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Verify that the technologist performing the exam is trained and licensed, not a nurse or other staff member standing in for a technologist.
Dr. Artandi received a seed grant to study if a physical diagnosis curriculum for residents and attendings in the outpatient setting accompanied by hands-on training increases the confidence and comfort of the physicians performing the exam.
TTE has major advantages over transesophageal echocardiography in terms of risk to the patient and ease in performing the exam, particularly for serial studies.
Standard radiographs in newborns and in small children could be equivocal and in addition it is very important to hold a correct position while performing the exam.
In a mammography room, radiographers need to respond to multiple demands, adapting their attitudes and behaviours to the equipment layout and to the patient's characteristics when performing the exam.
Lastly, because the clinician performing the exam was often the same physician enrolling patients in the study, the investigators may have been biased to negate subtle positive findings (Murphy's sign, pericholecystic fluid, wall edema, or wall thickening) to strengthen the results.
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Officials said that a physician at the center first notified the State Health Department of illnesses among a cluster of patients at the beginning of May, and that he voluntarily stopped performing the exams.
Dr. Zimmerman said the resident who performed the exam told investigators that she had done it completely.
Indeed, the doctor who had performed the exam had recorded "no edema" (fluid) in one of his legs, but both the leg and knee were severely swollen.
A different physician will perform the exam and issue a report to the judge by Friday, and will then testify at a hearing on Monday.
All ultrasound operators reported the virtual guidance experience was constructive in there ability to perform the exam.
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