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BMJ 2008;336:1146-1147 (24 May), doi:10.1136/bmj.39583.750150.3A
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Given the effectiveness of ultrasound scanning as a clinical tool it is perhaps inevitable in the long term that market forces will drive the increasingly compact ultrasound devices into wards and surgeries to be used routinely by physicians and general practitioners. However, Wise does not mention that ultrasound scanning is a modality where the accurate reporting of an abnormal finding depends on the confidence of the operator.1 2 This in turn is reliant on maintaining skills by using ultrasound regularly as part of daily clinical practice. An ad hoc approach to maintain the necessary required standard would not suffice and, on the contrary, would generate unnecessary further imaging.
Furthermore, radiologists ultrasound skills are continuously honed in the department by correlating ultrasound findings with computed tomography and magnetic resonance imaging, as well as case discussions in multidisciplinary team meetings, where both positive and negative feedback is of educational merit. The main concern
Usman Shaikh, specialist registrar radiology, Dan Earnshaw, consultant radiologist
1 Arrowe Park Hospital, Wirral, Merseyside CH49 5PE
usmansh8kh@googlemail.com
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