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Point-of-care ultrasound echocardiography has become an indispensable tool for rapid clinical assessment in emergency medicine. This review article examines the heterogeneity in training pathways globally, outlining the advantages and presenting the challenges to standardisation, documentation practices and quality assurance. By reviewing current curricula, training methods and international models, we aim to identify the positive elements and propose a framework for an ideal national training programme, including the potential role of an examination and higher education institutions.