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Re: Should credentialing organizations require all accreditedFrom: Jean Lea Spitz (jls1@coxconnect.net)Tue Jul 31 18:43:55 2007
Terry, I need to declare a conflict of interest because I just started working with NTQR. However, I have always been a strong advocate for sonographers’ skills and abilities. The issue here is first trimester risk assessment. Patient care needs to be foremost in any discussion. In these circumstances adequate patient care is achieved by a partnership of minimally a sonographer and a sonologist and perhaps others including genetic counselors, MFM’s, etc. The referring and supervising physicians have the responsibility for the counseling and assessment process. That includes supervising the sonographer, validating the measurement, counseling the patient, and referring for additional testing as needed. Sonographers are best served by working with physicians who can be a “second eye” in validating or obtaining the images, who will recognize the criteria and importance of sonographic skill, and who can counsel patients before and after the measurement, or when the results come in. I think most sonographers want that level of supervision and partnership. Legally the medical practice regulations that are associated with the nuchal translucency CPR code require that level of supervision. Credentialing for physicians who want to participate in first trimester risk assessment is a good thing. It is physicians asking for accountability from physicians who participate in first trimester assessment. We have fought together for sonographer credentialing and I for one respect physician credentialing for first trimester assessment as well. The position of the NTQR and my position as well is that every patient deserves a credentialed sonographer / sonologist team providing optimum patient care. The issue of access which is discussed in the FMF newsletter was addressed in the ACOG statement issued in January. There are alternatives methods of risk assessment that do not require nuchal translucency and these can be used when credentialed sonographers and sonologists are not available. The state of California Genetic Disease Branch is one group that supports alternative strategies in addition to the nuchal translucency. Risk assessment is a complicated process and the team approach works best for patients. That is what NTQR advocates. Jean Lea Spitz
At Mon, 30 Jul 2007, DuBose, Terry wrote:
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-- Jean Lea Spitz, MPH, RDMS
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