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Recommendations for Cardiac Point-of-Care Ultrasound Nomenclature
James N. Kirkpatrick, MD, FASE (chair), Nova Panebianco, MD, MPH (co-chair), Jose L. Dıaz-Gomez, MD, FASE (co-chair), Srikar Adhikari, MD, Merri L. Bremer, EdD, RN, ACS, RDCS, FASE, Yuriy S. Bronshteyn, MD, FASE, Sara Damewood, MD, Madeline Jankowski, BS, ACS, RDCS, FASE, Amer Johri, MD, FASE, Judith R. H. Kaplan, PhD, Bruce J. Kimura, MD, Smadar Kort, MD, FASE, Arthur Labovitz, MD, FASE, Jimmy C. Lu, MD, FASE, Irene W. Y. Ma, MD, PhD, RDMS, RDCS, Paul H. Mayo, MD, FASE, Sharon L. Mulvagh, MD, FASE, Sara Nikravan, MD, FASE, Sheela Pai Cole, MD, FASE, Michael H. Picard, MD, FASE, Vincent L. Sorrell, MD, FASE, Raymond Stainback, MD, FASE, Ritu Thamman, MD, FASE, Edwin S. Tucay, MD, FASE, Gabriele Via, MD, and Frances Mae West, MD
Point-of-care ultrasound (POCUS) involves the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician. The current state of cardiac POCUS terminology is heterogeneous and ambiguous, in part because it evolved through siloed specialty practices. In particular, the medical literature and colloquial medical conversation contain a wide variety of terms that equate to cardiac POCUS. While diverse terminology aided in the development and dissemination of cardiac POCUS throughout multiple specialties, it also contributes to confusion and raises patient safety concerns. This statement is the product of a diverse and inclusive Writing Group from multiple specialties, including medical linguistics, that employed an iterative process to contextualize and standardize a nomenclature for cardiac POCUS. We sought to establish a deliberate vocabulary that is sufficiently unrelated to any specialty, ultrasound equipment, or clinical setting to enhance consistency throughout the academic literature and patient care settings. This statement (1) reviews the evolution of cardiac POCUS-related terms; (2)outlines specific recommendations, distinguishing between intrinsic and practical differences in terminology; (3) addresses the implications of these recommendations for current practice; and (4) discusses the implications for novel technologies and future research.
Accreditation Statement:
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Society of Echocardiography designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program, the American Board of Pediatrics (ABP) MOC program, and/or the American Board of Anesthesiology’s (ABA) Maintenance of Certification in Anesthesiology Program® or MOCA 2.0®. It is ASE’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM and ABP MOC points and/or ABA MOCA 2.0®. Physicians will earn MOC and/or MOCA 2.0 points equivalent to the amount of CME credits claimed for the activity.
ARDMS and CCI recognize ASE’s certificates and have agreed to honor the CME credit hours toward their registry requirements for sonographers.
Release Date: September 2, 2024
Expiration Date: September 2, 2025 - CME/MOC must be claimed by this date.
James N. Kirkpatrick, MD, FASE (chair), Nova Panebianco, MD, MPH (co-chair), Jose L. Dıaz-Gomez, MD, FASE (co-chair), Srikar Adhikari, MD, Merri L. Bremer, EdD, RN, ACS, RDCS, FASE, Yuriy S. Bronshteyn, MD, FASE, Sara Damewood, MD, Madeline Jankowski, BS, ACS, RDCS, FASE, Amer Johri, MD, FASE, Judith R. H. Kaplan, PhD, Bruce J. Kimura, MD, Smadar Kort, MD, FASE, Arthur Labovitz, MD, FASE, Jimmy C. Lu, MD, FASE, Irene W. Y. Ma, MD, PhD, RDMS, RDCS, Paul H. Mayo, MD, FASE, Sharon L. Mulvagh, MD, FASE, Sara Nikravan, MD, FASE, Sheela Pai Cole, MD, FASE, Michael H. Picard, MD, FASE, Vincent L. Sorrell, MD, FASE, Raymond Stainback, MD, FASE, Ritu Thamman, MD, FASE, Edwin S. Tucay, MD, FASE, Gabriele Via, MD, and Frances Mae West, MD
Point-of-care ultrasound (POCUS) involves the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician. The current state of cardiac POCUS terminology is heterogeneous and ambiguous, in part because it evolved through siloed specialty practices. In particular, the medical literature and colloquial medical conversation contain a wide variety of terms that equate to cardiac POCUS. While diverse terminology aided in the development and dissemination of cardiac POCUS throughout multiple specialties, it also contributes to confusion and raises patient safety concerns. This statement is the product of a diverse and inclusive Writing Group from multiple specialties, including medical linguistics, that employed an iterative process to contextualize and standardize a nomenclature for cardiac POCUS. We sought to establish a deliberate vocabulary that is sufficiently unrelated to any specialty, ultrasound equipment, or clinical setting to enhance consistency throughout the academic literature and patient care settings. This statement (1) reviews the evolution of cardiac POCUS-related terms; (2)outlines specific recommendations, distinguishing between intrinsic and practical differences in terminology; (3) addresses the implications of these recommendations for current practice; and (4) discusses the implications for novel technologies and future research.
Accreditation Statement:
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Society of Echocardiography designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program, the American Board of Pediatrics (ABP) MOC program, and/or the American Board of Anesthesiology’s (ABA) Maintenance of Certification in Anesthesiology Program® or MOCA 2.0®. It is ASE’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM and ABP MOC points and/or ABA MOCA 2.0®. Physicians will earn MOC and/or MOCA 2.0 points equivalent to the amount of CME credits claimed for the activity.
ARDMS and CCI recognize ASE’s certificates and have agreed to honor the CME credit hours toward their registry requirements for sonographers.
Release Date: September 2, 2024
Expiration Date: September 2, 2025 - CME/MOC must be claimed by this date.
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Recommendations for Cardiac Point-of-Care Ultrasound Nomenclature
James N. Kirkpatrick, MD, FASE (chair), Nova Panebianco, MD, MPH (co-chair), Jose L. Dıaz-Gomez, MD, FASE (co-chair), Srikar Adhikari, MD, Merri L. Bremer, EdD, RN, ACS, RDCS, FASE, Yuriy S. Bronshteyn, MD, FASE, Sara Damewood, MD, Madeline Jankowski, BS, ACS, RDCS, FASE, Amer Johri, MD, FASE, Judith R. H. Kaplan, PhD, Bruce J. Kimura, MD, Smadar Kort, MD, FASE, Arthur Labovitz, MD, FASE, Jimmy C. Lu, MD, FASE, Irene W. Y. Ma, MD, PhD, RDMS, RDCS, Paul H. Mayo, MD, FASE, Sharon L. Mulvagh, MD, FASE, Sara Nikravan, MD, FASE, Sheela Pai Cole, MD, FASE, Michael H. Picard, MD, FASE, Vincent L. Sorrell, MD, FASE, Raymond Stainback, MD, FASE, Ritu Thamman, MD, FASE, Edwin S. Tucay, MD, FASE, Gabriele Via, MD, and Frances Mae West, MD
Point-of-care ultrasound (POCUS) involves the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician. The current state of cardiac POCUS terminology is heterogeneous and ambiguous, in part because it evolved through siloed specialty practices. In particular, the medical literature and colloquial medical conversation contain a wide variety of terms that equate to cardiac POCUS. While diverse terminology aided in the development and dissemination of cardiac POCUS throughout multiple specialties, it also contributes to confusion and raises patient safety concerns. This statement is the product of a diverse and inclusive Writing Group from multiple specialties, including medical linguistics, that employed an iterative process to contextualize and standardize a nomenclature for cardiac POCUS. We sought to establish a deliberate vocabulary that is sufficiently unrelated to any specialty, ultrasound equipment, or clinical setting to enhance consistency throughout the academic literature and patient care settings. This statement (1) reviews the evolution of cardiac POCUS-related terms; (2)outlines specific recommendations, distinguishing between intrinsic and practical differences in terminology; (3) addresses the implications of these recommendations for current practice; and (4) discusses the implications for novel technologies and future research.
Accreditation Statement:
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Society of Echocardiography designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program, the American Board of Pediatrics (ABP) MOC program, and/or the American Board of Anesthesiology’s (ABA) Maintenance of Certification in Anesthesiology Program® or MOCA 2.0®. It is ASE’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM and ABP MOC points and/or ABA MOCA 2.0®. Physicians will earn MOC and/or MOCA 2.0 points equivalent to the amount of CME credits claimed for the activity.
ARDMS and CCI recognize ASE’s certificates and have agreed to honor the CME credit hours toward their registry requirements for sonographers.
- Release Date: September 2, 2024
- Expiration Date: September 2, 2025 - CME/MOC must be claimed by this date.
Course/Activity Information
Learning Objectives:
- Review the evolution of cardiac POCUS- related terms
- Consider specific recommendations to distinguish between intrinsic and practical differences in terminology
- Address the implications of these terms for current practice
- Consider the implications for novel technologies and future research
Accreditation Statement:
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Society of Echocardiography designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program, the American Board of Pediatrics (ABP) MOC program, and/or the American Board of Anesthesiology’s (ABA) Maintenance of Certification in Anesthesiology Program® or MOCA 2.0®. It is ASE’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM and ABP MOC points and/or ABA MOCA 2.0®. Physicians will earn MOC and/or MOCA 2.0 points equivalent to the amount of CME credits claimed for the activity.
ARDMS and CCI recognize ASE’s certificates and have agreed to honor the CME credit hours toward their registry requirements for sonographers.
- Release Date: September 2, 2024
- Expiration Date: September 2, 2025 - CME/MOC must be claimed by this date.
Disclosures:
ASE is committed to ensuring that its educational mission, and all accredited continuing educational programs provide a protected space to learn, teach, and engage in scientific discourse free from influence from organizations that may have an incentive to insert commercial bias into education.
While a monetary or professional affiliation with an ineligible company does not necessarily influence a speaker’s presentation, the Standards for Integrity and Independence in Accredited Continuing Education and policies of the ACCME require that all financial relationships with ineligible companies* be identified and mitigated prior to engaging in an accredited CE activity. In accordance with these policies, ASE actively identified relevant financial relationships between faculty in control of this accredited CE activity and ineligible companies and implemented mitigation strategies to eliminate any potential influence from persons or organizations that may have an incentive to insert commercial bias in this activity. (*Companies that are ineligible to be accredited in the ACCME System (“ineligible companies”) are those whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients.)
At the time this article was published, the authors reported no actual or potential conflict of interest relative to the content.
Members of the ASE CME Committee members (not serving as faculty) do not have any financial relationships with ineligible companies. Click here for a list of these members.
None of the ASE staff who were involved in the planning and implementation of this educational activity have relevant financial relationship(s) to disclose with ineligible companies. Click here for a list of ASE staff members.
No commercial support was provided for this activity.
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