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Course highlights

  • Discuss real cases.
  • Examine pathology.
  • Understand the differential diagnoses.
  • Integrate CCE protocol into the patient management plan.
  • Advance skills live scanning.
  • Case based discussion and case presentations.

SGD $2,180.00SGD $2,360.00

Course Dates & Fees
  • Select Start Date
  • 13 Jun 2024 SGD $2,360.00


Prior to attending CCE Advanced, you should have developed excellent skills from the Basic programme. It is now time to consolidate all that you have learned. We will extend your experience with clinical integration. This course will be under expert guidance of our Clinician and Sonographer tutors with focus on how to cross reference heart scanning through case-based discussion, strengthening your interpretation in recognising life-threatening pathology, applying critical thinking and risk stratification.

Case-based discussion, a case presentation and live-scanning assessment will give constructive and honest feedback regarding your practical, interpretative, and integrative skills.


Want to be recognised as a safe and competent point of care ultrasound user?

This course is the first step toward attaining a credential in point of care ultrasound (Certificate of Competence).
Learn more about our credentialing pathway.

Who should attend?

  • Intensivist
  • Anaesthetist
  • Emergency Medicine Physician
  • Paediatrician
  • Cardiologist
  • Critical Care


To acquire and interpret a complete set of diagnostic quality views to answer the clinical question:

  • How ultrasound findings help to risk-stratify the individual patient?
  • How should I manage this hyperdynamic status?
  • How should I optimise this RV/LV function?
  • How should I manage this cardiac output?
  • How should I manage this valve dysfunction?
  • How should I manage this diastolic dysfunction?
  • How should I manage this pulmonary hypertension?
  • What are the limitations of Doppler in hemodynamically unstable patients?
Expected Learning Outcomes:

At the end of this course the attendees should be able to:

  • Answer Critical Care Echocardiography (CCE) protocol clinical questions by acquiring and evaluating ultrasound images of the heart.
  • Review the parameters of safe application of ultrasound and its limitations in medical diagnosis.
  • Optimise an ultrasound image to perform the following cardiac measurements:
    • Pulsed wave Doppler of mitral valve (diastolic assessment)
    • Tissue wave Doppler of septal mitral annulus
    • Tissue wave Doppler of lateral mitral annulus
    • E/e’ ratio
    • Left atria volume
    • Tricuspid valve assessment
    • Estimation of RVSP
  • Practice hands-on ultrasound skills required to maximize diagnostic ability in answering relevant clinical questions, practicing CCE protocol safely.
  • Recognise the sonographic appearances of normal and abnormal cardiac structures required to answer clinical questions.
  • Recognize variants, false-positives, and pathologies.
  • Document the ultrasound findings.
  • Interpret and integrate Critical Care Echocardiography (CCE) when assessing the heart into critically ill patient management pathway.

Logbook Requirements

CCE (Basic) Course5 cases (included in course fee)
CCE (Advanced) Course25 cases (to be purchased separately)
Total30 cases


  • Basic Course — upon completion of the CCE Basic course, students may submit up to 5 cases for Tutor review, at no additional cost.
  • Advanced Course — those who wish to achieve the ultrasound credential will need to purchase the additional 25 cases (reviews) in addition to the course fee.
  • No cases are required to be submitted prior to enrolling in the CCE Advanced course.
  • There is no obligation for students to submit cases if they do not wish to be credentialed.


Prior learning: Completion of CCE (Basic) course.

Equipment: Regular access to an ultrasound machine and patients.


Prior to commencing course:

Pre-course material will be provided four weeks before the course start date. This will include videos and a short quiz. It is mandatory to review this material prior to attending as it is the foundation material for the course.

Learning Strategies

  • Hands-on practical scanning on real patient models and simulators, with a maximum ratio of 1 tutor to 4 students.
  • Expert led presentations and demonstrations;
  • Online videos and directed reading.
  • Clinical case based discussion and mini-simulation.
  • Summative rubric assessment.

8:15 am to 4:00 pm


National University of Singapore
MD6, 14 Medical Drive,
Singapore 117599


Morning tea, a light lunch and refreshments are provided.