A total of three clinical courses is a part of each program. Externship courses must be completed to graduate. These courses starts in semester three (3) of the program. All students are required to complete the externship segment of the program before the issuance of a degree or certificate of completion. No student is exempted from this portion of the program.

Externship is a crucial part of the programs which allow students to acquire vital skills through workplace exposure under the supervision of a registered Sonographer within the appropriate area of study prior to graduation. Students must be prepared to experience added stress as classroom and lab knowledge is tested in the clinical setting. The student must conform to clinical sites protocols, perform responsibly, ethically, and  professionally. This section of the program is conducted under the guidance of the clinical site preceptors and college clinical director.Student progress is evaluated by both entities. Students are required to submit time and case logs to the clinical director and submit at least one scan at the end of each semester for competency evaluation. Failure to comply may result in a failure grade. The college uses Trajecsys centralized clinical record keeping for health education programs which monitor student clinical performance.

It is the college responsibility to secure an externship site for all students however students with access to clinical sites may elect to make initial individual arrangements but must submit information to the Clinical Director for approval.