From: Peter Game <[EMAIL PROTECTED]>

Hi all,
It seems to be a pet desire of the HIC to have ultrasound examinations
performed only where there is a radiologist on site, to provide
'personal supervision' of the sonographer. The Federal Health Dept
doesn't agree (I thought they were on the same team!). I have heard
arguments from prominent radiologists from the RACR in support of this
proposition, but with most radiologists being now employed by large
corporations there is the possibility that the opinions of the 'college'
are being somewhat coloured. Also it has been my experience that a
radiologist personally examining an ultrasound patient is the exception
rather than the rule. Given that background, I am keen to gather any
anecdotal evidence from sonographers relating to current practices in
radiology centres where there are fulltime radiologists. The sort of
information I would like is: 1. Where there is a sonographer performing
the exam, what percentage of patients are personally examined by a
radiologist? 2. Of those patients personally examined, what percentage
are examined because the radiologist feels they need to for diagnosis,
as opposed to wanting to because they have a particular interest in
ultrasound? 3. In those cases where the radiologist personally examined
a patient, in what percentage were the sonographer's findings changed?
4. Since personal attendance for musculoskeletal ultrasound was
introduced, what percentage of radiologists personally examine the
patient themselves?

I'm certainly not interested in naming names or getting specific
information about specific groups or radiologists, just a general
overview. If the results are as interesting as I suspect they might be,
I will then try to organise a formal survey to be undertaken for the
information of the HIC and Health Dept.

Meanwhile if anyone would like to share some anecdotal percentages,
please email me directly at [EMAIL PROTECTED] - all contributions
received will remain strictly confidential. Thanks in advance

Peter Game




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