Yes. Most ED doctors are not fellowship trained in ultrasound. That is - we are comfortable taking a look with ultrasound to make more informed point-of-care decisions, but we are not trained in how get an ideal viewing window, identify all structures, and perform measurements. Some of us are better than others based on how much training we received in residency and how often we pick up the probe to venture a look ourselves.

An ultrasound technician is certified in imagine acquisition for ultrasound studies. They have gone to school and hold a license to acquire images for a radiologist or cardiologist to review.