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CPD Ethical Standards

Wednesday 06, Aug 2025

Ensuring Ethical Practice Through Ongoing Learning


Continuing Professional Development (CPD) is a cornerstone of professional sonography, helping practitioners maintain up-to-date skills, knowledge, and ethical standards. All accredited sonographers in Australia are required to participate in regular CPD. This commitment to lifelong learning is not only about technical proficiency, but also about reinforcing the professional and ethical conduct expected in daily practice.

A key aspect of CPD is reflection, which encourages sonographers to consider how new knowledge applies to their work and impacts patient care. By reflecting on CPD activities,  whether it’s a workshop on patient communication or an online course on medical ethics,  practitioners can evaluate how they might improve their practice, within their scope of practice. This reflective learning process helps sonographers stay conscious of their professional responsibilities and the ethical implications of their actions. In essence, CPD provides a structured way for sonographers to continuously align their practice with the highest standards of patient safety, quality, and ethics.


Emerging Ethical Issues: 'Reassurance' and 'Souvenir' Scans


The importance of CPD is further underscored by recent ethical challenges in the field. A notable example gaining attention in Australia is the rise of “reassurance” or “souvenir” obstetric scans that are non-diagnostic ultrasound services marketed directly to expectant parents. These scans are often advertised as offering peace of mind (for instance, by revealing a baby’s gender or providing 3D/4D keepsake images), but they are not a medical ultrasound exam and come with no clinical report for a referring doctor. These souvenir scans should never replace the routine diagnostic prenatal ultrasounds conducted by qualified professionals during pregnancy.

Ethical concerns have been raised about some providers of these non-medical scans. Unlike Accredited Medical Sonographers who operate within a healthcare framework, certain private clinics offering reassurance scans may employ individuals without appropriate training and accreditation. There have been reports of potentially predatory practices, where women are given unwarranted verbal warnings that there might be a problem with their unborn child without any proper medical evidence or written report to allow follow up. Such practices not only cause unnecessary distress but also risk misleading patients. In some cases, the result has been false reassurance or needless panic with reports of an incorrect diagnoses being given and important fetal abnormalities being missed during these non-medical/unofficial scans.

From a professional ethics standpoint, these issues are alarming. Sonographers are healthcare professionals, and even though the title “sonographer” is not yet protected in Australia, those accredited via the ASAR are expected to adhere to strict standards of practice. This includes working within one’s scope of competence and not offering medical opinions or diagnoses beyond one’s qualifications. It also involves obtaining informed consent and ensuring patients understand the nature and limitations of any ultrasound procedure. The recent spotlight on souvenir scans shows what can go wrong when these ethical principles are not followed.


The Role of CPD in Navigating Ethical Challenges


Continuing Professional Development plays a crucial role in helping sonographers navigate such ethical challenges. Through CPD activities such as conferences, workshops, courses, and self-directed learning, sonographers stay informed about best practices and guidelines that protect patients. Professional development often cover topics like patient-centered care, communication, and legal/ethical responsibilities. By engaging in these learning opportunities, sonographers reinforce their understanding of what is appropriate and professional in ambiguous situations.

Importantly, CPD keeps practitioners up to date with current standards and regulatory expectations. Accredited Medical Sonographers actively pursue CPD and therefore will be more aware of developments including changes in regulations and expectation, new technology, or evolving ethical norms such that they can adapt their practice accordingly. Engaged lifelong learners are more likely to question and avoid practices that fall into ethical gray areas. They are also better equipped to educate patients, correct misconceptions, and uphold the reputation of the profession.


ASAR’s Commitment to Standards and Patient Trust


As the accrediting body for sonographers in Australia, ASAR is committed to safeguarding high standards of practice. The CPD requirements set by ASAR are a key part of that commitment, ensuring that accredited sonographers remain competent and maintain skills and experience to contemporary standards throughout their careers. By requiring a regular cycle of education, ASAR helps guarantee what other healthcare professions call “recency of practice” meaning that practitioners’ knowledge is current and their skills are maintained and regularly refreshed. This is especially important given that sonography, like all medical fields, continues to evolve with new research, technology, and updated professional guidelines.

The role of accreditation is to ensure patients are protected. For patients and the public, the mandate on CPD should be reassuring. It means that an ASAR-accredited sonographer is not only qualified at the start of their career but is continually learning and reaffirming their commitment to ethical, high-quality care. Whether it’s staying informed about the safe use of ultrasound, understanding the ethical limits of non-diagnostic services, or practicing effective communication when delivering results, accredited sonographers’ engagement in CPD translates into better patient care and outcomes. In a time when “reassurance scans” and other unconventional services are raising questions, ASAR’s standards serve as an anchor for the profession ensuring that those who carry its accreditation are meeting their professional duties.

Continuing Professional Development is much more than a formal requirement, it is a vital process that underpins ethical sonography practice. By staying educated and reflective through CPD, sonographers can confidently ensure safe, evidence-based, and ethical services to the community. ASAR will continue to support sonographers in these efforts, fostering a culture of continuous improvement and ethical awareness for the benefit of both practitioners and patients alike.