I like this response, as well as those from Ann Marie and Barbara. We're supposed to be good at providing diagnostic images AND to be smart when we do it. As someone who is this week immersed in administering scanning performance tests, I can tell you that trying to have everyone do a practical test for ARDMS would be like digging another Panama Canal with a spoon. So computer-administered knowledge tests are about the only way to try to insist on some cognitive competence, at least.

It's true that registry is not universal, but my impression is that nearly all hospital-based vascular labs are insisting on it, and at my place two general ultrasound techs were fired for not getting registered, wow. A bigger problem for quality is the physician office setting, I think. What will nudge quality upward is Medicare (and therefore all insurance companies) not reimbursing unless a registered sonographer does the study. It's overdue to insist on that.

I took the ARDMS exam twice: once in 1985 for real, and once five years later to see if I was teaching in the mainstream. (They allowed me to do that then and left me out of the statistics; they naturally wouldn't do that now. We were all younger then.) Both times I took the exam it seemed reasonable to me, something everyone should pass to be allowed near a patient. In any exam like that, there are questions you know are cockeyed and will miss, would like to argue with someone about. You just let them have it and move on. I also know about making up test questions, and ARDMS does a good job of winnowing out the dog-questions and keeping good ones in the test bank.

Apropos of this and other things going on these days, I think it would be good for people not to have so much fun being angry.

Don Ridgway








-----Original Message-----
From: UVM Flownet on behalf of Jeff Stanley
Sent: Thu 5/20/2010 6:15 AM
To: [log in to unmask]
Subject: Re: recertification
 
Why wait for every other field? I think it would be great if our
field set a great example and every other other field of medicine
wanted to be like ultrasound. I think whoever is proactive and sets
the standards will stand out more and be more successful, compared to
those who sit back and wait to see what everyone else is doing.

Jeff

Sent from my iPhone

On May 20, 2010, at 6:49 AM, "Marie Sacco" <[log in to unmask]> wrote:

> Jeff
> when they require every other registered field in medicine to do so
> I'm in until then.... no
>
> From: Jeff Stanley <[log in to unmask]>
> To: [log in to unmask]
> Sent: Wed, May 19, 2010 10:53:36 PM
> Subject: Re: recertification
>
> http://www.ardms.org/default.asp?ContentID=1012&menubar=1
> ARDMS Recertification Program link.
>
> Sounds like the ARDMS is implementing this to meet the standards of
> their accrediting body, so maybe the ARDMS didn't have much choice??
>
> 10 year program, 50 questions, online, can use reference material
> while
> taking the test, don't have to leave home, if passed on first attempt
> don't have to pay for it.
>
> No one likes to have to take more exams but honestly I don't see what
> the worry is. If we are worried about failing the test then that
> would
> be more worrisome to me. Sounds like they are setting it up to be
> pretty easy (as long as we keep up to date with our field and with
> CMEs). The hard part would be remembering to take it every 10 years.
>
> I do agree that concentrating more on making sure all sonographers are
> certified is more important. Let's get everyone certified, then I
> don't
> mind doing recertification.
>
> Jeff Stanley
> The Surgical Clinic
> Nashville, TN
>
>
>
>
>
>
> -----Original Message-----
> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Jack
> Siegel
> Sent: Wednesday, May 19, 2010 9:15 AM
> To: [log in to unmask]
> Subject: Re: recertification
>
> I looked on the website... I am missing it, can someone tell me
> where to
> look?
> J
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: Doug <[log in to unmask]>
> Date: Wed, 19 May 2010 10:08:04
> To: <[log in to unmask]>
> Subject: Re: recertification
>
> BTW... not having looked into the particulars.. Does anyone know if
> this is something the ARDMS is going to notify each registrant
> personally, or are we expected to go to their website and proactively
> investigate... Hate to ASSume!
>
> D
>
> Doug Marcum
> RDMS,RDCS,RVT(APS),RPhS
> *Advanced Ultrasound Consultants
> *Global Vein Solutions
> www.advancedusconsultants.com
> [log in to unmask]
> 321-231-2191
> Sent from my iPhone
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