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Re: Ultrasound ReimbursementFrom: Terry DuBose (terrydubose@sbcglobal.net)Sat Jan 26 17:04:02 2008
Like it hasn't been happening every day for 30+ years. In most cases I have seen, the sonographer is much more familiar with the sonographic instrument than the interpreting physician. I am not saying that many physicians are not very good at scanning with their office instrument, but when they get into a larger institution which has a myriad of different manufacturers and models, the unfamiliar machine becomes a barrier between the physician and the patient. It is much better, IMHO, for the physician that may not be as familiar with the sonographic machine to simply talk to the sonographer and look at the images. Then if the information and the patient history or images do not match up logically, the physician simply stands behind the sonographer and says "Show me.". The patient will be better served and it will not take nearly as much time as the physician fumbling around with the controls, looking and feeling like they don't know what they are doing. As Dr. Ken Taylor said over 25 years ago: ".... There is a very important difference between sonographers and other imaging technologists. Other technologists may reject an image because of sub-optimal technical quality, but the sonographer usually rejects over 95% of the scans because they do not provide the diagnosis. The sonographer must make the diagnosis and be able to interpret the scan to document the presence of any abnormalities. This is the unique responsibility of the sonographer." Ken Taylor, Yale University, addressed this question in the Nov/Dec., 1982, issue of the SDMS Newsletter. For years I took call, and the interpreting radiologist did not read them until the next morning. Often the ER doc would come over and pick up the case and read the "sonographer's prelim" and return to the patient. A good sonographer does know what they are looking at, otherwise they can't operate the machine; and everyone should recognize that by now. Peace, Terry Doug Marcum <advancedultrasound@hotmail.com> wrote: WOW...a liability....read them "later" based solely on the sonographers word that everything is ok. As competent as I feel I am...that is serious exposure! Doug Marcum BA,RDMS,RDCS,RVT(APS) Advanced Ultrasound Consultants Elite Solutions for Diagnostics, Vein Therapy/Insufficiency Scanning, and On-Site Education Orlando, FL 321.231.2191 advancedusconsultants.com
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