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Training in Obstetric Sonography for Radiology Residents and Fellows in the United States

¹ Department of Radiology, The Dartmouth Hitchcock Medical Center, 1 Medical Center Dr., Lebanon, NH 03756.
² Department of Obstetrics and Gynecology, The Milton S. Hershey Medical Center, The Pennsylvania State College of Medicine, 500 University Dr., Hershey, PA 17033.
³ Department of Health Evaluation Sciences, The Milton S. Hershey Medical Center, The Pennsylvania State College of Medicine, Hershey, PA 17033.

OBJECTIVE. The purpose of our study was to assess the current experience of radiology residents and fellows in obstetric sonography.

SUBJECTS AND METHODS. Written surveys were sent to the directors of 206 accredited radiology residency programs and 85 fellowship programs in the United States. The surveys encompassed obstetric sonographic experience during routine working hours and after hours, the level of supervision, the types of scanning performed, and the extent of formal lectures available during training. Additional questions concerned the relative knowledge of laboratory accreditation processes and training of faculty covering obstetric sonography.

RESULTS. Sixty (29%) of 206 accredited radiology residency programs and 24 (28%) of 85 fellowship programs returned surveys. The experience among residency programs was similar, providing fewer than 4 weeks per year of obstetric sonography, usually within their own department of radiology. Residents were more likely to be sent to outside departments for second or third trimester sonography experience. A decrease in scanning assistance was reported for examinations performed after hours, more so for second or third trimester studies. Lecture topics revealed similar deficiencies for residency and fellowship programs.

CONCLUSION. Greater emphasis on the performance of prenatal sonographic examinations may be warranted during formal sonography rotations. Current levels of experience in obstetric sonography may not be providing sufficient experience to allow residents to appropriately manage call cases or for practicing radiologists to provide such services after their training is completed.

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