Should credentialing organizations require all accredited

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Mon Jul 30 12:07:25 2007


Finally, the reality of sonography in the USA is acknowledged... in Great Britain at least. Now if only the ACR, ACOG, AIUM, et al would wake up and get on board... IMHO.

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 or 501-686-5948 DuBoseTerryJ@UAMS.edu http://www.uams.edu/chrp/sonography/ http://www.obgyn.net/us/panel/panel.htm http://www.io.com/~dubose/ ---------------------------------------------------------------

=46rom: ---------------------------------------------------------------

--------------------------------------------------------------- FETAL MEDICINE FOUNDATION OF THE UNITED STATES OF AMERICA

July 2007: Volume 3 Issue 2, p. 4

Should credentialing organizations require all accredited sonographers be supervised by physicians who are accredited as well?

N. Greene MPH RDMS RDCS, J. Sonek MD RDMS, A. Nadel MD

The Fetal Medicine Foundation and Fetal Medicine Foundation USA concur that each person involved in fetal ultrasound examinations should be appropriately trained to do so. This applies to ultrasound-based diagnosis and screening in all trimesters. In the case of specialized evaluations such as the nuchal translucency measurement, nasal bone evaluation, tricuspid valve and ductus venosus Doppler, and fronto-maxillary facial angles, standardized views and additional training with ongoing quality assurance are imperative. We are of the opinion that the interpreting physicians should be aware of the requirements for such views. However, it is also our opinion that requiring the interpreting physicians to have the same skills as the sonographers to obtain such views, though highly desirable, is not practicable. In the United States, physicians commonly depend to a large extent on the skill of the sonographer. This applies to not only general obstetricians/gynecologists but to maternal-fetal subspecialists and radiologists as well. This situation is not likely to change any time soon. Requiring sonologists, in addition to the sonographers, to be accredited in the specific situation of nuchal translucency measurement would lead to significant limitation of access of American women to nuchal translucency screening. At this point in time, the most effective approach is to make sure that the person who is performing the nuchal translucency measurement, (as well as the nasal bone and tricuspid flow assessment) is properly trained and that he or she participates in ongoing quality assurance. It is our belief that it is better to offer standardized screening (accreditation of the sonographer OR the sonologist) to a much larger number of women than it is to insist on restrictive screening strategies (accreditation of the sonographer AND the sonologist) which reach a much smaller number of women. (Emphasis added)

http://www.fetalmedicine.com/usa/pdf/Newsletter volume 3 number 2.pdf

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