ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2026
ULTRA-Metrics: Delphi-Derived Framework for Assessing Ultrasound Competency.
Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- From concepts to evaluation: mapping approaches to POCUS training assessment in low- and middle-income countries - a systematic scoping review.The ultrasound journal · 2026Article
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Authors and funding
21 authors.
Funding
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Abstract
objectivesUltrasound competency is critical in modern healthcare, yet no standardized framework currently supports ultrasound skill monitoring across diverse clinical settings and user types. Existing frameworks often lack generalizability, overemphasize exam counts, and fail to assess key skills such as interpretation, limiting ultrasound's safe and effective integration into clinical practice. The objective of this study is to develop a consensus-based, universal framework for monitoring ultrasound competency across clinical applications and disciplines.
methodsA modified Delphi process was conducted with an international panel of Point-of-Care ultrasound experts. Panelists independently evaluated framework elements categorized by competency domains (experience, skills, autonomy), skill domains (indication, acquisition, interpretation, clinical integration), metrics (eg, exam counts, entrustability, interpretation accuracy, etc.), answer sets (score-based inputs used by assessors), and score criteria (requirements for each score). Consensus thresholds were defined as strong consensus at >84%, and weak consensus at 68-84%. Two Delphi rounds were completed.
resultsNineteen experts participated across 2 Delphi rounds. Strong consensus was reached to include 3 competency domains (experience, skills, autonomy) and 4 skill domains (indication, acquisition, interpretation, and clinical integration). Optional components, including the use of acquisition skill trees and varied answer set granularity, were favored by some participants to allow ultrasound programs to tailor the framework to specific examinations, assessment scenarios, and job roles.
conclusionThe resulting modular framework provides a flexible, consensus-based approach to ultrasound competency assessment, enabling cross-program comparisons and evaluation of training methods. Validation across diverse settings is needed to support its use in global competency standards and ultrasound education expansion.
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