Thankfully good relations have been established between RCR and CEM. My understanding
is that the then Faculty was part of the process of drawing up the guidelines,
and so they resemble those not of american radiologists but of ACEP and ACEM.
The guidelines were approved by Faculty, and say so. There is no treasure
greater than compliant radiologists when it comes to the propagation of ultrasound
technology. BTW, CEM is due to issue new US guidance this year.
>-- Original Message --
>Date: Sat, 28 Jan 2006 19:05:41 -0000
>Reply-To: Accident and Emergency Academic List <[log in to unmask]>
>From: Dr Mandar Marathe <[log in to unmask]>
>Subject: Re: Ultrasound in the ED - RCR guidelines
>To: [log in to unmask]
>
>
>Emergency Department bedside diagnostic ultrasound in the UK is far behind
>the USA, where it is estimated that 70% of EPs routinely use it (data from
>2003).
>
>During the development of ED ultrasound in the USA, radiologists were
>concerned they would lose revenue if EPs started to use ultrasound, and
this
>was largely the basis of their resistance towards EPs touching ultrasound
>machines, let alone be trained in their use.
>
>Various conflicts and turf wars followed, and this reached a climax when
>their RCR-equivalent issued a document which set criteria for competancy
>for
>EPs (e.g. the number of scans needed to demonstrate competancy) which even
>the average radiologist would struggle to meet.
>
>This document was flatly rejected and ignored by the ACEP which proceeded
>to
>create their own guidelines:
>
>http://www.acep.org/NR/rdonlyres/8024079E-28E8-4875-93E6-6867EA705A2A/0/ultrasound_guidelines.pdf
>
>
>Last year I had the good fortune to meet some of the EPs involved at the
>highest levels of managing ultrasound development in the USA. The current
>thinking amongst American EPs is that their equivalent of the RCR should
>have no influence or control or say over ultrasound use in the ED.
>
>They have found ED ultrasound to be too valuable a tool to be controlled
>or
>monopolised by their RCR.
>
>
>
>----- Original Message -----
>From: "Brendan Conway" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Saturday, January 28, 2006 5:42 PM
>Subject: Ultrasound in the ED - RCR guidelines
>
>
>I expect not everyone is aware (since I only found out recently by chance
>myself) that the Royal College of Radiologists issued detailed guidelines
>last year on the use of ultrasound in Medical and Surgical Specialties.
This
>includes a detailed section on the use of focused ultrasound in the
>Emergency
>Department. These include the recognition that we can train other EPs with
>a lesser level of knowledge than our own, and states that we need to keep
>a logbook. Is anyone on the list implementing these guidelines at present?
>
>Link is at http://www.rcr.ac.uk/docs/radiology/pdf/ultrasound.pdf
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