Table 3.

Recommendations for the design and delivery of ultrasound training programmes presenting within the RE-AIM framework.

Recommendation	Description of recommendation
Reach	Providers • Who developed the training? • What are the qualifications/experience of those providing the training? • Which local stakeholders were involved in its organization and delivery?
	Participants • Who participated in the training (demographic characteristics)? • How were they recruited? • Which individuals were included or excluded in the training? Why? • What proportion of eligible participants received the training? • What prior experience did they have? • What are their qualifications? • Were they given any incentive to participate?
Effectiveness or efficacy	•How were participants assessed and by whom? • What was the pass mark? How was this determined? • Describe what follow up was undertaken • Were trainees reassessed? • If reassessed what was the retention rate of skills/knowledge? • Were there any quality assurance processes? • Did the participants receive any formal certification or accreditation? If so, who bestowed this?
Adoption	Setting level • Where was the training delivered? • Which sites were included or excluded in the intervention? Why? • Describe the characteristics of the participating sites • What site preparation was undertaken prior to the training?
	Individual level • What proportion of those invited to participate completed the training? • Describe individuals' feedback on their experience of participating in the training
Implementation	Content and setting • Provide a brief description of the purpose of the training • Describe the learning objectives and how the training priorities were established • Describe the specific training materials provided to both the faculty and the participants and how these were developed
	Education methodology • How was the training delivered? (lectures, small group sessions, “hands on” practice, level of direct supervision, etc.) • What was the ratio of trainers to trainees? • Indicate how many ultrasound examinations were performed by each trainee and what proportion of these were directly supervised
	Fidelity • What percent of training delivery adhered to the original protocol? • Did the training require any adaptation or modification? If so, describe and explain the rationale for changes
	Costs • Who funded the training? • What was the final cost of the training?
Maintenance	•What consideration was given to factors affecting the delivery of the training? • What consideration was given to the ongoing provision of ultrasound and its integration into pre-existing services? • Were these studied formally?
	Individual level • What is the percentage of skills/knowledge retention amongst participants at or beyond 6 months from original ultrasound training?
	Setting level • Is the program ongoing 6 months post formal study funding? • Has ultrasound training/provision been adapted into the local setting over time?