What does it really take to become an ultrasound tech?
This guide breaks down your next steps – from choosing an accredited program to earning your credential – so you can move forward with clarity, confidence, and purpose.
If you enjoy helping people and working in a dynamic, challenging environment, then a career as a diagnostic medical sonographer may be for you. Medical sonographers are highly specialized and trained allied health professionals. They work in close concert with other healthcare professionals, such as doctors and radiologists.
Sonographers use imaging equipment that emits sound waves, and these waves produce images of the inside of the body. They also help prepare patients for procedures, maintain ultrasound equipment, record patient history and present findings to the medical team.
The programs are competitive, the coursework is rigorous, and the rewards are many!
How do you Become an Ultrasound Technologist?
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Research the field. If becoming a sonographer is something you would like to pursue, it’s important to first understand what skills are required, and if it’s a good fit for you.
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Meet the prerequisites to apply. Each ultrasound program is different, but there are commonalities that you can prepare for before you begin the application process.
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Find an accredited ultrasound program and choose your degree. If possible, it’s important to choose a program that has been accredited by the CAAHEP. You must have at least an Associate’s degree in medical ultrasound to pursue your career, and there are other options available depending upon your interests and previous levels of education.
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Choose your specialty. From General DMS to Cardiac sonography, there are many options available to you. Learn your options and discover what opportunities await.
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Obtain your RDMS credential. Earning your RDMS credential is a requirement from most employers. If you attend a CAAHEP accredited program, you will automatically qualify to sit for their exam.
Search Accredited Ultrasound Schools in Your State
Use the dropdown below to explore accredited programs and admissions details in your state.
Is Sonography the Right Career for You?
First, it’s important to consider if sonography is a good choice for you. It’s necessary to learn the requirements, benefits, and challenges of any potential career path, and sonography is no different. You will want to research the field and carefully consider whether it is the right fit for you before committing to a program of study.
You may also want to speak with current sonographers or attend informational sessions at schools offering programs in diagnostic medical sonography to get a better understanding of the career and what it entails.
Visit our Student Resource Center, where you’ll find articles and interviews from sonography students and professors from across the country.
Prerequisites for Applying to Ultrasound School
Each ultrasound program is different, but most will have prerequisites that include college-level courses such as:
- Human anatomy and physiology
- Math
- General physics
- English composition
- Medical terminology
It is also common for programs to have minimum score requirements in the SAT or TEAS exam. Some will want documented direct patient-care experience, and volunteer hours can help meet this requirement.
Sonography programs are limited in the number of students that can be admitted each year. Accreditation standards require that there be a certain student to faculty ratio, resulting in a competitive admittance process for applicants.
Many programs require that you meet not only the course prerequisites listed above, but in some cases they want you to already have your AA degree. Letters of recommendation are also commonplace and something to think about as you complete your coursework.
Apply to an Accredited Ultrasound Program
Admittance to Ultrasound School is often a selective and competitive process. It’s important to choose the right program for you, make sure it’s accredited, and prepare ahead of time to meet the admittance requirements.
There are many accrediting bodies for schools offering degrees in medical imaging. If possible, select one that has program-level accreditation from the Commission on Accreditation of Allied Health Education Programs (CAAHEP). That way, you will be eligible to sit for your credentialing exam offered by the American Registry for Diagnostic Medical Sonography (ARDMS). This credential is typically required by employers.
How Long Does it Take to Become an Ultrasound Technician?
An Associate of Science Degree (AAS) in diagnostic medical sonography is the minimum education required to become a practicing sonographer, which typically takes 2 years of full-time attendance. Students with an existing degree in a patient-care related field may be able to apply to a shorter-term certificate program. Prerequisites to enter most degree programs include college-level math, science, and English.
Hands on learning, both in the form of internships and clinical externships, are an important part of the sonography training process. When considering which program to attend, find out what types of experiential learning are offered to students.
Understand the Different Degree Options
Each sonography degree path offers a different balance of time, training, and long-term opportunity. Use the comparison below to explore which option fits your goals – whether you’re starting fresh or building on prior healthcare experience.
Certificate Program
- Approximately 12–18 months
- Designed for current healthcare professionals or those with prior college education
- Prepares students for entry-level sonography roles
Associate Degree
- At least 2 years of full-time study
- Leads to an Associate of Applied Science (AAS) in Diagnostic Medical Sonography
- Prepares students for clinical practice
- CAAHEP-accredited programs are required for ARDMS or CCI exam eligibility
Bachelor’s Degree
- Approximately 4 years
- Typically a Bachelor of Science with a sonography concentration
- Includes clinical training and broader specialty options
- Accreditation is essential for certification exam eligibility
- May increase job opportunities and leadership potential
Whether you pursue a 2-year or 4-year path, ensure your program is CAAHEP accredited for eligibility to sit for certification exams. Learn more in our Degree Center.
Specialties in Sonography
Which Sonography Specialization Is the Best Match for You?
The American Registry for Diagnostic Medical Sonography (ARDMS) offers five core credentials, each aligned with a specific clinical focus area such as OB/GYN, cardiac, or vascular imaging.
Choosing a specialty is one of the most important decisions you’ll make as a future sonographer. Learn more about the different types of sonography specialties and career paths to find the one that best fits your goals.
RDMS – Registered Diagnostic Medical Sonographer
Most common credential for OB/GYN, abdominal, and pediatric sonographers.
Often the first credential earned by general sonographers. RDMS holders work in hospitals, imaging centers, and OB practices nationwide.
🩺 Settings: OB/GYN clinics, hospitals, women’s health
🧍♀️ Patients: Pregnant individuals, children, adults, and older patients with abdominal or pelvic concerns
RDCS – Registered Diagnostic Cardiac Sonographer
Focuses on echocardiography for adult, pediatric, and fetal heart imaging.
Often required for sonographers working in cardiology clinics or specialized echo labs. Employers may prefer RDCS over other echo certifications.
🫀 Settings: Cardiology clinics, echo labs, hospitals
👶 Patients: Adults with heart conditions, children, high-risk pregnancies
RVT – Registered Vascular Technologist
Specializes in vascular ultrasound to assess veins, arteries, and blood flow.
Required by many vascular labs and clinics. RVT sonographers often work closely with cardiologists or vascular surgeons.
🧠 Settings: Vascular labs, hospitals, outpatient imaging
🩸 Patients: Individuals with stroke risk, blood clots, poor circulation
RMSKS – Musculoskeletal Sonographer
Used for advanced imaging of joints, tendons, ligaments, and soft tissue conditions.
Best suited for experienced sonographers or providers working in orthopedics, sports medicine, or pain management.
🏃 Settings: Sports medicine clinics, ortho practices, pain clinics
💪 Patients: Athletes, injury cases, chronic joint or tendon pain
Other Certification Options
Midwife Sonography Certificate
Designed for certified nurse-midwives using ultrasound in prenatal and maternal care.
No SPI exam required. Helps midwives independently perform routine OB scans within their scope of care.
👩⚕️ Settings: Birthing centers, OB offices, prenatal care
🤱 Patients: Expecting mothers, reproductive health clients
Earn Your Credential in Ultrasound
Attendance at a college accredited by CAAHEP will prepare you to sit for national certification exams. Certification by the American Registry for Diagnostic Medical Sonography (ARDMS) is required by virtually all employers.
The ARDMS is a leading accrediting organization recognized across the United States and around the world. Many states require an aspiring sonographer to become certified in one of the 5 ultrasound specialties offered through the ARDMS by meeting educational and experiential pre-requisites and writing a certification exam.
Other licensing or certification organizations that offer credentials relevant to ultrasound technology include the ARRT (American Registry for Radiologic Technologists), CCI (Cardiovascular Credentialing International) and JCAHPO (Joint Commission on Allied Health Personnel in Ophthalmology).
In certain states, such as New Hampshire, New Mexico, North Dakota, and Oregon, mandatory licensing laws for ultrasound technologists have either been passed or proposed. In these four states, it will be impossible to become a sonographer without receiving a license or certificate.
In states where ultrasound certification is not legally required, most employers still prefer or require an ultrasound technician to be licensed or credentialed. Generally speaking, those who are certified have a competitive advantage over those who are not when searching for employment.
What Future Sonographers Are Reading Next – Articles, Interviews, and Advice
- Sonography Career Paths
- 7 Female Pioneers in Medical Imaging
- Ultrasound Technician Degree Options
- Find an Ultrasound Technician Program Near You
- How to Pay for Sonography School
- Anatomy & Physiology: A Student’s Perspective
- Time Management Tips for Sonographers
- What to Know About Selecting an Ultrasound School
- Tips on Preparing a Successful Sonography Schools Application
- Expectation vs Reality – What’s it Like to be a Sonographer?
Updated August 2025





