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Re: AIUM CertificationFrom: T Dubose (tjdubose@chrp.uams.edu)Thu Jan 9 17:13:39 1997
No argument here. My point is that the sonographer/sonologist needs appropriate training and experience. Obviously, first hand observation gives the best impression. However, many practices are too busy for the physician to scan every case. In those cases I believe there is a place for a trained RDMS, non-physician, to do detailed fetal measurements and anatomical surveys. They can call the physician if all is not normal. This type of sonographic practice is going on everywhere and it makes routing sonography much more economical, and more effective if case load causes the exams to be incomplete. Terry J. DuBose, M.S., RDMS; Assistant Professor Program Director, Diagnostic Medical Sonography University of Arkansas for Medical Sciences, Fellow, AIUM tjdubose@chrp.uams.edu http://www.io.com/~dubose/ http://www.obgyn.net/CORRESP/DUBOSE.HTM VOICE: 501-686-6510 FAX: 501-686-5613 Now is the time for all good folks to come to the aid of the Earth.
A Personally, I would not want
>even an M.D. to do my sonography without proper training. There are I completely agree. However, there is a major advantage to having an Obstetriian doing the ultrasound scans rather than a radiologist. The Ob has a complete understanding of the clinical situation and this aids in the interpretation. Case in point--The diagnosis of placenta previa at a 20 week ultrasound in a patient who has no history of bleeding. IMHO this should not be diagnosed as placenta previa. Rather the sonographer should merely describe the location of the placenta. How many times do we see a low lying placenta covering the os at 20 weeks which never pans out to be a true previa in the third trimester. Robert Brenner MD FACOG Baltimore MD Robbrenner@earthlink.net
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