The primary care physician as ultrasonographer.

The relative safety and wide applicability of ultrasound make this an indispensable diagnostic tool in office practice, but some primary care physicians, especially those practicing in rural communities, may have problems providing this service. Several solutions have been proposed, among them that the primary care physician assume the role of ultrasonographer. The concept of a nonradiologist performing and interpreting ultrasonic scans is feasible in terms of time and cost, at least in a group practice setting, but the high level of skill required raises serious questions about training and on-going experience. The medicolegal implications have not been addressed but suggest the importance of good record keeping and continuing medical education, at the very least. Although the concept of the primary care physician as ultrasonographer is feasible, the reality of this option remains to be seen.