The American College of Chest Physicians (ACCP) has taken concrete steps to provide training in thoracic ultrasonography in the United States. Training in thoracic ultrasonography is a key component in the numerous courses that the college has given to >2,000 clinicians over the past 7 years. The ACCP has developed a comprehensive critical care ultrasonography training program that includes lung and pleural ultrasonography. This Certificate of Completion program requires 7 days of course work, a 20-h Internet training component, and a mandatory 250 image portfolio collection, followed by a hands-on and image-based examination that includes thoracic ultrasonography. The image portfolio, which is reviewed by the faculty, allows an experienced ultrasonographer to provide meaningful feedback to the learner, thereby increasing skill level.