Training Guidelines for Physicians Who Perform Ultrasound-Guided Regional Anesthesia

Physicians who perform ultrasound-guided regional anesthesia should be licensed medical practitioners who have a thorough understanding of the indications and guidelines for ultrasound-guided regional anesthesia. They should demonstrate familiarity with the anatomic, physiologic, and pathophysiologic characteristics of the anatomic areas in which the procedures will be performed. They should be familiar with the basic physical principles and limitations of ultrasound imaging as they pertain to interventional procedures and understand ultrasound technology, instrumentation, power output, equipment calibration, and safety. In addition, clinicians performing ultrasound-guided procedures should be capable of correlating complementary diagnostic imaging with ultrasound findings in the context of procedural planning. The training should include methods of documentation and reporting of ultrasound-guided procedures.


Physicians performing ultrasound-guided regional anesthesia procedures should meet one of the following:


1. Completion of an Accreditation Council for Graduate Medical Education (ACGME)-approved anesthesia residency and/or fellowship program within the previous 36 months that included structured training in regional guided anesthesia under the supervision of a qualified physician(s)* during which time the trainee was involved in the performance, interpretation, and reporting of a minimum of 40 ultrasound-guided nerve blocks.


2. Completion of an ACGME-approved anesthesia residency and/or fellowship program that did not include structured training in ultrasound-guided regional anesthesia procedures or the completion of a residency and/or fellowship program more than 36 months ago that involved such training; documentation of the following could be acceptable providing the following could be demonstrated:

a. Evidence of 16 AMA PRA Category 1 Credits™ dedicated to ultrasound-guided regional anesthesia within the previous 36 months. This must include 10 AMA PRA Category 1 Credits™ dedicated to didactic knowledge required for ultrasound-guided regional anesthesia and 6 AMA PRA Category 1 Credits™ dedicated to technical skills needed for performance of the procedure; and

b. Evidence of supervision and/or performance and reporting of at least 40 ultrasound-guided nerve blocks within the previous 36 months.



Maintenance of Competence


All physicians performing ultrasound-guided regional anesthesia procedures should demonstrate evidence of continuing competence in the performance and reporting of those examinations. A minimum of 20 ultrasound-guided nerve blocks per year is recommended to maintain the physician's skills.



*A qualified physician is one who, at minimum, meets the criteria defined above in this document.




Developed in collaboration with the following organization:

American Society of Anesthesiologists


Approved: 11/02/2014;

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