Ultrasonic diagnostic methods have come into wide use even among an enormous number of small-sized medical facilities distributed widely across Japan. Therefore, there is a significant difference in the method of examination and the interpretation of the findings among medical facilities and among the examiners. With a view to enhancing the quality of community medicine by overcoming these problems, it is important to standardize diagnostic techniques among the facilities and examiners. For that purpose, guidelines and recommendations published by medical associations should be utilized after being customized according to the needs of each facility. Additionally, quality control of a facility’s testing system and the diagnostic capability of examiners is also necessary. Of various issues related to the standardization and quality control to be addressed, ultrasonography-related multi-tiered educational activities in the community are of particular importance. In this article, I intend to raise the issues related to the standardization of ultrasound diagnosis.