Re: AIUM Accreditation and the Hippocampal Oaf

From: Joshua Copel (joshua.copel@yale.edu)
Mon Dec 22 20:05:56 1997


Reply to: RE>AIUM Accreditation and the Hippocampal Oaf

In response to Mark's post below. The purpose of the AIUM 30 minute rule was simple. We know there are are lot of physicians out there who take advantage of sonographers. By this I mean the ones that let the sonographer do all the work, and never get involved with the patient except to sign off the report and the bill, and who may merely fast-forward through a video or flip films a day or 2 later. We were concerned about the potential for harm if a sonographer sees, for example, an ectopic, and the films won't be seen for a day or two, or identifies an anomaly in a fetus and nobody informs the patient. Thus the rule that the images need to be able to be viewed within 30 minutes. We also recognize that there are a lot of situations where the doc may not need to be physically present, for example following follicles on a patient undergoing ovulation induction. Thus, again, and availability rather than mandatory physical presence. We are NOT trying to protect physicians (there is a sonographer on the Council, and many on the Commission). We are trying to be reasonable about the real world. I want to be able to read scans around my area from ObSono Central at Yale (not a beach cabana, give us some credit, OK). If my team of sonologists reads the "routine" sonograms that are being done around the area I think the patients will get better care. Also, I cannot conceive of any relevant anti-trust/restraint of trade issues. If people don't like the AIUM program they can certainly go to ACR.

Finally, don't know what you mean by cutter of stone in Hippocratic oath. We took the oath of Maimonides at Tufts.

Josh Copel

-------------------------------------- Date: 12/22/97 9:01 PM -------------------------------------- To: Joshua Copel

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From: MARK LAWSON
Right now the AIUM Accreditation Commission is requiring that the physician be able to see the films/sonogram within 30 minutes as representing adequate supervision.    Josh Copel

Dear Dr. Copel, What do you think of this 30 minute thang??? IMHO.... Soon I'll be "live" scanning to my interpreting physician sitting on the beach in her cabana looking at TV screens from around the world, asking the patient to take a deep breath or turn on her side over the internet..... the point is that the 30 minute rule is political garbage in a fruitless attempt to protect physicians...... like the cutter of the stone in the Hippocampal oath.... don't you agree???.... Please don't read this as disrespectful of the function and need for my physician/colleagues.......... My patients aren't seeing there obstetrician for another month, 30 minutes seems lame to me and I believe will bring restriction of trade issues to bear........ I'd like to see KUB's CXR, lab studies and other diagnostic tests fulfill that requirement. Jingle bells. :-) I do appreciate the opportunity to see these matters in a better light, hope you can help........... Sincerely,

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Mark Lawson, RDMS -- Texas



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