Historically, the RCEM has divided and accredited US skills by levels (1&2). Since 2022, however, the new RCEM curriculum has introduced several changes. The new approach is a step forward into a broader US skillset for EM doctors and is inclusive to AHP.  Here you can find some insight, documentation, and FAQs, to help you in the accreditation process.

The current RCEM approach to PoCUS for EM is modular.
The basic US procedural skills (IV access & Fascia Iliaca Block) should be acquired during the ACCS years. The competencies should expand to include essential diagnostic capacity (FAST & AAA) during ST3 & 4. Finally, an EM consultant should be able to provide an expert sonographic cardiopulmonary assessment to support resuscitation. Consequently, this expertise should be acquired during ST5 & 6. The learning model works as a spiral that builds upon itself. Continuous scanning and deliberate practice are essential to achieve the objectives proposed by the RCEM.

If this feels too challenging, you are not sure where to start, or PoCUS is entirely new to you, start with the basics. A solid understanding of US physics, image formation and artefact interpretation will yield rewarding results along the road, even for those already familiar with some modalities.