Ken:  I work in a Radiology based lab--about half our work is vascular.  I
do understand the reasons/motivations for videotaping but both labs I've
worked at have been radiology based and essentially have depended upon the
sonographer for vascular interpretations.  I love the responsibility for
doing that but many sonographers that I have hired here have not had that
experience in essentially reading their exams....and I've had a devil of a
time in teaching new employees to get the hang of determining the degree of
stenosis themselves.  Maybe my expectations are too high.  Hope this answers
your question.  Honestly, I didn't realize how many people were taping exams
until this question arose on the net.     Linda
>From: "Rice, Ken" <[log in to unmask]>
>Reply-To: UVM Flownet <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: videotaping
>Date: Thu, 13 Apr 2000 12:55:41 -0700
>
>Just a little question for those that do not video there exams. What type
>of
>setting is your lab? Are you radiology based or other? We video everything
>because our reading group is made up of Vas., Neuro. and Rad doctors. The
>radiologist say that they could get away from video but the others are
>opposed to snap shot diagnosis (their words).
>
>Kenn Rice
>Eugene, OR
>
>
>-----Original Message-----
>From: linda sulzdorf [mailto:[log in to unmask]]
>Sent: Wednesday, April 12, 2000 4:06 PM
>To: [log in to unmask]
>Subject: Re: videotaping
>
>
>I'm going with Bonnie on this one as well.  We don't videotape our exams
>unless there's some reason I need to show the study to the Rad in realtime
>and he/she isn't available to walk into the room while I'm doing my scan.
>We use static B&W duplex images (24 per exam for carotid studies--other
>duplex exams vary with the vessel being examined) for the majority of our
>documentation and take 4 representative color images as well(again, for
>carotid exams).  Our carotid QA over an 8-year period has a 95% correlation
>with angio and we have had no problem going back to the exam in question
>and
>reviewing static images.  Yes, the sonographer must work diligently to
>understand and document the appropriate diagnostic images....but isn't that
>our job?  My Rads wouldn't look at a videotape and make a diagnosis to save
>their ______ !  They fully expect us to fill out the worksheet and grade
>the
>stenoses for them--and frankly, I just as soon do it as we are, after all,
>the ones performing the study.  It gives the control for what report comes
>out of the u/s department to the sonographer which seems to work better for
>our institution since our Rads and Surgeon aren't interested in spending
>time looking at a video, much less trying to understand it.     Linda
>Butte,MT
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