The Training Aspects Of The Ultrasonographer
The level of expertise required in ultrasound scanning can be divided into 3 levels, i.e. level 1, level 2 and level 3. The objectives and requirements are as below:
Level 1 (Basic)
- To understand the basic functions of the ultrasound scanner and its optimum utilisation.
- Reliably confirm viable pregnancy using abdominal scanning.
- Make accurate measurements to assess gestation age in first and early second trimester including CRL, BPD, HC, FL, AC.
- Diagnose multiple pregnancy.
- Establish foetal presentation.
- Assessment of liquor volume – AFI/single pool.
- Exclude placenta praevia.
Attendance at one basic course and the remainder in an accredited hospital by members of a board run by Obstetrical & Gynaecological Society or Ultrasound in Medicine or Perinatal Society of Malaysia or senior members of the Obstetrics department of the accredited hospital.
Perform 100 ultrasound scans under supervision with a logbook consisting of 30 cases comprising of the following:
- Ability to do mid and late pregnancy scans and to obtain appropriate measurements for gestational age.
- Ability to come to a conclusion regarding viability and maturity in early pregnancy problems.
- Identify common adnexal masses.
- Ability to scan for assessment of liquor volume.
Level 2 (Intermediate)
- Detailed scanning of the mid-trimester foetus (routine).
- Detection of foetal anomalies at any gestation including basic foetal echo.
- Doppler studies and its application in obstetrics.
- Application of transvaginal scanning (TVS) in pregnancy.
Attended accredited – intermediate and/or advanced courses.
1 year experience after basic level accreditation and incorporation into postgraduate training programmes.
- Master in Obstetrics and Gynaecology.
- Post MRCOG in accredited hospitals.
Level 3 (Advanced)
- Ability to do advanced procedures for foetal diagnosis and therapy.
- Provide second or expert opinion in doubtful cases.
- Provide training for Level 1 and Level 2 courses.
- Attended accredited courses e.g. RCOG/RCR in Foetal Medicine for 1 year or accredited local courses.
- Scholarship in recognised Foetal Medicine training centres abroad.
- DDU (Australia)
- RCOG/RCR course accreditation
- MMed (Foetal Medicine) Birmingham
p/s: i'm still at the intermediate level. wish can further in Postgraduate......