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Table 3 Domains 1–3 voting results

From: International consensus conference recommendations on ultrasound education for undergraduate medical students

Code Statement Refs. Median voting score Degree of consensus Level of quality of evidence Strength of recommendation
Domain 1: scope of consensus conference curriculum
 D1.1 The ICC will produce consensus recommendations on “An integrated ultrasound curriculum” (“curriculum”) for undergraduate medical education (medical school) [26,27,28,29,30,31,32,33,34,35,36,37,38] 8.38 VGC Level 1 = 0, Level 2A = 0, Level 2B = 2, Level 3 = 11 Strongly recommend
 D1.2 The curriculum forms the foundation for ultrasound as a core clinical competency for all graduates regardless of specialty choice [3, 13, 27, 33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55] 8.45 VGC Level 1 = 0, Level 2A = 3, Level 2B = 7, Level 3 = 14 Strongly recommend
 D1.3 The curriculum provides the foundation of ultrasound for all medical students, regardless of where their medical degree is obtained or the specific designation of their degree [27, 28, 56,57,58] 8.07 GC Level 1 = 0, Level 2A = 0, Level 2B = 0, Level 3 = 5 Recommend
 D1.4 The curriculum can serve as a valuable resource for the development of ultrasound training programs for non-physician healthcare providers such as advanced nurse practitioners and physician assistants [27, 42, 59,60,61,62,63,64,65,66] 7.62 GC Level 1 = 0, Level 2A = 0, Level 2B = 4, Level 3 = 3 Recommend
Domain 2: rationale for curriculum
 D2.1 The curriculum prepares students for POCUS (point-of-care ultrasound use) in future clinical work [35, 37, 38, 67,68,69,70,71,72,73] 8.36 GC Level 1 = 0, Level 2A = 0, Level 2B = 7, Level 3 = 3 Recommend
 D2.2 The curriculum facilitates teaching of fundamental sciences [74,75,76,77,78,79,80,81] 8.09 GC Level 1 = 0, Level 2A = 1, Level 2B = 2, Level 3 = 3 Recommend
 D2.3 The curriculum enhances the learning of clinical sciences [82, 83] 8.16 GC Level 1 = 0, Level 2A = 0, Level 2B = 1, Level 3 = 1 Recommend
 D2.4 The curriculum facilitates integration of fundamental sciences [82, 84,85,86,87] 7.95 GC Level 1 = 0, Level 2A = 0, Level 2B = 1, Level 3 = 4 Recommend
 D2.5 The curriculum enhances physical examination skills [44, 45, 80, 86, 88,89,90,91,92,93,94,95,96,97,98,99] 8.24 GC Level 1 = 0, Level 2A = 2, Level 2B = 8, Level 3 = 1 Recommend
 D2.6 The curriculum enhances clinical problem solving [73, 100, 101] 8.16 SC Level 1 = 0, Level 2A = 1, Level 2B = 2, Level 3 = 0 Recommend
 D2.7 The curriculum prepares learners for additional clinical training and/or practice opportunities [69, 73, 102,103,104,105,106,107,108,109,110,111,112,113,114,115] 8.34 GC Level 1 = 0, Level 2A = 1, Level 2B = 9, Level 3 = 5 Recommend
 D2.8 The curriculum enhances the overall educational experience [33, 35, 70, 82, 84, 116,117,118,119,120,121] 8.47 VGC Level 1 = 0, Level 2A = 0, Level 2B = 2, Level 3 = 9 Strongly recommend
 D2.9 Medical students can learn basic ultrasound [33, 35, 70,71,72, 75, 122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143] 8.64 VGC Level 1 = 0, Level 2A = 0, Level 2B = 13, Level 3 = 7 Strongly recommend
 D2.10 Medical students can learn ultrasound-guided procedures [122, 143,144,145,146,147,148,149,150,151] 8.16 GC Level 1 = 0, Level 2A = 2, Level 2B = 4, Level 3 = 3 Recommend
Domain 3: characteristics of the curriculum
 D3.1 The ultrasound curriculum forms the foundation for ultrasound training along a continuum of medical education from undergraduate through graduate to continuing medical education [18, 19, 33, 37, 38, 135, 152,153,154,155] 8.60 VGC Level 1 = 0, Level 2A = 1, Level 2B = 2, Level 3 = 7 Strongly recommend
 D3.2 The ultrasound curriculum supports undergraduate medical education [18, 19, 106, 107, 135, 152,153,154] 8.29 GC Level 1 = 0, Level 2A = 0, Level 2B = 2, Level 3 = 0 Recommend
 D3.3 The ultrasound curriculum prepares learners for future additional clinical training and/or practice opportunities [18, 19, 106, 107, 135, 152,153,154] 8.14 GC Level 1 = 0, Level 2A = 0, Level 2B = 2, Level 3 = 0 Recommend
 D3.4 The ultrasound curriculum is developed in accordance with accepted standards for medical education as defined by national and international accrediting bodies [27, 36, 106, 156,157,158] 7.76 GC Level 1 = 0, Level 2A = 0, Level 2B = 1, Level 3 = 1 Recommend
 D3.5 The ultrasound curriculum lends itself to a competency-based model that includes measurable outcomes and markers of progression toward those outcomes (milestones) [38, 81, 155, 159, 160] 7.90 GC Level 1 = 0, Level 2A = 0, Level 2B = 0, Level 3 = 1 Recommend
 D3.6 The ultrasound curriculum can incorporate ultrasound knowledge, skills, attitudes, and professional judgment into entrustable professional activities (EPAs) as appropriate for patient care [38, 81, 155, 159, 160] 7.98 GC Level 1 = 0, Level 2A = 0, Level 2B = 0, Level 3 = 1 Recommend
 D3.7 The ultrasound curriculum enhances the learning of fundamental sciences that are relevant to the understanding of human pathophysiology and the practice of medicine [19, 116, 118, 158, 161, 162] 8.24 GC Level 1 = 0, Level 2A = 0, Level 2B = 1, Level 3 = 3 Recommend
 D3.8 The ultrasound curriculum enhances the learning of clinical sciences through the integration of ultrasound into clinical problem solving [3, 44, 45, 99, 100, 154, 163] 8.34 VGC Level 1 = 0, Level 2A = 1, Level 2B = 4, Level 3 = 0 Strongly recommend
 D3.9 The ultrasound curriculum enhances the learning of clinical sciences through the care of patients at their point of care [3, 44, 45, 99, 100, 154, 163] 8.17 GC Level 1 = 0, Level 2A = 1, Level 2B = 4, Level 3 = 0 Recommend
 D3.10 The ultrasound curriculum includes opportunities for self-directed learning and assessment [19, 31, 155] 7.83 GC Level 1 = 0, Level 2A = 0, Level 2B = 0, Level 3 = 0 Recommend
 D3.11 The ultrasound curriculum encourages life-long learning [19, 31, 155] 7.62 GC Level 1 = 0, Level 2A = 0, Level 2B = 0, Level 3 = 0 Recommend
 D3.12 The ultrasound curriculum is based on evidence and expert opinion [5, 106, 164,165,166,167,168,169,170,171,172] 8.28 VGC Level 1 = 0, Level 2A = 2, Level 2B = 0, Level 3 = 8 Strongly recommend
 D3.13 The ultrasound curriculum is consistent with recommendations and guidelines of well-established specialty organizations [5, 106, 164,165,166,167,168,169,170,171,172] 8.28 VGC Level 1 = 0, Level 2A = 2, Level 2B = 0, Level 3 = 8 Strongly recommend
 D3.14 The ultrasound curriculum is consistent with recommendations and guidelines of regulatory bodies with significant experience in ultrasound [5, 106, 164,165,166,167,168,169,170,171,172] 8.12 VGC Level 1 = 0, Level 2A = 2, Level 2B = 0, Level 3 = 8 Strongly recommend
  1. From left to right: Code of domain statement, Statement, Reference numbers of relevant literature, Median appropriateness score of Round 2, Degree of consensus. (VGC = very good consensus, GC = good consensus, SC = some consensus, NC = no consensus), Level of quality of evidence (Level 1 = high, Level 2A = moderate, Level 2B = low, Level 3 = very low, strength of recommendation (strongly recommend, recommend, not recommend). The table includes article Refs. [26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172]