Abstract: Various methods and systems are provided for dynamically adjusting user guidance based on a user's proficiency by tracking the same. In one example, a proficiency score for a user may be tracked over time and practice based on a pre-defined rubric for a given anatomical region and a given anatomical target within the anatomical region. During medical imaging, based on the proficiency score of the user, an amount of user guidance that is provided to the user may be adjusted. For example, user guidance may be automatically activated to guide the user during the imaging procedure when the proficiency score of the user is less than a threshold score.