While I make every effort to broadcast correct information, I am still learning. I will double check all my facts but realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on how to workup common ED complaints that will be as evidence based as possible. I welcome any comments, suggestions, or correction of errors. I take no money from drug or device companies. By reading this blog, you agree not to use the blog as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the blog. Under no circumstances shall Ben C. Smith, UltrasoundofTheWeek.com, any guests or contributors to the blog, or any employees, associates, or affiliates of UltrasoundofTheWeek.com be responsible for damages arising from use of the blog.

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  1. Raining requirement for starting to do bedside ultrasound, any legal opinions? I have been trained by attending courses and being able to review with a radiologist when needed. My understanding is as long as ultrasound is screening and a normal part of my physical exam then I am covered.

    1. Most experts in the point of care ultrasound community feel strongly that ultrasound is not just part of the physical exam. It is a completely separate procedure and skill, and should be viewed as such. Every bedside ultrasound program should include archived images, well documented interpretations as well as a robust quality assurance program championed by a director of bedside ultrasound (not necessarily a radiologist). Additionally, these are separately billable studies and should not be lumped into the routine charges for the patient. Specific legal requirements surrounding your use of bedside ultrasound vary by country/region/state. In the US, I would recommend following ACEP’s guidelines for ultrasound credentialing: Policy Statements.

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