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Definition of the Diagnostic Medical Sonographer A sonographer is a highly skilled medical imaging professional who utilises ultrasound imaging systems to undertake diagnostic medical sonographic examinations across a range of contexts. The sonographer interprets the sonographic findings and tailors the examination, selectively recording anatomical images, physical data and real time physiological information. The outcome of a sonographic examination is reliant on the medical knowledge as well as the technical skills of the sonographer, who exercises decisional latitude during examinations to determine the breadth of the investigation each patient requires. Sonographers in Australia practise across a range of disciplines, with three-quarters obtaining a general diagnostic medical sonography qualification enabling them to work across the disciplines of abdomen, breast, musculoskeletal, obstetric, paediatric, superficial parts and vascular sonography. Also within the profession, a number of discipline-specific sonographers practise in one or more disciplines. The majority of these practise in the cardiac discipline and the remaining work solely in the sub-sets of vascular, cerebrovascular, obstetrics and gynaecology or breast sonography. It is essential that the sonographer possesses core knowledge and skill in the following areas: OO Applied anatomy, physiology and pathophysiology OO Imaging and pattern recognition OO Operation of ultrasound imaging systems OO Ability to distinguish normal from abnormal findings and identify the sonographic appearances of specific diseases and conditions OO Ability to communicate effectively OO Clinical skills/acumen OO Patient assessment and care OO Critical thinking, research and problem solving OO Highly developed motor skills that are specific to the profession OO Ultrasound physics OO Occupational health and safety issues OO Quality assurance procedures OO Infection control procedures. Education and Accreditation The ASA Competency Standards for the Entry Level Sonographer identify the standards for education and clinical training required to practise as an accredited medical sonographer. As a pre-requisite for entry to an accredited post graduate sonography course, candidates have usually completed a Bachelor’s degree in a health science. On completion of an accredited postgraduate sonography course, which includes completion of minimum clinical training requirements, entry level sonographers are eligible for entry onto the Registry of Accredited Medical Sonographers. Sonographer accreditation is mandatory for all sonographers and student sonographers working in practices that provide Medicareeligible sonographic services. The sonographer accreditation process is maintained by the Australian Sonographer Accreditation Registry (ASAR). A qualified general sonographer is known as an Accredited Medical Sonographer (AMS). Sonographers who have successfully completed discipline specific studies receive an appropriate designation, such as Accredited Cardiac Sonographer (ACS). All accredited sonographers are required to undertake ongoing continuing professional development.