Advanced Practice Sonographer

UT Southwestern Medical Center•Dallas, TX
•Onsite

About The Position

The Advanced Practice Sonographer (APS) functions as a physician extender under the delegated authority of supervising physicians. The role provides advanced clinical sonography services at Clements and Zale Lipshy University Hospitals and/or associated outpatient and clinic imaging centers. The APS supports diagnostic quality, patient safety, staff development, advanced ultrasound techniques, quality improvement, and clinical research. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. The position works in an office setting. Salary is commensurate with education, skills, and relevant experience.

Requirements

  • Associate's degree in biology, physiology, or another related field.
  • Six years of full-time clinical ultrasound experience, including at least three years performing advanced procedures.
  • Extensive clinical experience providing sonography services and demonstrated ability to mentor and support staff sonographers.
  • Demonstrated proficiency with computer skills and software programs used for imaging viewing and interpretation, documentation, and report generation.
  • Registration with the American Registry of Diagnostic Medical Sonography upon hire.
  • Advanced certification in abdominal, neurological, vascular, obstetrics and gynecology, or another area of specialization as dictated by the unit or standard of care, upon hire.
  • Basic Life Support certification through the American Heart Association or American Red Cross before hire and/or placement in the job.
  • Maintain proficiency in at least three advanced ultrasound techniques, such as peripheral vascular, 3D ultrasound, contrast-enhanced ultrasound, elastography, or musculoskeletal ultrasound.
  • Attend faculty-led ultrasound-specific lectures, journal clubs, and staff meetings.
  • Attend at least 50% of ultrasound quality-improvement and clinical journal club meetings.
  • Attend other conferences as necessary to stay current with ultrasound practices.
  • Maintain 10 CME hours per year.
  • Demonstrate patient-centered behavior, professional and ethical judgment, critical thinking, and effective verbal and interpersonal skills.

Responsibilities

  • Review ultrasound images with sonographers after examinations for appropriateness, image quality, and protocol completion.
  • Review patient clinical history, signs and symptoms, and prior relevant reports and images to support complete examinations and appropriate billing.
  • Provide scanning assistance for technically challenging or complicated examinations; authorize patient release or perform rescanning to resolve diagnostic questions.
  • Provide real-time quality assurance feedback and coordinate department-level quality-improvement initiatives.
  • Synthesize examination results and prepare draft reports in the departmental dictation or reporting system.
  • Assist with onboarding new sonographers and educating trainees, students, medical students, residents, and radiology physician trainees.
  • Communicate new service lines and protocol changes to ultrasound staff and providers.
  • Participate in advanced ultrasound techniques, including contrast-enhanced, 3D, and musculoskeletal ultrasound; oversee advanced techniques such as elastography and peripheral vascular Doppler.
  • Coordinate guided procedures and identify relevant patient history and laboratory values.
  • Facilitate clinical and translational research activities.
  • Perform additional advanced sonography services or delegated tasks, such as peripheral intravenous line placement, contrast injection, endocavitary ultrasound, and 3D ultrasound, consistent with training and facility policies.
  • Demonstrate patient-centered behavior and ensure patient safety while patients are in the ultrasound department.
  • Perform general ultrasound and/or vascular examinations using independent, professional, ethical judgment and critical thinking to capture appropriate anatomical, pathological, and clinical conditions.
  • Ensure examination orders are complete, include relevant clinical information, and meet medical-necessity standards; acquire additional images when needed for optimal diagnostic results.
  • Read, interpret, and report ultrasound examinations, while referring diagnostic, treatment, or prognosis questions to appropriate clinicians except where facility policy authorizes otherwise.
  • Follow professional and ethical standards and applicable laws, regulations, policies, and procedures.
  • Ensure ultrasound equipment functions accurately; troubleshoot quality-control issues and support patient safety and image quality.
  • Conduct examinations in accordance with infection-control, sterilization, and patient-safety protocols.
  • Train sonographers in new equipment features, benefits, and scanning techniques.
  • Post-process 3D data for volumetric and multiplanar assessment.
  • Document incidental findings that may affect patient safety or care and communicate them to the interpreting physician or ordering provider; document examination limitations.
  • Maintain accurate reports, database records, and logs, and oversee imaging quality in PACS.
  • Oversee quality assurance, including sonographer scanning capability, accuracy, protocol completeness, and technique before findings are released for interpretation.
  • Work with supervising physicians to ensure quality patient care and serve as a technical or clinical sonography leader.
  • Develop reporting templates and descriptive preliminary reports for radiologist review and finalization.
  • Create, oversee, and implement scanning protocols and quality-control activities that improve patient care, outcomes, workflow, or cost-effective imaging.
  • Provide rescanning support to staff sonographers when appropriate and ensure appropriate accreditation is secured and maintained.
  • Liaise among sonographers, radiology faculty, imaging service lines, hospital and department administration, and the clinical research office.
  • Build collaborative working relationships, communicate effectively, and help solve problems across a busy clinical service and its stakeholders.

Benefits

  • PPO medical plan available day one at no cost for full-time employee-only coverage.
  • 100% coverage for preventive healthcare with no copay.
  • Paid Time Off available day one.
  • Retirement programs through the Teacher Retirement System of Texas (TRS).
  • Paid parental leave benefit.
  • Wellness programs.
  • Tuition reimbursement.
  • Public Service Loan Forgiveness (PSLF) qualified employer.
  • Competitive benefits package, including healthcare and paid holidays.
  • On-site childcare.
  • Wage and merit increases.
  • Career growth and development opportunities.
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