Continuing Medical Education Attestation
Please fill out and upload this document.
ACEPs policy statement, Emergency Ultrasound Guidelines, approved October 2008
states:
Continuing Medical Education
As with all aspects of emergency medicine, continuing medical education as defined below in
emergency ultrasound is requisite, regardless of pathway. Continuing medical education
(CME) specific to ultrasound must be achieved, combined with other CME topics, and can be
done so in a wide variety of formats. The amount of CME required to maintain competency is
related to the number of applications being utilized, the frequency of use, and other
developments in emergency ultrasound and emergency medicine at large. In general, those in
charge of ultrasound programs should have at least 10 hours of continuing medical
educational credits pertaining to ultrasound activities per credentialing cycle (typically 2
years) including any of the following: Category 1 conference attendance, online educational
activities, preceptorships, teaching, research, hands-on teaching, administration, quality
assurance, image review, in-service examinations, textbook and journal readings, morbidity
and mortality conferences inclusive of ultrasound cases, or others. Individual credentialed
physicians should have 5 hours of the above continuing educational ultrasound activities per
credentialing cycle. Educational sessions that integrate ultrasound into the practice of EM are
encouraged, and do not have to be didactic in nature but can be participatory. Ultrasound
quality improvement is an example of an activity that may be used for completion of the
required ABEM Assessment of Practice Performance activities.±
±
American Board of Emergency Medicine. Assessment of practice performance. ABEM Memo 2008; 10:6
Ultrasound Director total CME hours: _____________________
ED US credentialed Physician #1 total CME hours: _____________________
ED US credentialed Physician #2 total CME hours: _____________________


I attest that the providers above have completed the CME as
described and I can provide proof if requested.
The providers above have not completed the CME as described.
There is a written plan in place which can be provided if requested.
Typed name indicates signature and this submitted form serves as my
attestation.
Name: _________________________________________
Title: _________________________________________
Revised 4/22/15