Totally agree with the last comment on September 4th. Regarding the remark that:"The assessment includes a site visit to review and actually witness the Technologists/Sonographers proficiency." , from my experience, only the best sonographer of the clinic may be watched scanning, but lately, not even that happening.
We are also facing more demands in terms of measurements and views shown ( for ex. for the heart views, many clinics in the past would only ask for 4 chambers view and now, as part of the protocol we have to provide on top of 4 chambers view, left ventricular outflow tract, right ventricular outflow tract, 3 vessels and aortic arch views, between many other additions) in parallel with a major decrease in scanning time ( for a pelvic + intracavitary from 40 mins to 20 mins, for an abdominal ultrasound from 30 mins to 15- 20 mins,, for a biophysical profile from 45 mins to 30 mins, etc. - totally unacceptable, not mentioning the fact that too many times the patients are so late for the appointment that the scanning time is shrinking significantly, until becoming non-existent. More measurements, less time = quantity and not quality and means no breaks and lunch for sonographers, which results in increased morbidity.
When the assessment is done, please look at the scanning time scheduled for different tests and if there is a functional sink in the scanning room to properly clean up the intracavitary probe.
Perhaps a more thorough approach by the CMRTO in this regard would seem more significant towards patient protection and interest.
Also ergonomic conditions for sonographers will improve the quality of care.( adjustable beds, 2 breaks and 1 lunch for an 8 hours shift, ergonomic chairs, at least 3 x 2 m room with a window and a functional sink, etc).
Regards