Training Services

We believe the biggest single factor in increasing detection rates is sonographer training. So the point of our training services is simple – to give health professionals the confidence, knowledge and skills to better spot heart defects during pregnancy screening.

We know it works – after we trained throughout Wales, detection rates climbed above 50%, the highest in the UK. So our mission is to train as many sonographers as possible, as regularly as possible.

“Thank you for the three training days you have given us and to all your trainers. The training has helped to consolidate our knowledge and skill and has been a great confidence booster for all our staff when examining the fetal heart.”

Jane Pennington, Princess RoyalTelford Hospital, March 2018

“Overall the experience we have had with Tiny Tickers has been brilliant and all my staff have benefitted so much from your visits, thank you so much for coming to help us all.”

Carolyn Stabler, Worcestershire Hospital, January 2018

“Tiny Tickers provided cardiac screening training for myself and my colleagues at City Hospital in Birmingham. I can’t praise enough the way in which we were taught and the in-depth information provided. The training far exceeded my expectations and I now feel equipped and ready to put it in to practice. “

Esme Burton, Sonographer, Birmingham City Hospital, October 2016

What we do

Our training services have three main strands:

  1. Practical training – We train up to 10 sonographers on a training day, usually 5 in the morning session and 5 in the afternoon session. We combine theory with practical hands-on training by giving a power point presentation prior to the practical sessions. We focus on normality but do also cover the most common major cardiac abnormalities and how to recognise them. All of our trainers specialise in fetal echo and have many, many years experience within midwife led units.
  2. Theory conferences – Part of our regional training projects and delivered jointly with leading fetal cardiology experts, our conferences cover the scanning planes of the fetal heart and cardiac abnormalities, as well as sessions hearing from patients and other relevant organisations.
  3. Online resource centre – This area is constantly growing to include training materials and videos, details of theory and practical training opportunities, research articles, statistics and links.

Sonographer Training

Our training aims to improve the prenatal detection of congenital heart defects using obstetric ultrasound at the routine ‘20 week’ fetal anomaly scan.

We’ve trained sonographers to use the five views of the fetal heart for many years, and have lobbied for the three vessel and trachea (3VT) to be adopted into FASP’s fetal cardiac protocol, which we are delighted has now occurred.

So, our training covers all five views:

  1. Abdominal situs
  2. Four chambers
  3. Aorta / left outflow tract
  4. Pulmonary / right outflow tract
  5. Three vessel and trachea

Because our training is hands-on, using the machines sonographers work on daily, as well as teaching how to achieve each view, we are able to help delegates with their hand-eye co-ordination, pattern recognition and 3D visualisation. We also take the opportunity to refresh our delegates on the embryological development and anatomy of the fetal heart.

We also cover topics such as:

Our practical training is aimed at departments, not individuals. We recommend training a small group of 10 delegates per day (5 in the morning, and 5 in the afternoon), so for larger departments the training can occur over consecutive days.

Our approach to charging is straightforward and transparent – training is one of our main charitable activities, and thanks to the past support of funders such as the Big Lottery Fund, Children’s Heart Surgery Fund and Sovereign Healthcare Charitable Trust, we have been able to make this service as accessible as possible. For training in an individual unit, we seek only to cover our costs and will work with units who have restricted budgets to make sure our training is accessible.

If you are interested in booking training or finding out further details, please contact us at