Even though it has been more than a decade, since Dr Skinner and his team introduced echocardiography to the neonatologists, a formal training for the neonatologist to acquire this important skill is still shrouded in controversy. In the United States, echocardiography in the NICU is often performed by an echocardiography technician and the images remotely read by the cardiologist. A model for a more supervised echocardiography activity could therefore be developed where the formally or informally trained neonatologist essentially acts like the technician and his/her own interpretation of the echo images are verified instantly by the cardiologist. This will not only help the neonatologists audit their own echo activity but also provide valuable out of hours echocardiography service to the NICU when echo-tech availability may be limited in some centers.

Conflict of Interest:

None declared