A system for creating customized learning content for ultrasound simulators using materials from an existing library of curated content including images, volumetric data sets, and metadata, or otherwise acquired, overcoming numerous challenges to ultrasound education and training, including the ability to seamlessly create real-patient based ultrasound training curriculum, the creation of an expansive library that that represents multiple pathologic conditions, and the dissemination of training content to multiple users in an asynchronous manner.