The role of the sonographer , the USA model

The role of the sonographer , the USA model

The role of the sonographer , the USA model
Prof. Dr Hans Blickman
Vice Chair, Dept. of Radiology
Radiologist-in-Chief, Golisano Childrens
Hospital
URMC, Rochester NY USA
Diagnostic Medical Sonography
Also known as Ultrasound or Ultrasonography
Fastest-growing area in diagnostic medicine
Non-invasive, non-toxic imaging modality
Uses high-frequency sound to produce images
of various organs of the human body
Diagnostic Medical Sonography
Also known as Ultrasound or Ultrasonography
Fastest-growing area in diagnostic medicine
Non-invasive, non-toxic imaging modality
Uses high-frequency sound to produce images
of various organs of the human body
Ultrasound Specialties
Abdomen and Small Parts
• Evaluation of the organs in the abdomen, breast, scrotum, thyroid glands
and checks for any abnormalities.
Obstetrics & Gynecology
• Evaluation of the pregnant & non-pregnant uterus
Vascular
• Evaluation of blood vessels
Echocardiography
• Evaluation of the heart
Ophthalmology
• Evaluation of the eyes
Neurosonography
• Evaluation of the neonatal brain
A Sonographer or Ultrasound Technologist
Obtains medical history & prepares patients for the ultrasound
examination
Selects the appropriate equipment for the ultrasound examination,
records and gathers data.
Analyzes the data collected and reports the ultrasound findings to the
physician in an oral and written fashion for diagnosis.
Interacts and collaborates with physicians and other health care
professionals in order to provide a good quality care to the patient.
Selects and evaluates new products and equipment for possible future
use.
Career Opportunities
Private & Public Hospitals (59% of jobs)
Private physician Offices
Self-Employed
Mobile Ultrasound
University/College (Education)
Commercial (Companies)
Sonographer’s Salary
Median salary is:
• $61,984
• SDMS Salary and Benefits Survey report, March 2005.
• $52,570 - $73,680
• US Department of Labor, Bureau of Labor Statistics, May 2008.
Salary varies & depends on:
• Years of experience
• Number of specialties practiced
• Geographic location
• Education
• Best-Paying Jobs for Associate Degrees by
CNN.com
Job Outlook & Projections
Sonographers held about 50,300 jobs in 2008.
• Projected employment by 2018 is 59,500
• An increase of 9,200
Faster than average growth (Increase 14 to 19 percent)
• is expected to increase by about 18 percent through 2018—faster
than the average for all occupations
Sonography Education
Certificate
Associate
Bachelor of Science
Geographic Distribution of
Ultrasound Programs
4
4
1
1
1
1
3
1
9
1
2
7
7
2
5
3
15
2
5
12
10
5 2 2
2
4
8
3
2
7
10
2
3
6
1
2
13
1
4
2
5 2
1
Ultrasound Programs Nationwide
Ultrasound
Program
s
26
BS
85
Certificates
94
Associates
Accreditation of Ultrasound Programs
Ultrasound Programs are accredited by the
JRCDMS
• Joint Review Committee on Education in Diagnostic Medical
Sonography
Under the umbrella of CAAHEP
• Commission on Accreditation of Allied Health Education
Programs
Accreditation Standards & Guidelines
Essentials/Standards initially adopted in 1979; revised in 1987, 1996, and 2007 by
the:
American College of Cardiology Foundation (ACCF)
American College of Radiology (ACR)
American College of Obstetricians and Gynecologists (ACOG)
American Institute of Ultrasound in Medicine (AIUM)
American Society of Echocardiography (ASE)
American Society of Radiologic Technologists (ASRT)
Society of Diagnostic Medical Sonography (SDMS)
Society for Vascular Surgery (SVS)
Society for Vascular Ultrasound (SVU)
Commission on Accreditation of Allied Health Education Programs (CAAHEP)
National Education Curriculum
American College of Cardiology Foundation
American Registry of Diagnostic Medical
(ACCF)
Sonography (ARDMS)
American College of Obstetricians and
American Registry of Radiologic
Gynecologists (ACOG)
Technologists (ARRT)
American College of Radiology (ACR)
Canadian Association of Registered
American Institute of Ultrasound in Medicine
(AIUM)
American Society of Echocardiography (ASE)
American Society of Radiologic Technologists
(ASRT)
Society of Diagnostic Medical Sonography
(SDMS)
Society of Radiologists in Ultrasound (SRU)
Society for Vascular Surgery (SVS)
Society for Vascular Ultrasound (SVU)
Diagnostic Ultrasound Professionals
(CARDUP)
Canadian Society of Diagnostic Medical
Sonography (CSDMS)
Cardiovascular Credentialing
International (CCI)
Joint Review Committee on Education in
Cardiovascular Technology (JRCCVT)
Joint Review Committee on Education in
Diagnostic Medical Sonography
(JRCDMS)
SDMS Educational Foundation
Ultrasound Training
Didactic Phase
• Basic science courses
• Biology
Clinical Phase
(Internship)
• Students work side by side
• Physics
with sonographers and
• Anatomy & Physiology
physicians
• Mathematics
• Learn, apply, and sharpen
• Chemistry
their ultrasound skills and
• Liberal arts
techniques
• Ultrasound core courses
• Perform examination on in-
patients and out-patients
Sample Specialty Curriculum Outlines
Abdominal Sonography
Superficial Structures
Breast
Neurosonography
Musculoskeletal
Obstetrical Sonography ƒ
Gynecological Sonography
Cardiac Sonography
Vascular Sonography
Sample Common Curriculum Outline
Common Curriculum
Anatomy & Physiology
General Education
Sectional Anatomy
Mathematics
Pathophysiology
Communications
Medical Ethics & Law
Psychology and Human Behavior
Patient Care
Physics
Sonography Specific
Statistics
Sonographic Physics &
Information Technology
Health Related
Instrumentation
Work-Related Musculoskeletal
Disorders (WRMSD)
Credentials
RDMS: Registered Diagnostic Medical Sonographer
• Exams:
• Sonography Principles & Instrumentation Examination
• Plus OB/GYN, Abdomen, Breast, Fetal Echocardiography, Neurosonography or Pediatric
Examination
RDCS: Registered Diagnostic Cardiac Sonographer
• Exams:
• Sonography Principles & Instrumentation Examination
• Plus Adult or Pediatric Echocardiography Examination
RVT: Registered Vascular Technologist
• Exams:
• Sonography Principles & Instrumentation Examination
• Plus Vascular Technology Examination
RMSKS: Registered Musculoskeletal Sonographer
• Exams:
• Sonography Principles & Instrumentation Examination
• Plus Musculoskeletal Sonographer Examination
Continuing Competency
30 hours of CME credits per 3-year period
Pass an additional specialty exam in same credential area
Earn registration in different credential area
Sonographer Demographics
Female
87.3%
Male
31.8%
Years in Sonography
Sonographers’ age over 50
2008
31.9%
2005
22.9
%
Sonographers’ Education
Sonographers Educational Background
Sonographers’ Educational Degrees
Sonographers by Registry
RDMS
38.5%
RVS/RC
S 0.4%
RVT
17.2%
RDMS/RD
CS/RVT
4.4%
RDMS/RV
T 14.6%
RVT/RDC
S 5.9%
RDCS
12.5%
RDMS/RD
CS 6.4%
Sonographer Employment
94.1%
Employees
3.9% Selfemployed
2% Temporary
via agency
Primary Job Setting
Primary Job Title
Sonographers by Specialty
OB/GY
N 24%
Abdome
n 21.2%
Vascular
20.1%
Breast 14.7%
Adult Echo 9.2%
Neurosonography 4.6%
Pediatric Echo 2.8%
Fetal Echo 1.9%
Other Specialties 1.6%
Work Location
Sonographers’ Work Time
Scans Per Day
Specialty
Average Scans Per
Day
Abdomen
10.7
Breast
10.8
Adult Echo
8.7
Fetal Echo
10.3
Pediatric Echo
8.1
Neurosonograph 11
y
Ophthalmic
Biometry
17.7
Ophthalmology
23.5
Vascular
10.2
Other
10.6
SDMS Sonographer salary and Benefits Survey Report, 2008.
A vibrant, important position…….
Thank you.
Many thanks for your time and attention
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