Friday 15 September 2017

Sonographers and advanced practice - where do we go from here?



There appears to be a broad consensus that radiography is in danger of being left behind as other professions advance.  The evidence that extended roles and advanced practice are commonly conflated is building.  As sonographers we have additional problems as we are in the main from radiography backgrounds, but have no direction as an independent profession as we are unregulated.







As artificial intelligence in medicine becomes more sophisticated things will change and sonographers may need to countenance the unthinkable which is that much of the work is ripe for pattern recognition image interpretation.  

I am playing devil’s advocate here but we need to consider a future where those who have the drive and the ability to progress to Advanced Practice will lead and those who do not will screen with the aid of software which is being developed by many manufacturers.  The technology is developing fast - today it is possible to purchase software to provide quality analytics which audit the completeness and quality of stored images, a potentially useful tool when it is difficult to spare sonographers from scanning to carry out regular image audit and in a time when litigation places increasing strain on the NHS budget.

The urgent question to be answered now is how do we use the evidence to shape the profession?  And how do we do that as work loads increase and staffing levels fall?  Our demographic time bomb is ticking - in 2014 the Society of Radiographers Sonographer Workforce Survey found that 66% of sonographers were over the age of 41 and 33% over the age of 50.  There are not enough trainees in the system to meet the current demand let alone the inevitable future increases.

Change is inevitable and it is best to be actively involved in making changes or it will be imposed on us.  If sonographers influence the development of sonography we may be able to build a profession in which career development and a growth mindset  will benefit patients and staff alike.