Ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to demonstrate: Demonstrate an understanding of the relevant anatomy Demonstrate the ability to effectively perform basic soft tissue imaging Identify relevant muscles and tendons Demonstrate muscle contraction and relaxation Identify and assess soft tissue infection including abscesses Identify and assess soft tissue injuries including haematomas, muscle injuries, major ligament injuries and major tendon tears Identify ultrasound evidence suggesting fracture of bones Identify foreign bodies Understand the limitations of ultrasound in diagnosis soft tissue injuries Write a structured report or complete proforma report for soft tissue assessment Have the clinical knowledge and ultrasound skill to be able to make appropriate management decisions according to the clinical situation Understand the requirement for comprehensive scan and expert input in certain settings
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Billary

Purpose	This unit is designed to cover the theoretical and practical curriculum for basic ultrasound of the biliary system.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Demonstrate a detailed understanding of the gross anatomical structure and surface anatomy of the relevant organ systems and the anatomical relationship to surrounding organs and structures. Attain proficiency in image optimisation in order to enable appropriate diagnosis. Optimisation of colour and spectral Doppler Limitations of colour Doppler Identify abnormal gallbladder wall Identify gallstones Identify obstructed biliary tree
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Upper Limb Peripheral Nerve Blocks

Purpose	Ultrasound guidance for regional anaesthesia targeting nerves from the forearm to supracondylar region. Cover principles of ultrasound guided regional blocks in the Emergency Department, ICU or Operating Theatres for limb analgesia and anaesthesia. Upper limb nerve blocks include: Median nerve block Ulnar nerve block Radial nerve block
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Relate CCPU Upper Limb Peripheral Nerve Blocks to peer-reviewed literature and published protocols or standards of practice. Neurological examination before and after the procedure and its documentation. Knowledge of the pharmacology of common local anaesthetic drugs, for example, ropivacaine, bupivacaine and lidocaine. Toxic doses, onset and duration of action. Awareness that local anaesthetics are often available in multiple concentrations. Knowledge of new and emerging medications. Knowledge of local anaesthetic toxicity (LAST). Signs, symptoms, and treatment algorithms of LAST. Indications and contraindications to the use of the local anaesthetic. Local guidelines inform decision-making related to nerve block techniques. Discussion of these local guidelines and impact on admitting services, for example, Orthopaedic and Trauma. In case of admission to the hospital follow-up planning (Acute Pain Service consultation) for ongoing analgesia. Follow-up after catheter insertion, typically admitting team and Acute Pain Service. On discharge: relevant and appropriate discharge instructions and precautions. Demonstrate competency in ultrasound-guided regional anaesthesia of the upper limb. Describe the limitations of ultrasound in assessing the upper limb. Demonstrate appropriate ongoing patient management as a result of ultrasound findings and interventions in conjunction with other clinical information. Document ultrasound findings in the patient’s clinical record to facilitate continuity of care. Document ultrasound-guided regional anaesthesia procedure. Understand ultrasound technique and physical principles of peripheral nerve blocks Proficiency in image optimisation to enable appropriate procedural guidance. Understand ultrasound anatomy, surface anatomy and common variants including relationships to adjacent structures. Develop ultrasound needle finding and guidance skills in-plane and out-of-plane.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Distal Brachial Plexus Block

Purpose	Demonstrate skill in obtaining appropriate ultrasound images/clips and needle guidance for Distal Brachial Plexus Block: Infraclavicular / Axillary. This module addresses the indications, approach, technique and specific risks related to proximal brachial plexus blocks. Brachial plexus blocks are separated into proximal and distal based on their relationship to the clavicle and the increased risk of complications related to proximal brachial plexus blocks. There is a separate Proximal Brachial Plexus Block CCPU. As the state of the art of regional anaesthesia develops and matures blocks and approaches may be integrated as appropriate for example the RAPTIR (retroclavicular approach to the infraclavicular region). It also covers the principles of using ultrasound to guide other regional blocks and Catheter insertion in the Emergency Department, ICU or Operating theatres for upper limb analgesia and anaesthesia.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Neurological examination before and after the procedure and its documentation. Knowledge of the pharmacology of common local anaesthetic drugs, for example, ropivacaine, bupivacaine and lidocaine. Toxic doses, onset and duration of action. Awareness that local anaesthetics are often available in multiple concentrations. Knowledge of new and emerging medications. Knowledge of local anaesthetic toxicity (LAST). Signs, symptoms, and treatment algorithms of LAST. Indications and contraindications to the use of the local anaesthetic. Local guidelines inform decision-making related to nerve block techniques. Discussion of these local guidelines and impact on admitting services, for example, Orthopaedic and Trauma. In case of admission to the hospital follow-up planning (Acute Pain Service consultation) for ongoing analgesia. Follow-up after catheter insertion, typically admitting team and Acute Pain Service. On discharge: relevant and appropriate discharge instructions and precautions. Relate CCPU Distal Brachial Plexus Peripheral Nerve Blocks to peer-reviewed literature and relevant published protocols or standards of practice. Demonstrate competency in ultrasound-guided regional anaesthesia. Describe the limitations of ultrasound in assessing distal brachial plexus blocks. Demonstrate appropriate ongoing patient management as a result of ultrasound findings and interventions in conjunction with other clinical information. Document ultrasound-guided regional anaesthesia procedure. Document ultrasound findings in the patient’s clinical record to facilitate continuity of care. Address the impact of coagulation status and anticoagulation medications. Identification and management to address (include and are not limited to): Cardiovascular collapse Seizures Hypotension Allergic reaction Ventilatory impairment Impaired consciousness Haematoma Infection Abscess Failed / incomplete block Nerve damage
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Erector Spinae Plane Block

Purpose	Purpose Deliver ultrasound-guided Erector Spinae Plane Block for regional anaesthesia to block the anterior and posterior branches of the spinal nerves for multi-dermatomal analgesia. Cover principles of ultrasound-guided regional blocks in the Emergency Department, ICU or Operating Theatres for limb analgesia and anaesthesia. This unit addresses theoretical and practical curriculum of ultrasound-guided erector spinae plane block. It also covers the principles of using ultrasound to guide other regional blocks and Catheter insertion for analgesia and anaesthesia.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe clinical questions related to the CCPU Erector Spinae Plane Block addressed using focused point-of-care ultrasound scanning. Appreciates peer-reviewed literature, published protocols and standards of practice. Demonstrate technical (sonographic) ability to acquire satisfactory ultrasound views guiding regional anaesthesia. Describe limitations of ultrasound in assessing the Erector Spinae. Describe and document examination, indication, procedure, disposition and follow-up related to regional anaesthesia. Describe indications, contraindications, and limitations of Erector Spinae Plane Block. Understands anatomy and common variations of related structures and surface anatomy.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Fascia Iliaci and Femoral Nerve Blocks

Purpose	Demonstrate skill in obtaining appropriate ultrasound images/clips and needle guidance for Distal Brachial Plexus Block: Infraclavicular / Axillary. This module addresses the indications, approach, technique and specific risks related to proximal brachial plexus blocks. Brachial plexus blocks are separated into proximal and distal based on their relationship to the clavicle and the increased risk of complications related to proximal brachial plexus blocks. There is a separate Proximal Brachial Plexus Block CCPU. As the state of the art of regional anaesthesia develops and matures blocks and approaches may be integrated as appropriate for example the RAPTIR (retroclavicular approach to the infraclavicular region). It also covers the principles of using ultrasound to guide other regional blocks and Catheter insertion in the Emergency Department, ICU or Operating theatres for upper limb analgesia and anaesthesia.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Neurological examination before and after the procedure and its documentation. Knowledge of the pharmacology of common local anaesthetic drugs, for example, ropivacaine, bupivacaine and lidocaine. Toxic doses, onset and duration of action. Awareness that local anaesthetics are often available in multiple concentrations. Knowledge of new and emerging medications. Knowledge of local anaesthetic toxicity (LAST). Signs, symptoms, and treatment algorithms of LAST. Indications and contraindications to the use of the local anaesthetic Local guidelines inform decision-making related to nerve block techniques. Discussion of these local guidelines and impact on admitting services, for example, Orthopaedic and Trauma. In case of admission to the hospital follow-up planning (Acute Pain Service consultation) for ongoing analgesia. Follow-up after catheter insertion, typically admitting team and Acute Pain Service. On discharge: relevant and appropriate discharge instructions and precautions. Relate CCPU Distal Brachial Plexus Peripheral Nerve Blocks to peer-reviewed literature and relevant published protocols or standards of practice. Demonstrate competency in ultrasound-guided regional anaesthesia. Describe the limitations of ultrasound in assessing distal brachial plexus blocks. Demonstrate appropriate ongoing patient management as a result of ultrasound findings and interventions in conjunction with other clinical information. Document ultrasound-guided regional anaesthesia procedure. Document ultrasound findings in the patient’s clinical record to facilitate continuity of care. Address the impact of coagulation status and anticoagulation medications. Identification and management to address (include and are not limited to): Cardiovascular collapse Seizures Hypotension Allergic reaction Ventilatory impairment Impaired consciousness Haematoma Infection Abscess Failed / incomplete block Nerve damage
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Paravertebral Block

Purpose	Demonstrate skill obtaining appropriate ultrasound images/clips and needle guidance for Paravertebral Block. This module addresses the indications, approach, technique and specific risks related to paravertebral blocks. It also covers the principles of using ultrasound to guide other regional blocks and Catheter insertion in the Emergency Department, ICU or Operating theatres for upper limb analgesia and anaesthesia.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Knowledge of the pharmacology of common local anaesthetic drugs, for example, ropivacaine, bupivacaine and lidocaine. Toxic doses, onset and duration of action. Awareness that local anaesthetics are often available in multiple concentrations. Knowledge of new and emerging medications. Knowledge of local anaesthetic toxicity (LAST). Signs, symptoms, and treatment algorithms of LAST. Indications and contraindications to the use of the local anaesthetic. Local guidelines inform decision-making related to nerve block techniques. Discussion of these local guidelines and impact on admitting services, for example, Orthopaedic and Trauma. In case of admission to the hospital follow-up planning (Acute Pain Service consultation) for ongoing analgesia. Follow-up after catheter insertion, typically admitting team and Acute Pain Service. On discharge: relevant and appropriate discharge instructions and precautions. Demonstrate competency in ultrasound-guided regional anaesthesia. Describe the limitations of ultrasound in assessing proximal brachial plexus blocks. Demonstrate appropriate ongoing patient management as a result of ultrasound findings and interventions in conjunction with other clinical information. Document ultrasound-guided regional anaesthesia procedure. Document ultrasound findings in the patient’s clinical record to facilitate continuity of care. Address the impact of coagulation status and anticoagulation medications. Identification and management to address (include and are not limited to): Cardiovascular collapse Seizures Hypotension Allergic reaction Ventilatory impairment Impaired consciousness Haematoma Infection Abscess Failed / incomplete block Nerve damage
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Proximal Brachial Plexus Block

Purpose	Demonstrate skill obtaining appropriate ultrasound images/clips and needle guidance for Brachial Plexus Block: Supraclavicular / Interscalene. This module addresses the indications, approach, technique and specific risks related to proximal brachial plexus blocks. Brachial plexus blocks are separated into proximal and distal based on their relationship to the clavicle and the increased risk of complication related to proximal brachial plexus blocks. There is a separate Distal Brachial Plexus Block CCPU. It also covers the principles of using ultrasound to guide other regional blocks and Catheter insertion in the Emergency Department, ICU or Operating theatres for upper limb analgesia and anaesthesia.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Relate CCPU Proximal Brachial Plexus Nerve Blocks to peer-reviewed literature and relevant published protocols or standards of practice. Neurological examination before and after the procedure and its documentation. Knowledge of the pharmacology of common local anaesthetic drugs, for example, ropivacaine, bupivacaine and lidocaine. Toxic doses, onset and duration of action. Awareness that local anaesthetics are often available in multiple concentrations. Knowledge of new and emerging medications. Knowledge of local anaesthetic toxicity (LAST). Signs, symptoms, and treatment algorithms of LAST. Indications and contraindications to the use of the local anaesthetic. Local guidelines inform decision-making related to nerve block techniques. Discussion of these local guidelines and impact on admitting services, for example, Orthopaedic and Trauma. In case of admission to the hospital follow-up planning (Acute Pain Service consultation) for ongoing analgesia. Follow-up after catheter insertion, typically admitting team and Acute Pain Service. On discharge: relevant and appropriate discharge instructions and precautions. Demonstrate competency in ultrasound-guided regional anaesthesia. Describe the limitations of ultrasound in assessing proximal brachial plexus blocks. Demonstrate appropriate ongoing patient management as a result of ultrasound findings and interventions in conjunction with other clinical information. Document ultrasound-guided regional anaesthesia procedure. Document ultrasound findings in the patient’s clinical record to facilitate continuity of care. Address the impact of coagulation status and anticoagulation medications. Identification and management to address (include and are not limited to): Cardiovascular collapse Seizures Hypotension Allergic reaction Ventilatory impairment Impaired consciousness Haematoma Infection Abscess Failed / incomplete block Nerve damage
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Blocks - Serratus Anterior Plane Block

Purpose	Demonstrate skill in obtaining appropriate ultrasound images/clips and needle guidance for Serratus anterior block. This module addresses the indications, approach, technique and specific risks related to Serratus anterior blocks. It also covers the principles of using ultrasound to guide other regional blocks and Catheter insertion in the Emergency Department, ICU or Operating theatres for upper limb analgesia and anaesthesia
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Relate Serratus anterior block CCPU to peer-reviewed literature and relevant published protocols or standards of practice. Consider development of related regional anaesthesia techniques for example the Erector Spinae block. Demonstrate the technical (sonographic) ability to acquire satisfactory ultrasound images to guide regional anaesthesia and avoid complications. Describe the limitations of ultrasound in Serratus Anterior plane block. Develop appropriate ongoing patient management as a result ultrasound-guided regional anaesthesia conjunction with other clinical information. Describe and document the ultrasound procedure in the clinical record to facilitate continuity of care. Identification and management to address complications (include and are not limited to): Cardiovascular collapse Seizures Hypotension Allergic reaction Ventilatory impairment Impaired consciousness Haematoma Infection Abscess Failed block Nerve damage Pneumothorax
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Breast

Purpose	The candidate demonstrates skill in obtaining valid and efficient ultrasound data and correlating the ultrasound data with other clinical and diagnostic information, in the assessment of the breast to answer the specific clinical question. The candidate can recognise when the findings are positive, negative or equivocal and use this assessment to enhance the clinical management of the patient.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe the clinical questions, related to diseases of the breast, which may typically be addressed using focussed point of care ultrasound (PoCUS) scanning, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice such as the ASUM Statement on Breast Ultrasound Examination and Reporting. Describe the changes in breast structure, and the resultant variations in ultrasound appearances, that occur chronologically with age, menstrual cycle, pregnancy and lactation. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination of the breast and related tissues, such as the axillary contents, which is suitable to answer the clinical question, including any applicable measurements. Describe the diagnostic criteria, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice, for ultrasound findings which would support a positive, negative or equivocal diagnosis. Describe the role of ultrasound in the “triple assessment” of breast lesions in the context of a possible breast cancer diagnosis. Describe the structural and anatomical changes that may result from previous treatments such as surgery or radiation therapy, and the consequent changes in ultrasound appearances. Describe the limitations of ultrasound in assessing the breast and related tissues in a PoCUS context. demonstrate competency in performance of diagnostic interventional techniques including FNAB and/or core biopsies. Demonstrate appropriate application of needle aspiration techniques in the management of seromas and drainage of breast abscesses. Understand techniques involved in intra-operative ultrasound guided excision of impalpable breast lesions. Demonstrate the ability to interpret the ultrasound data to determine if the findings support a positive, negative or equivocal answer to the specific clinical question. Demonstrate the ability to determine the appropriate on-going patient management as a result of the ultrasound findings, in conjunction with other clinical information. Demonstrate the ability to describe and adequately document the ultrasound findings in the patient’s clinical record in such a way as to facilitate satisfactory continuity of care of the patient.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

EFAST

Purpose	This unit is designed to cover the theoretical and practical curriculum for E-FAST ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Demonstrate an understanding of the appropriate anatomy, physiology and pathology. Effectively perform and interpret E-FAST ultrasound. Understand the limitations of ultrasound of the chest in trauma Understand the limitations of ultrasound of the abdomen in trauma.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

FELS

Purpose	This unit is designed to cover the theoretical and practical curriculum for Focused Echocardiography in Life Support.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Normal heart and IVC appearance, including IVC collapsibility, pericardial fluid and chamber collapse Learners will be able to identify and discuss: Sonographic signs of pericardial effusion Sonographic signs of cardiogenic shock Sonographic signs of massive pulmonary embolism Sonographic signs of sepsis and hypovolemia The role of echo in cardiac arrest and its integration into ALS protocols Learners will be able to demonstrate the ability to interpret ultrasound in the following settings: Echocardiography in the shocked or arrested patient Fluid volume estimate in the shocked patient Learners will be able to demonstrate the following skills: 2-dimensional (B mode) Image acquisition: Imaging the heart in parasternal long, parasternal short, apical 4 chamber and subcostal views. Imaging IVC in longitudinal and transverse planes and assess IVC size and collapsibility Image interpretation: Qualitative assessment of IVC, LV/RV size, LV contractility and volume status o Recognition of cardinal ultrasound findings in shock / arrest. Clinical correlation: Integration of clinical picture and FELS findings The role of FELS in guiding ongoing resuscitation
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR) A Fellow of the Royal Australasian College of Physicians (Cardiology) (FRACP) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Follicle Tracking

Purpose	This unit is designed to cover the theoretical and practical curriculum for the use of ultrasound for follicle tracking.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Demonstrate a detailed understanding of the anatomical structure of the female pelvis, and cyclic changes observed during reproductive life. In particular the assessment of follicles within each ovary. Attain proficiency in image optimisation of the following in order to enable appropriate diagnosis: Cervix Uterus Fallopian tube (often not visible on ultrasound unless abnormal) Ovaries/follicles Endometrium Normal versus abnormal appearances of the ovaries and endometrium
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Interventional Endocrine

Purpose	To develop skill in obtaining valid and efficient ultrasound data of the thyroid, and in correlating findings with clinical and diagnostic information to answer specific clinical questions. Participants will learn to recognise positive, negative, and equivocal findings, and apply this assessment to enhance patient clinical management.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe the clinical questions, related to diseases of the thyroid, which may typically be addressed using focussed point of care ultrasound (PoCUS) scanning, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination of the thyroid, parathyroid and related tissues, such as the structures of the neck, which is suitable to answer the clinical question, including any applicable measurements. Demonstrate competency in performing ultrasound directed interventional procedures. Describe the diagnostic criteria, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice, for ultrasound findings which would support a positive, negative or equivocal diagnosis. Describe the structural and anatomical changes that may result from previous treatments such as surgery, and the consequent changes in ultrasound appearances. Describe the limitations of ultrasound in assessing the thyroid, parathyroid and related tissues in a PoCUS context. Understand the requirement for monitoring of personal performance outcomes, particularly in regard to interventional procedures including non-diagnostic biopsy outcomes and complications such as infection and haematoma rates. Demonstrate an understanding of the limitations of ultrasound imaging and of the importance of appreciating individual self-limitations depending on the practitioner’s level of experience and expertise and knowing when to seek assistance or advice. Demonstrate the ability to interpret the ultrasound data to determine if the findings support a positive, negative or equivocal answer to the specific clinical question. Demonstrate knowledge of the TI-RADS criteria for thyroid nodules Demonstrate the ability to determine the appropriate on-going patient management as a result of the ultrasound findings, in conjunction with other clinical information. Demonstrate the ability to describe and adequately document the ultrasound findings in the patient’s clinical record in such a way as to facilitate satisfactory continuity of care of the patient. Ultrasound Directed Interventional Procedures: Demonstrate competency in performance of diagnostic interventional techniques particularly FNAB. Understand the limited role of core biopsy in the evaluation of specific subtypes of thyroid guidelines Demonstrate competency in the identification and biopsy of pathologic lymph nodes. o Understand the role of thyroglobulin assay in the assessment of suspicious lymphadenopathy in the context of a previous thyroid cancer diagnosis. Be aware of the role of peri- and intraoperative ultrasound as an adjunct in the surgical exploration for difficult hyperparathyroidism cases and in the performance of minimal invasive parathyroidectomy. Understand the role of percutaneous biopsy in the management of parathyroid lesions and the use of PTH needle washout assays in this setting.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Lower Extremity Venous

Purpose	To develop and apply skill in obtaining valid and efficient ultrasound images, clips, and data for the assessment of lower extremity veins and venous disease. Participants will learn to identify positive, negative, and equivocal findings and use these findings to answer specific clinical questions and enhance the clinical management of the patient.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe the clinical questions, related to the venous system which may typically be addressed using focussed point of care ultrasound scanning, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination which is suitable to answer the clinical question, including any applicable measurements. Demonstrate knowledge of the modes of ultrasound imaging used in the phlebology setting including real-time B-mode, colour Doppler, power Doppler and spectral Doppler imaging. Describe the diagnostic criteria, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice, for ultrasound findings which would support a positive, negative or equivocal diagnosis. Describe the limitations of ultrasound in assessing the venous system in a PoCUS context. Demonstrate the ability to interpret the ultrasound data to determine if the findings support a positive, negative or equivocal answer to the specific clinical question. Demonstrate the ability to determine the appropriate on-going patient management as a result of the ultrasound findings in conjunction with other clinical information. Demonstrate the ability to describe and adequately document the ultrasound findings in the patient’s clinical record in such a way as to facilitate satisfactory continuity of care of the patient. Compare and contrast the spectrum of ultrasound appearances in acute versus chronic deep vein thrombosis. Compare and contrast the spectrum of ultrasound appearances of deep vein sclerosis Vs deep vein thrombosis. Describe normal spectral Doppler waveforms encountered at different sites within the venous system Discuss the spectrum of causes of non-truncal varicose veins and the ultrasound methods of their assessment. Recognise the ultrasound features of venous, lymphatic and arterio-venous malformations. Recognise the ultrasound features of venous tumours. Discuss the use of ultrasound in the guidance of venous interventions. Select the appropriate transducer and preset for the application. Position the patient in a safe way with the extremity in a dependent position (preferably on a tilt-table).
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Lung

Purpose	This unit is designed to cover the theoretical and practical curriculum for lung ultrasound in the diagnosis of lung parenchymal disease.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Clinical roles of lung ultrasound Clinical context and limitations which apply to lung ultrasound and ultrasound of the chest. Identify, distinguish, and demonstrate a practical understanding of: Patient positioning for lung scanning using ultrasound The ultrasound (US) techniques required for scanning the lungs Attaining proficiency in ultrasound image optimisation in order to enable Appropriate diagnosis The normal surface anatomy and artifacts: chest wall, ribs and costal cartilages, visceral and parietal pleura, pleural space, lungs, diaphragm, liver, spleen, and heart. Pleural effusions and types of fluid collection Pneumothorax and other causes of absent lung sliding Pulmonary oedema and the differences between cardiogenic and inflammatory causes of oedema Pulmonary fibrosis Pulmonary consolidation Pleural fluid Paralysed hemidiaphragm
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Neonatal - Cardiac

Purpose	To develop and apply skill in obtaining valid and efficient ultrasound images, clips, and data for the assessment of neonatal cardiac structure and function. Participants will learn to visualise all main cardiac structures, their functional integrity, and their relationships with one another, incorporating clinically relevant measurements. Participants will learn to recognise positive, negative, and equivocal findings to answer specific clinical questions and enhance the clinical management of the patient. The overall standard is to produce a scan of sufficient quality for interpretation by a paediatric cardiologist.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe the clinical questions, related to the Neonatal cardiac ultrasound which may typically be addressed using focussed point of care ultrasound scanning, as described in relevant and contemporary peer-reviewed literature, relevant published protocols or standards of practice or in the CCPU Neonatal cardiac style guide. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination which is suitable to answer the clinical question, including any applicable measurements. Describe the diagnostic criteria, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice, for ultrasound findings which would support a positive, negative or equivocal diagnosis. Describe the limitations of ultrasound in assessing the neonatal cardiovascular system. Demonstrate the ability to interpret the ultrasound data to determine if the findings support a positive, negative or equivocal answer to the specific clinical question Demonstrate the ability to determine the appropriate on-going patient management as a result of the ultrasound findings in conjunction with other clinical information. Demonstrate the ability to describe and adequately document the ultrasound findings in the patient’s clinical record in such a way as to facilitate satisfactory continuity of care of the patient. On completing this unit, Candidates will be able to: Understand and appreciate the needs of an infant during scanning. Understand and appreciate the infection risks of scanning. Understand and appreciate the optimal choice of probes and settings for neonatal scanning. Confidently acquire normal images of the heart Demonstrate an understanding of the normal anatomical structure of the infant heart as it relates to standard echocardiographic windows. Understands the common conventions of neonatal scanning including image optimisation and competently records a series of images to clearly demonstrate normal anatomy. Competently interpret neonatal cardiac ultrasound findings in relation to clinical scenarios Demonstrate proficiency in assessing and interpreting normal and abnormal neonatal cardiac haemodynamic. Understand limitations to the accuracy of haemodynamic measurements. Recognise common patterns of congenital heart disease.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Neonatal - Cranial

Purpose	This unit is designed to cover the theoretical and practical curriculum for Neonatal Cranial Ultrasound. The unit aims to prepare the candidates to obtain ultrasound images to answer the specific clinical question and to optimise the clinical management of neonates.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: The needs of an infant during scanning Infection risks during scanning Ergonomics of the ultrasound machine The applied physics of Ultrasound: e.g., optimal choice of the probe, settings for neonatal scanning, image optimisation, colour Doppler and Pulse wave Doppler. The key anatomical structure of a neonatal brain as it relates to standard windows via anterior fontanelle. Describe the clinical questions, related to the neonatal cranial ultrasound which may typically be addressed using focussed point of care ultrasound scanning. Confidently acquire a full set of images of the normal infant brain via the anterior fontanel. Visualisation of inferior cranial fossa structures (e.g., Cerebellum, middle cerebral artery Doppler) via mastoid and temporal windows Diagnose common pathologies. E.g., germinal matrix/intraventricular haemorrhage, parenchymal lesions including bleed and periventricular leukomalacia, hydrocephalus. Recognise common structural abnormalities of cerebral development: e.g., Absent corpus callosum. Performing and interpreting Doppler studies of the anterior and middle cerebral artery; and superior sagittal sinus. Diagnose artefacts and normal variants in neonatal cranial scan. Understand the limitations of cranial ultrasound. Interpreting ultrasound findings concerning clinical scenarios.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Neonatal - Lung

Purpose	To develop and apply skill in obtaining valid and efficient ultrasound images, clips, and data for the assessment of the neonatal lung. Participants will learn to recognise positive, negative, and equivocal findings to answer specific clinical questions and enhance the clinical management of the patient.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe the clinical questions, related to the neonatal lung ultrasound which may typically be addressed using focussed point of care ultrasound scanning, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination which is suitable to answer the clinical question, including any applicable measurements. Describe the diagnostic criteria, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice, for ultrasound findings which would support a positive, negative, or equivocal diagnosis. Describe the limitations of ultrasound in assessing the neonatal lung in a PoCUS context. Demonstrate the ability to interpret the ultrasound data to determine if the findings support a positive, negative, or equivocal answer to the specific clinical question. Demonstrate the ability to determine the appropriate on-going patient management as a result of the ultrasound findings in conjunction with other clinical information. Demonstrate the ability to describe and adequately document the ultrasound findings in the patient’s clinical record in such a way as to facilitate satisfactory continuity of care of the patient. Recognition of lung physiology and pathology; aeration, pneumothorax, consolidation, pleural effusions. An understanding of the limitations of lung ultrasound. .
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Non-Interventional Endocrine

Purpose	The candidate demonstrates skill in obtaining valid and efficient ultrasound images/clips and data in the assessment of the neck to answer the specific clinical question. The candidate can recognise when the findings are positive, negative or equivocal and use this assessment to enhance the clinical management of the patient.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Describe the clinical questions, related to diseases of the thyroid, parathyroids and related cervical lymph nodes, which may typically be addressed using focussed point of care (PoCUS) ultrasound scanning, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination which is suitable to answer the clinical question, including any applicable measurements. Describe the diagnostic criteria, as described in relevant and contemporary peer-reviewed literature or relevant published protocols or standards of practice, for ultrasound findings which would support a positive, negative or equivocal diagnosis. Describe the limitations of ultrasound in assessing the Unit related anatomy in a PoCUS context. Demonstrate the ability to interpret the ultrasound data to determine if the findings support a positive, negative or equivocal answer to the specific clinical question. Demonstrate the ability to determine the appropriate on-going patient management as a result of the ultrasound findings in conjunction with other clinical information. Demonstrate the ability to describe and adequately document the ultrasound findings in the patient’s clinical record in such a way as to facilitate satisfactory continuity of care of the patient. Describe conditions of the thyroid, parathyroids, neck nodes and cervical structures. Demonstrate the technical (sonographic) ability to acquire a satisfactory ultrasound examination of the thyroid, parathyroid and related structures in the neck. Describe the diagnostic criteria which would support a positive, negative or equivocal diagnosis including demonstrating knowledge of the TI-RADS criteria for thyroid nodules. Describe the changes resulting from previous treatments such as ablation or surgery. Describe and document the ultrasound findings in the patient’s clinical record to facilitate satisfactory continuity of care of the patient.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Paediatric Hip Infusion

Purpose	To develop and apply skill in obtaining accurate ultrasound images and measurements for the assessment of the paediatric hip in acute atraumatic limp or hip pain. Participants will learn to identify positive, negative, and equivocal findings of hip joint effusion to support clinical decision making. This module is designed for clinicians who manage children in their clinical setting and should be undertaken alongside familiarity with standard emergency department clinical guidelines supporting paediatric hip evaluation.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Demonstrate an understanding of the relevant anatomy Demonstrate effectively performing Paediatric Hip Effusion imaging Identify hip effusion and accurately measures antero-posterior capsular height Explain diagnostic criteria for a positive hip effusion. Understands limitations of ultrasound during hip effusion evaluation. Integrates sonographic findings with clinical evaluation to make management decisions. Understand the value of further radiological evaluation and consultation. This includes repeat ultrasound (e.g. equivocal or inconclusive scan, or more complex evaluation) and senior medical input in certain situations (e.g. septic child). Write a structured report to accompany the hip effusion ultrasound examination.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Pleural Effusion

Purpose	This unit is designed to cover the theoretical and practical curriculum for pleural effusion ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Demonstrate detailed understanding of the relevant anatomy Understand the causes of pleural fluid in the clinical setting Demonstrate knowledge of ultrasound techniques associated with lung, pleural, and diaphragmatic pathologies. • Understand the different techniques of ultrasound guided drainage and the advantages, disadvantages and different skill levels required for these techniques. Attain proficiency in ultrasound image optimisation in order to enable appropriate diagnosis Understand the limitations of ultrasound of the chest
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Proximal DVT

Purpose	This unit is designed to cover the theoretical and practical curriculum for Proximal Deep Vein Thrombosis (DVT) ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Demonstrate detailed understanding of the relevant anatomy. Demonstrate knowledge of ultrasound techniques associated with DVT. Attain proficiency in ultrasound image optimisation in order to enable appropriate diagnosis. Understand the limitations of proximal DVT ultrasound.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Rapid Cardiac Echo

Purpose	This unit is designed to cover the theoretical and practical curriculum for Rapid Cardiac Echocardiography. The Rapid Cardiac Echocardiography unit aligns with the College of Intensive Care Medicine’s Focused Cardiac Ultrasound requirement in the Intensive Care syllabus (CICM FCU). The FCU will be a mandatory requirement for CICM trainees in order to obtain their Fellowship of CICM. Doctors who complete the CICM FCU requirement or any critical care doctor who obtains RCE via the ASUM pathway will be considered by CICM and ASUM to have equivalent qualifications. To be awarded the RCE CCPU by ASUM, doctors will need to complete the other CCPU requirements such current ASUM financial membership and successful completion of the online physics module. The RCA will no longer be offered by ASUM. However, doctors with RCA already awarded will be considered to have satisfied RCE/FCU criteria.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Perform safe and accurate basic echocardiographic examinations Demonstrate proficient image acquisition and optimisation, utilising all standard views. Recognise normal cardiac anatomy, physiology and the anatomical relationship of the heart to surrounding organs and structures. Identify major cardiovascular pathology, particularly the more common life threatening cardiovascular abnormalities. Integrate echo into advanced life support protocols. Recognise the limitations of the course and situations when a referral for a second opinion is indicated.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Royal Australasian College of Physicians (Cardiology) (FRACP) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Renal Hydronephrosis and Calculi

Purpose	This unit is designed to cover the theoretical and practical curriculum for renal hydronephrosis and calculi.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: Effective performance and interpretation of ultrasound of the kidneys and bladder for hydronephrosis and calculi. An understanding of the limitations of ultrasound of the kidney for hydronephrosis and calculi.
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Rheumatology

Purpose	This unit is designed to cover the theoretical and practical curriculum for Rheumatologic ultrasound.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: A detailed understanding of the gross anatomical structure and surface anatomy of the relevant organ systems and the anatomical relationship to surrounding organs and structures. An understanding of an approved protocol for ultrasound examination Effective performance and interpretation of Rheumatologic ultrasound including: Image optimization Providing accurate measurements when necessary Describing the diagnostic criteria for the conditions/pathologies listed in the syllabus The origin of the artefacts which commonly occur in this examination An understanding of the limitations of Rheumatologic ultrasound
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

Vascular Access

Purpose	This unit is designed to cover the theoretical and practical curriculum for the procedural use of ultrasound for the purpose of securing peripheral vascular access, both venous and arterial. It also covers the principles of using ultrasound to guide central venous access.
Prerequisites	ASUM Physics in Ultrasound eLearning Module
Learning Outcomes	On completing this course learners should be able to: A greater understanding of the ultrasound techniques and physical principles of peripheral and central venous access, and of arterial access. Proficiency in image optimisation in order to enable appropriate procedural guidance. An understanding of the anatomy (and common variations) of the following structures, including their relationships to adjacent structures and surface anatomy: Veins of the upper limb including: Brachial veins Basilic vein Cephalic vein Arteries of the upper limb including: Brachial artery Radial artery Ulnar artery Nerves of the upper limb including: Radial nerve Ulnar nerve Median nerve Structures in the neck including: Internal and external jugular veins Carotid arteries Thyroid Trachea Strap and sternocleidomastoid muscles Structures in the femoral triangle including: Femoral nerve Common femoral artery Common femoral vein Long saphenous vein Structures in the subclavian region including: Subclavian and axillary veins Subclavian and axillary arteries Pleural surface Ribs Clavicle The ability to image the above vessels in transverse and longitudinal planes using: B-mode compression US Colour Doppler US Understanding of the sonographic characteristics of peripheral veins and arteries in various physiological states including: Normal Tourniquetted limb Hypovolaemic patient Hypotensive patient Venous thrombosis Understand the sonographic appearance of a needle in: Transverse view Longitudinal view Have the technical understanding and ability to guide a needle under real-time ultrasound guidance into a target vessel using: In-plane technique Out-of-plane technique
Eligibility	Applicants for enrolment into the CCPU must: Hold a primary medical degree approved by the Board of Directors and the Medical Board of Australia (MBA) or Medical Council of New Zealand (MCNZ) Be registered with the Australian Health Practitioner Regulation Agency (AHPRA) or with the Medical Council of New Zealand Be practicing ultrasound in the relevant field of study.
Primary Supervisor	A Primary Supervisor for training is mandatory for completion of the ASUM-CCPU. Every scan must be performed under the supervision of the candidate’s nominated Primary Supervisor. It is expected that all candidates will have direct supervision in the first instance until they reach a safe proficiency level to perform and interpret the scan under indirect supervision.A primary supervisor can be nominated if they fulfil one of the following criteria: A current CCPU holder in the unit of study held for at least 12 months A current DDU holder in the relevant field of study. A Fellow of the Royal Australian and New Zealand College of Radiologists (FRANZCR). A Fellow of the Australasian College for Emergency Medicine (FACEM) A Fellow of the College of Intensive Care Medicine (FCICM) All nominees for primary clinical supervisor must hold current registration with AHPRA or MCNZ. A sonographer registered with the Australian Sonographers Accreditation Registry (ASAR) or the New Zealand Medical Radiation Technologist Board (MRTB) can assist in appropriate supervision and teaching within their scope of practice. Overall supervision must remain with the Primary Supervisor for the purposes of diagnosis, report writing, clinical reasoning and patient management. The Primary Supervisor must sign off the logbook and formative and summative assessments.

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