Views of physicians in training on the ethical and legal issues in preliminary reporting of echocardiographic data.

R. W. McDonald, M. J. Rice, C. P. Marcella, Mark Reller, R. L. Imus

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Cardiac sonographers may be pressured by physicians into giving diagnostic interpretations of echocardiographic data. This study investigated the issue of preliminary reporting of echocardiographic data. A questionnaire was sent to 292 physicians; 85 physicians (29%) responded. Seventy-two physicians (87%) thought they had more than a minimal knowledge of echocardiography, 94% wanted a written or verbal preliminary report, and 84% thought that giving a preliminary report should be part of the cardiac sonographer's job. If abnormalities were found, 80% wanted the results before a cardiologist reviewed the study, and 56% would want a diagnostic rather than a descriptive report. Fifty-four physicians (64%) would pressure the cardiac sonographer into giving a preliminary echocardiographic report and would use this information to manage the patient. The majority of the physicians thought that it is legal for the cardiac sonographer to give a preliminary echocardiogram report. Eighty percent said that the cardiac sonographer would not be "practicing medicine without a license," and 82% that the sonographer would not be "aiding and abetting the unauthorized practice of medicine." This data would indicate that physicians at Oregon Health Sciences University want the cardiac sonographer to give preliminary echocardiographic results, even though the sonographer may be breaking state statutes.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
Volume4
Issue number1
StatePublished - Jan 1991

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Ethics
Research Design
Physicians
Medicine
Licensure
Echocardiography
Pressure
Health

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

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title = "Views of physicians in training on the ethical and legal issues in preliminary reporting of echocardiographic data.",
abstract = "Cardiac sonographers may be pressured by physicians into giving diagnostic interpretations of echocardiographic data. This study investigated the issue of preliminary reporting of echocardiographic data. A questionnaire was sent to 292 physicians; 85 physicians (29{\%}) responded. Seventy-two physicians (87{\%}) thought they had more than a minimal knowledge of echocardiography, 94{\%} wanted a written or verbal preliminary report, and 84{\%} thought that giving a preliminary report should be part of the cardiac sonographer's job. If abnormalities were found, 80{\%} wanted the results before a cardiologist reviewed the study, and 56{\%} would want a diagnostic rather than a descriptive report. Fifty-four physicians (64{\%}) would pressure the cardiac sonographer into giving a preliminary echocardiographic report and would use this information to manage the patient. The majority of the physicians thought that it is legal for the cardiac sonographer to give a preliminary echocardiogram report. Eighty percent said that the cardiac sonographer would not be {"}practicing medicine without a license,{"} and 82{\%} that the sonographer would not be {"}aiding and abetting the unauthorized practice of medicine.{"} This data would indicate that physicians at Oregon Health Sciences University want the cardiac sonographer to give preliminary echocardiographic results, even though the sonographer may be breaking state statutes.",
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