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The role of the sonographer – An investigation into the scope of practice for the sonographer internationally
Institution:1. Department of Medical Imaging and Radiation Sciences, Monash University, Faculty of Medicine, Nursing and Health Sciences, 10 Chancellors Walk, Clayton Campus, Victoria, 3800, Australia;2. School of Education and the Arts, Central Queensland University, Building 32, 554-700 Yamba Rd, Norman Gardens, 4701, Australia;1. Interventional Radiology Department, Royal Liverpool University Hospital, Prescot St, L78XP, Liverpool, United Kingdom;2. University of Salford, L613, Allerton Building, M5 4WT, Salford, Manchester, United Kingdom;1. The Christie NHSFT, Manchester, United Kingdom;2. Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom;1. Department of Radiology and Nuclear Medicine, Oslo University Hospital, Norway;2. Faculty of Health Science, Oslo Metropolitan University, Norway;3. Sunnaas Rehabilitation Hospital, Norway;4. ImTECH, Department of Diagnostic Physics, Oslo University Hospital, Norway
Abstract:IntroductionThere is global variance in the role of a practicing sonographer. Literature examining global sonographic roles and scope of practice is limited, despite the international applicability of ultrasound imaging. This study aimed to examine the common and divergent features of a practicing sonographer internationally, and their impact upon the development of a global standard of practice.MethodsAn ethically approved mixed-methods online survey was conducted. The purposive sample included all 75 current elected council members of the ISRRT International Society of Radiographers and Radiological Technologists], an international professional organisation.ResultsThirty-six individuals from at least 32 different countries responded, reflecting the sonography profession in all four ISRRT regions. The results suggest that sonographer education requirements differ widely, from on the job training (16%, 6/36) to undergraduate or postgraduate schooling (44%, 16/36). Registration and accreditation bodies were present in the jurisdiction of 41% (14/34) and 35% (12/33) of respondents respectively, though many were voluntary, physician-focused or non-specific to sonographers. Five of 11 (45%) respondents suggested that the sonographer–radiologist relationship is individual-dependent, and not primarily positive or negative. Ten of 28 (36%) suggested that other professionals do not know the role of the sonographer.ConclusionThe majority of ISRRT council member respondents believe that an international scope of practice could benefit and be implemented in their jurisdiction (26/28, 93% and 22/33, 67%). The key advantages noted were standardisation of education and improved professional mobility. However, lack of sonographer education and radiologist acceptance are important potential barriers.Implications for practiceAn international scope of practice could be beneficial and implementable in most ISRRT jurisdictions. Professional mobility and education standardization are the primary advantages. Insufficient sonographer education and physician acceptance are the key potential obstacles.
Keywords:Ultrasound  Sonography  Standard of practice  Education  Global
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