Role extension in advanced ultrasound practice: A framework approach and case study

Area of Science:

• Medical Imaging
• Healthcare Professional Development
• Ultrasound Technology

Background:

• Role extension into new ultrasound practice areas presents challenges for healthcare professionals.
• Lack of formal training and support hinders the development of progressive clinical roles in advanced practice areas.

Purpose of the Study:

• To present a framework approach for establishing advanced practice roles in ultrasound.
• To illustrate the framework's application through the development of a gastrointestinal ultrasound role in an NHS department.

Main Methods:

• A three-element framework: (A) Scope of practice, (B) Education and competency, and (C) Governance.
• Defining the scope of role extension, imaging, interpretation, and reporting.
• Informing education, competency assessment, and ongoing quality assurance through governance.

Main Results:

• The framework approach facilitates the safe and successful development of new roles in ultrasound.
• It supports individuals and departments in navigating role extension.
• The gastrointestinal ultrasound role development exemplifies the framework's practical application.

Conclusions:

• Aligning scope of practice, education/competency, and governance enables sustained role development in ultrasound.
• This approach benefits patients, clinicians, and departments by supporting role extension and workforce configuration.
• It helps meet increasing service demands through skill expansion and new workforce configurations.