Wednesday, October 22, 2014

Diagnostic Medical Sonographer (Ultrasound) – A Thriving Career!




Over the years I have heard too many tragic stories of students who thought they were doing the right thing by signing up at a college. But after attending, many students find their dream has turned into a nightmare when they end up with a useless degree that employers or professional associations don't even recognize, credits that don't transfer, and almost twice the average debt of their fellow students who attended wrong schools. Prospective students often are misguided by dubious schools when they try to find accredited and affordable programs for high demand and highly skilled occupation like Diagnostic Medical Sonographer. 


According to Bureau of Labor Statistics (http://www.bls.gov/ooh/healthcare/diagnostic-medical-sonographers.htm ) employment of diagnostic medical sonographers is projected to grow 46 percent from 2012 to 2022, much faster than the average for all occupations. In addition to excellent career opportunities, salaries for sonographers are competitive with, or higher than other professionals with similar levels of education. According to the 2013 Society of Diagnostic Medical Sonography (SDMS) (www.sdms.org ) Salary and Benefit Survey Report, the median salary for sonographers is $78,520 annually. This is one of the highest paying jobs in USA that don’t require a Bachelor’s degree


The objectives of writing this article are following:


  • ·         Learn about Diagnostic Medical Sonographers career – what is DMS, specialty areas, roles and responsibilities etc.

  • ·         Introducing ARDMS – The American Registry for Diagnostic Medical Sonography (ARDMS).

  • ·         How to find an accredited (by CAAHEP) program to become Diagnostic Medical Sonographer?

  • ·         What do you need to do to get registered by ARDMS?

When we think of an ultrasound, you may think of fuzzy black and white images of an expectant mother’s belly. Ultrasound was used in World War II to detect enemy submarines. After the war in 1955, a surgeon in Glasgow named Ian Donald began to experiment with it for medical uses. Over the years ultrasound has come to be used as routine scan at 18-20 weeks of pregnancy for all women. This is referred to as “routine prenatal ultrasound”, or RPU for short. It involves scanning all pregnant women – whether a problem is suspected or not – in the hope of improving birth outcomes. 


At present time physicians used sonograms or ultrasounds images of body organs and tissues to detect any disease which is suspected. Ultrasound is very popular because this imaging technique does not involve radiation. Using sound and vibrations, technologist in this medical-imaging specialty capture images of the breast, brain and abdomen (among other body parts) that are used to make medical diagnoses. 


What is Diagnostic Medical Sonography (DMS)?



A DMS is a diagnostic medical procedure that uses high frequency sound waves (ultrasound) to produce dynamic visual images of organs, tissues or blood flow inside the body. This kind of image is referred to as a sonogram or ultrasound scan. 


DMS is used to examine many parts of the body, such as the abdomen, breasts, female reproductive system, prostate, heart and blood vessels. It is used in the detection and treatment of heart disease, heart attack and vascular disease. It is widely used in needle guided procedures such as blood draws, biopsies and surgeries. Unlike X-rays, Sonography is a radiation free imaging modality that is a safe alternative.



Modalities within the Radiology (Imaging) Department:



  • Below are the modalities within the radiology department:

  • X-Ray – uses x-rays to image the bones.

  • Computed Tomography (CT) – uses x-rays to create cross sectional images of the body.

  • Mammogram – uses x-rays to image the breast.

  • Angiogram – uses x-rays to image blood vessels.

  • Nuclear Medicine – create images by detecting the amount of radioactive material interacting with specific organs.

  • Ultrasound – Used sound waves to image the body at various angles.

  • Magnetic resonance imaging (MRI) – uses a magnetic field to create cross sectional images of the body.

Specialty Areas in Ultrasound: 



·         Abdomen (AB) – evaluation of the soft tissues, blood vessels and organs of the abdominal cavities (for example, liver, spleen, urinary tract, pancreas).

·         Breast (BR) – frequently used to evaluate breast abnormalities that are found with screening or diagnostic mammography.

·         Cardiac (AE, PE, FE) – evaluation of the anatomy and hemodynamics (blood flow) of the heart, its valves and related blood vessels, including Pediatric (PE) and Feta (FE) Heart.

·         Musculoskeletal (MSK) – evaluation of joints and soft tissue.

·         Neurosonology (NE) – evaluation of the brain and spinal cord.

·         Obstetrics / Gynecology (OB / GYN) – evaluation of the female reproductive system.

·         Vascular Technology (VT) – evaluation and analysis of the hemodynamics (blood flow) of peripheral and abdominal blood vessels. 


Roles and Responsibilities of Diagnostic Medical Sonographers: 



·         A diagnostic medical sonographer is a highly skilled professional who uses specialized equipment to create images of structures inside the human body that are used by physicians to make a medical diagnosis. 


·         The process involves placing a small device called a transducer against the patient’s skin in the area to be imaged. The transducer works like a loudspeaker and microphone because it can transmit sound and receive sound. The transducer sends a stream of high frequency sound waves into the body that bounce off the structures inside. The transducer detect sound waves as they bounce off the internal structures. Different structures in the body reflect these sound waves differently. These sound signals are analyzed and converted into a digital signal by a computer to make an image of the structure (s) and displays it on a monitor. 


·         Sonographers have extensive and direct patient contact that may include performing some invasive procedures. 


·         They must be able to interact compassionately and effectively with people who range from healthy to critically ill.



Career Opportunities:



Sonography is a dynamic profession that has grown significantly over the past 20 years. With rapidly developing new technologies and increased use of diagnostic ultrasound procedures, growth is projected to continue in the future with employment opportunities for qualified sonographers in both urban and rural areas nationwide. Sonographers and vascular technologists can choose to work in clinics, hospitals, private practice physician offices, public health facilities, laboratories, and other medical settings performing examinations in their areas of specialization. Career advancement opportunities exist in education, administration, research, and in commercial companies as education/application specialists, sales representatives, technical advisors, etc.

Overview of ARDMS



The American Registry for Diagnostic Medical Sonography (ARDMS) is an independent, not-for-profit organization founded in 1975 that administers examinations and awards the following credentials:

  • RDMS® – Registered Diagnostic Medical Sonographer
  • RDCS® – Registered Diagnostic Cardiac Sonographer
  • RVT® – Registered Vascular Technologist
  • RPVI® – Registered Physician in Vascular Interpretation
  • RMSK™ - Registered in Musculoskeletal™ Sonography

What program is ideal for you?



The SDMS recommends that prospective students select a reputable program that follows minimum curriculum and clinical education standards recognized by the American Registry for Diagnostic Medical Sonography (ARDMS.) The SDMS does not recommend training programs that provide limited opportunity for students to apply classroom instruction and technical skills in patient care settings (clinical rotations). When seeking a reputable program, candidates might wish to consult the Commission on Accreditation of Allied Health Education Programs (CAAHEP) which accredits diagnostic medical sonography programs in the United States. A list of accredited programs is available on CAAHEP's web site, www.caahep.org.


1.    Graduate or a student in a program accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA), United States Department of Education (USDOE) or Canadian Medical Association (CMA), which specifically conducts programmatic accreditation for diagnostic medical sonography/diagnostic cardiac sonography/vascular technology does not require additional work experience to apply for ARDMS licensure exam. Currently the only organizations that offer programmatic accreditation under the aforementioned associations are the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and the Canadian Medical Association (CMA). This is the best route for students who want to pursue DMS as a career.



2.      If you are a graduate from a single two-year allied health education program that is patient care related, you are required to show proof of 12 months of full time clinical/vascular experience to apply for ARDMS licensure exam.



Allied health occupations include, but are not limited to diagnostic medical sonographer, radiologic technologist, respiratory therapist, occupational therapist, physical therapist and registered nurse.



If you are using your DMS program (not accredited by CAHEEP), you still have to document an additional 12 months of full time clinical ultrasound experience earned outside the two year program to apply for ARDMS licensure exam.



3.    You have a Bachelor’s degree (any major) or foreign degree equivalent to a Bachelor’s degree in the US or Canada, you are required 12 months of full time clinical ultrasound experience in order to apply for ARDMS licensure exam.

For more information, you can always visit www.ardms.org site. 


Find out the affordability of your school:



Congratulations! You are at the last step to find the right program for you. As we all know that school education requires investment of your time and money. It is very important to find out the school which has reasonable tuition and also has great graduation rate. Once you make a list of schools that you are considering, you click the link below to find out each school’ net tuition, retention and graduation rate. This will help you to find out the right school that saves you thousands of dollars in debt.




If you find this article helpful or have any question please email me. Thank you for reading.



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