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STEP Ultrasound


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STEP Ultrasound Certificate Program

Take the Next STEP in Your Ultrasound Education

Designed by physiatrists, for physiatrists, the STEP Ultrasound Certificate Program is a multi-tiered training program that teaches and assesses MSK and neurologic ultrasound skills using a progressive, competency-based curriculum. Participants move through a series of 3 steps in diagnostic and interventional ultrasound, completing each component through a combination of learning formats.  Participants who complete all of the required steps will earn a Certificate of Completion.

Successful completion of the STEP Ultrasound Program will clearly demonstrate to your patients, fellow health care professionals, employers, and the medical facilities you work with that you are a competent professional, expertly trained in ultrasound. It is the only formal, standardized training pathway available for honing and validating your ultrasound skill set.

When you earn the STEP Ultrasound Program Certificate, you:

  • Represent the highest standard in the field
  • Perform ultrasound with confidence
  • Communicate a commitment to patient care and safety
  • Enhance your career opportunities
  • Gain visibility and credibility in the field
  • Reassure patients and employers that you are committed to excellence in Ultrasound

Who Should Participate

Physiatrists who received limited ultrasound training during residency and general physiatrists looking to add diagnostic and interventional ultrasound to their practice.

STEP 1: Fundamentals

The STEP Ultrasound Certificate Program consists of 3 steps, each with the accompanying activities noted below. All steps and their accompanying activities must be completed in the order as outlined below. 

  1. Online Pre-test with 25 questions
    • Must be completed prior to live Step One Course; no minimum passing score
    • Access provided 30 days prior to the live Step One Course
  2. Online Fundamentals Precourse lectures
    • Watch before attending live Step One Course
    • Access provided 30 days prior to the live Step One Course
  3. Live Step One Course Ultrasound Course

  4. Online Post-test with the same 25 questions as the pre-test
    • Will provide CME and Maintenance of Certification® (MOC®) Part II Self-Assessment credit
    • 70% minimum passing score required

STEP 2: Interventional

  1. Online Interval Pre-test with new 25 questions
    • No minimum passing score
    • Must be completed by STEP participants to unlock and access the online curriculum activities 
  2. Online Curriculum:
    • AMSSM Sports Ultrasound videos (35 total) = 14.50 CME credits
    • Neuromuscular Ultrasound videos (22 total) = 6.25 CME credits
    • Ultrasound Coding and Billing online lecture = .75 CME credits
    • Case log 
  3. Live Next Step Interventional Course (15.50 MOC® Part II Self-assessment Credits)

  4. Online Interval Post-test with the same 25 questions as pre-test
    • Will provide CME and MOC Part II self-assessment credit
    • 70% minimum passing score required

Once participants have completed the required activities from the online program and attended the Next Step Interventional Course, you will advance to Step 3.

STEP 3: Assessment and Certificate

  1. Online Final Post-test with 50 questions
    • 80% minimum passing score required
  2. One-on-one hands-on skills assessment
    • Passing score will be required

Once you complete and pass both components you will receive your Ultrasound STEP certificate.

Pathway to the STEP Certificate

It is expected that it can take at least a year for a participant to complete this program depending on availability of registration spots for the program's live events and participant's completion of each program component. Because this is a structured program, all steps must be completed in the order listed above (Step 1 > Step 2 > Step 3) and the entry point must start with Step 1.

Please Note: Attending the Step 2 Interventional live course as a non-STEP participant will not enter you in the program. You will need to register for the complete STEP program and start at Step 1. 

CME and MOC Credit

This STEP program offers more than 50 AMA PRA Category 1 Credits™:

  • Fundamentals Course offers 17.75 AMA PRA Category 1 Credits
  • Interventional Course offers 15.50 AMA PRA Category 1 Credits
  • Online Curriculum offers 21.50 AMA PRA Category 1 Credits

This program also helps meet the following American Board of Physical Medicine and Rehabilitation (ABPMR) Maintenance of Certification (MOC®) requirements:

  • MOC® Part II Self-Assessment - More than 30 credits through the live hands-on courses listed above
  • MOC® Part IV Practice Improvement - Equivalent to completing one PI activity (no CME credit); meet this requirement forthe entire program by:
    1. Completing all components of the STEP program (Steps 1-3)
    2. Receiving your Certificate of Completion
    3. Submitting your ultrasound scanning case log (which is part of Step 2) with a minimum of 25 cases
    4. Complete a final STEP program evaluation  


Click on the REGISTER NOW button below to officially register for the complete STEP program that includes all 3 steps. Registering for and attending only the Step One Fundamentals or Next Step Interventional courses as stand-alone courses does not automatically enroll you in the STEP program. You must register for the complete STEP program on our Online Learning Portal and begin with Step 1.

The next opportunity to begin the program is with the Step One Ultrasound Course in 2021. Dates and location TBD.

Temporary Cancellation Policy

Now through December 31, 2020, AAPM&R will give a full refund upon request, without any fees or penalties, to any individual who registered for the STEP Program and is unable to participate for any reason. 

PLEASE NOTE: For participants who have begun the STEP Program, refunds may not be issued for live or online components already completed or in progress. STEP program registrants with questions about refunds may contact

mskNAVTM App Offer for STEP Participants

AAPM&R is the CME provider of the mskNAV learning system, an iPad app-based software that allows healthcare professionals to quickly and efficiently learn musculoskeletal (MSK) ultrasound. Through step-by-step protocols, interactive labeled videos of scans, 3D peel-away anatomy, sweep-through radiology scans, patient and probe position photos, scanning techniques, and an extensive reference library, mskNAV helps busy healthcare professionals assess and rapidly improve their ultrasound skills anytime, anywhere.

STEP participants receive 50% off the mskNAV app full MSK body package which includes up to 66 AMA PRA Category 1 CME CreditsTM. Click here to learn more about the mskNAV app full MSK body package. Interested STEP participants should email for information on how to purchase the app at the discounted rate.


Thank You to Our Exhibitors!

Konica Minolta

Partial support of the STEP Ultrasound Certificate Program has been provided through an educational grant from Allergan and Ipsen Biopharmaceuticals, Inc., in compliance with ACCME Standards for Commercial Support.