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An initial framework for use of ultrasound by speech and language therapists in the UK: Scope of practice, education and governance

Allen, Jodi Elizabeth, Cleland, Joanne and Smith, Mike ORCID: 2023. An initial framework for use of ultrasound by speech and language therapists in the UK: Scope of practice, education and governance. Ultrasound 31 (2) , pp. 92-103. 10.1177/1742271X221122562

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Background: There is growing evidence to support the use of ultrasound as a tool for the assessment and treatment of speech, voice and swallowing disorders across the Speech and Language Therapy profession. Research has shown that development of training competencies, engagement with employers and the professional body are vital to progressing ultrasound into practice. Methods: We present a framework to support translation of ultrasound into Speech and Language Therapy. The framework comprises three elements: (1) scope of practice, (2) education and competency and (3) governance. These elements align to provide a foundation for sustainable and high-quality ultrasound application across the profession. Results: Scope of practice includes the tissues to be imaged, the clinical and sonographic differentials and subsequent clinical decision-making. Defining this provides transformational clarity to Speech and Language Therapists, other imaging professionals and those designing care pathways. Education and competency are explicitly aligned with the scope of practice and include requisite training content and mechanisms for supervision/support from an appropriately trained individual in this area. Governance elements include legal, professional and insurance considerations. Quality assurance recommendations include data protection, storage of images, testing of ultrasound devices as well as continuous professional development and access to a second opinion. Conclusion: The framework provides an adaptable model for supporting expansion of ultrasound across a range of Speech and Language Therapy specialities. By taking an integrated approach, this multifaceted solution provides the foundation for those with speech, voice and swallowing disorders to benefit from advances in imaging-informed healthcare.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Additional Information: The related URL links to an infographic produced at the University of Strathclyde which can also be accessed here:
Publisher: SAGE Publications
ISSN: 1742-271X
Related URLs:
Date of First Compliant Deposit: 2 November 2022
Date of Acceptance: 7 July 2022
Last Modified: 02 Jun 2023 19:44

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