Before being approved to sit the Fellowship examination, candidates are required to submit an ultrasound logbook that includes 100 hours of scanning, and should cover a wide variety of ultrasound examinations. No more than 20 ultrasound hours can be procedure-based ultrasound (e.g ultrasound guided puncture, endovenous procedures, ultrasound guided sclerotherapy).
Trainees should be able to perform the following scans:
- Carotid duplex
- Venous mapping (for conduit)
- Lower limb arterial duplex
- Treadmill test
- Bypass graft surveillance
- DVT scan
- Abdominal aorta scan for AAA
Trainees should have some experience in, but not necessarily be able to perform:
- Venous insufficiency duplex
- Renal/mesenteric artery duplex
- Aorto-iliac duplex
A casebook containing ten cases to illustrate the breath and quality of the trainee’s work is required. Cases involving an examination reported as normal should not be included. In preparing the casebook, which is to be constructed and compiled by the candidates themselves, each case presentation should give details of the request, copied of a limited number of images in digital format, a copy of the report issued, and a short commentary (not exceeding 500 words) indicating how the scan was conducted and why, how the examination has assisted in diagnosis and/or management, and mentioning any operative or pathology follow up. The commentary should be prepared with the care required for a published paper, and references listed in the format prescribed for current refereed journals. Pages cited should be specified and the latest edition of a textbook quoted.
For information, a sample case for carotid arterial disease.
For information, a sample case for venous insufficiency.
A large component of the online module titled ‘Principles of Imaging’ is devoted to vascular ultrasound.
Vascular ultrasound will be an integral part of the examination. Candidates may expect questions on vascular ultrasound in the written examination, in particular relating to:
- Ultrasound physics
- Biological effects
- Artifacts and their cause
- The clinical value and limitations of ultrasound
Candidates may also expect to answer questions on vascular ultrasound in the long case and in the anatomy/imaging viva.