Objective: The European Medical Imaging Technology (EMIT) training project has a remit to develop and deliver a hospital-based work-linked training programme for medical physics graduates in ultrasound. It is intended that the training pack should also be a useful life-long training resource for other healthcare professionals working in ultrasound. Methods: The project Consortium comprises Universities and Hospitals from the UK, Sweden, France, and Italy, with the European Federation of Medical Physics working together under the Leonardo EU program. The material is Internet and CD based using e-Workbooks and image databases (IDB). The module encompasses the physics, instrumentation, and practical applications found in current clinical practice. The training programme consists of a 4-month training timetable; a workbook with training tasks, leading to specific competencies; an IDB and course guide. The project has also developed a Digital Dictionary of terms. Results: The module consists of 44 tasks aimed at developing specified competencies. The tasks are designed to be used by trainees from diverse backgrounds and under different levels of supervision. The task descriptions are therefore required to be highly prescriptive. However, a supervisor may need to modify the tasks according to local protocols. In this case, the Supervisor uses the EMIT tasks as a “good practice guide” upon which to make local amendments. All tasks have a similar structure: Aim & Competencies; Equipment & Materials; Procedures & Measurements; Observations & Interpretations; Conclusions & References. To demonstrate competency, the trainee must describe the tasks undertaken, discuss the results, and derive conclusions, to the satisfaction of the supervisor. A task is only completed when verified by the supervisor. Conclusions: The EMIT structured programme provides a framework in which trainees can learn a set of competencies that are relevant for their professional needs. In addition, it can be used to teach ultrasound theory and practice to clinical users in a structured and interactive way. There will be a conference to disseminate and evaluate the EMIT training programme in Trieste, Italy, 9–12th October, 2003 (URL: http://www.emerald2.net).