Technical proficiency measuring Doppler parameters of the fetal and maternal vessels leads to enhanced diagnostic sensitivity, helping prediction, diagnosis, and management of a wide range of pregnancy complications. This self-paced online course we will explore; Fetal circulation and the key fetal and maternal vessels that are used within obstetrics.
Overview
Course name: ATC1 Doppler in obstetrics
Duration of course: 7 hours (+ supplementary materials)
Length of access for each course: 12 months
Certificates: 7 CME credits and ISUOG Certificate of Completion
Access: Online learning, learn at your own pace.
Education level: Advanced
Program language: English
Suitable for: Practicing obstetricians, trainees, fellows, residents, midwives, nurses, radiographers, sonographers, GPs and healthcare professionals performing ultrasound scans.
Why do this course?
Understanding Doppler assessment in obstetric ultrasound is crucial because it provides vital information on fetal and placental blood flow, helping to evaluate and monitor fetal well-being and placental function. This technique allows clinicians to detect abnormalities such as fetal growth restriction, placental insufficiency, and conditions like preeclampsia by identifying abnormal blood flow patterns in key vessels like the umbilical artery and uterine arteries. Early detection of these issues enables timely and appropriate interventions, improving perinatal outcomes and reducing the risks of complications. Thus, Doppler assessment is a key tool in ensuring a safer and more effective management of high-risk pregnancies.
Course description
A comprehensive understanding of how Doppler ultrasound works is essential for accurate screening, prediction, diagnosis, and management of a wide range of gynecological conditions and pregnancy complications. In this course we will explore; Fetal circulation and the key fetal and maternal vessels that are used within obstetrics.
This overview course aims to explore the fundamentals of Doppler in ultrasound, detailing the precise mechanisms that govern its functionality and ensuring its safe application. We will explore critical aspects such as the selection of vessels to be measured, the optimal timing during gestation for these measurements, and the nuanced interpretation of the obtained results. Doppler also plays an extensive role in cardiac evaluation and anatomical assessment however Doppler investigation into fetal anomalies will be covered in the courses on first and second trimester anatomical evaluation that can be found in other modules of the online Advanced Training Curriculum.
By providing a comprehensive understanding of Doppler ultrasound in obstetrics, this course will equip participants with the knowledge and skills necessary to navigate the complexities of utilizing this diagnostic tool within ultrasound in obstetrics.
Contributors to this course
Online course contributors: Biserka Knezic Frkovic, Andrew Cowling, Angela Ranzini, Lina Youssef. Course materials: Professor Christoph Brezinka, Professor Lior Drukker, Dr. Daniel Oros, Professor Kurt Hecher, Professor Qingqing Wu, Dr. Erkan Kalafat, Professor Tamara Stampalija, Professor Fatima Crispi, Dr. Suresh Seshadri, Professor Asma Khalil, Professor Reuwen Achiron, Professor Julene Carvalho, Dr. Mar Bennasar, A. Bhide, G. Acharya, A. Baschat, C. M. Bilardo, C. Brezinka, D. Cafici, C. Ebbing, E. Hernandez-Andrade, K. Kalache, J. Kingdom, T. Kiserud, S. Kumar, W. Lee, C. Lees, K. Y. Leung, G. Malinger, G. Mari, F. Prefumo, W. Sepulveda, B. Trudinger, Daniel Cafici, Roberto Gori, Vera Zarebski, Yanina Zerpa, Verónica Vietri, Patricia Galati, Lucía Mandiá, Daniel Cafici, Zahrah Alsomali, Rogelio Cruz-Martínez, Rosa Villalobos-Gómez, Carmen Julia Gaona-Tapia, Daniel Cafici, Dolores Ramos Mejía, Antonio Terrones.
Learning objectives
- Understand principles of fetal circulation.
- Understand when Doppler measurements of fetal vessel such as the umbilical arteries, the middle cerebral arteries, the uterine arteries and the ductus venosus are indicated and how to interpret and manage the results.
- Understand when Doppler measurements of maternal vessels such as the uterine arteries are indicated and how to interpret and manage the results.
- Understand how technical proficiency measuring Doppler parameters leads to enhanced diagnostic sensitivity.
Key questions
- What are the technical procedures for measuring velocities within the umbilical arteries, the middle cerebral arteries, and the ductus venosus?
- What are the technical procedures for measuring velocities within the uterine arteries in the first and second trimesters?
- How does uterine artery Doppler contribute to the screening and prediction of preeclampsia?
- Is uterine artery Doppler better for predicting fetal growth restriction or preeclampsia?
- Which clinical scenarios are appropriate for use of CPR?
Prices
Prices for ISUOG members
| ISUOG member | £75 |
| ISUOG member - with trainee/sonographer discount  | £40 |
| ISUOG member in middle-income setting | £40 |
| ISUOG member in lower-resource setting | £10 |
Prices for ISUOG non-members*
| Non-member | £85 |
| Non-member - with trainee/sonographer discount  | £50 |
| Non-member in middle-income setting | £50 |
| Non-member in lower-resource setting | £15 |
* Prices for non-members does NOT include ISUOG membership. Join as an ISUOG member first for discounted prices to our online training courses (allow 24 hours for systems to update).
Trainees/residents and sonographers/radiographers
Proof of status: All trainees, residents, sonographers and radiographers will need to submit proof of their trainee, resident, sonographer or radiographer status by way of a letter from their Department or Institution. The letter must be in English and dated within the last 3 months and submitted by email to [email protected] along with the name of the course you wish to purchase.
Sonographer definition: A sonographer is a non-physician medical imaging professional who performs diagnostic medical sonography, or diagnostic ultrasound.
Trainee/resident definition: A trainee is a medical professional who is not yet fully qualified or practicing without supervision within their chosen specialty and in accordance with the relevant national regulatory authorities; a resident is in residency training which leads to specially or subspecialty) certification.
Low resource country discount
ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from low resource countries have the lowest purchase costs. ISUOG's low resource country list can be viewed here https://www.research4life.org/access/eligibility/.
No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.
Middle income country discount
ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from middle income countries have access to reduced purchase costs. ISUOG has identified the following countries whose economies fall within the middle income category as defined by the World Bank: American Samoa, Argentina, Brazil, Bulgaria, China, Costa Rica, Dominican Republic , India, Indonesia, Iran, Kazakhstan, Malaysia, Mexico, Philippines, Russia, Serbia, South Africa, Thailand, Turkey, Turkmenistan.
No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.
Further information
Accreditation and CME Credits
CME credits
The European Accreditation Council (EACCME) accredits this online course for Continuing Medical Education (CME). European CME credits (ECMEC®) will be awarded on successful completion of this course. Through an agreement between the European Union of Medical Specialists (UEMS) and the American Medical Association (AMA), physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.
CME Subcommittee
The CME Subcommittee oversees the CME requirements for our CME accredited courses.
Conflict of Interest
No commercial support has been accepted related to the development or publication of this course. This course underwent peer review in line with the standards of editorial integrity and publication ethics maintained by the International Society of Ultrasound in Obstetrics & Gynecology (ISUOG). Conflicts of interest have been identified and resolved in accordance with EACCME guidelines.
You can find out how we adhere to the essential criteria for EACCME accreditation requirements here.
Technical Requirements
You can study on your phone, tablet or laptop. To participate and access this activity you will need a good internet connection and an up to date browser:
- MS Internet Explorer 11 (Not including compatibility modes)
- MS Edge
- Mozilla Firefox version 60 Extended Support Release (ESR)
- Google Chrome 73
- Safari 10 auf OS X
- Mobile Browser Android >4 and iOS > 9
- Current versions of Adobe Reader plugin
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You can find our Refund Policy here.
Advanced ultrasound imaging curriculum course list
Other courses in this series that are currently available:
ATC1 Ultrasound physics and Doppler fundamentals
ATC1 Quality, audit, image optimization, and AI tools
ATC1 Doppler in gynecology
ATC1 Clinical use of Doppler in pregnancy
ATC1 Advances in ultrasound