We’ve all fallen into the trap of confining self-advocacy to yearly performance reviews. But while reviews can be helpful, advocacy should be a continuous process. If this isn’t something you’ve practiced before, get ready to roll up your sleeves. Self-advocacy takes persistence, confidence, and a proactive approach, but the results are worth it.

1. Communicate Your Goals and Expectations

The first step to self-advocacy is articulating your goals. Answer the question, “What do I want?” Here are some examples of how you might answer:

  • I want a title change or a pay raise.

  • I want to obtain a new registry or certification.

  • I want to become a mentor or teacher to young professionals.

  • I want to grow my reputation as a thought leader.

If you can’t answer this question right away, that’s okay. It’s best to take your time as you set your professional goals and gain career clarity.

Once you’ve determined what you want, it’s time to communicate this goal to your manager. Don’t think of this as an adversarial conversation but as the formation of a partnership. You want to partner with your manager to become a better asset to the organization. Your manager wants to partner with you so that you continue to grow and add value to the organization. Schedule a dedicated time to have this conversation and be sure to write your goals down—perhaps in a dedicated human resources program. This will prevent confusion while keeping you and your manager accountable.

As you discuss your goals, request the specific support you need to achieve them. This might include:

  • Monetary support like educational or industry conference stipends

  • Dedicated time for learning and development

  • Inclusion in upcoming projects

Your manager may also be able to help identify the steps and milestones you’ll need to reach. As you form this plan, make sure to write it all down in the same place where you record your goal.

Result: Defining and communicating your goals creates accountability, helps you form a plan, and enables your supervisor to act as an advocate for your growth.

2. Express Your Accomplishments

Talking about your accomplishments can be a tricky task. Again, most people save this topic for yearly reviews, but some will depend on team members and supervisors to identify and acknowledge their achievements. Both of these options are a gamble. Thankfully, there is a better way to get noticed without being seen as arrogant.

Share your contributions regularly. Yes, really! Keeping your manager updated on your growth and impact is the best way to demonstrate your progress and accomplishment. Here are some tips for success:

  • Select a dedicated time and place for this discussion, then repeat on a consistent cadence.

  • If you have a 1-1 with your manager, designate a time for identifying recent wins.

  • Suggest adding an agenda item to your team meeting for sharing celebrations and kudos—this gets everyone involved!

  • If you have to share in a less structured way, frame your communication in a humbler light. You can discuss your accomplishments in terms of what you’ve learned, how you’ve grown, or why it was so meaningful to you.

And don’t forget to write it down! When you keep track of your contributions and the value you’ve added, you have indisputable evidence of your progress. If you haven’t done this before, check out this information on hype docs and get ideas for filling yours out.

Result: When you share regularly, your supervisor has a better idea of your contributions and can make better decisions regarding your progress and readiness for the next step.

3. Seek Feedback and Act on It

Self-advocacy is not all about tooting your own horn—it takes a lot of humility too. You’ll need to actively seek feedback about your performance from supervisors, peers, and/or clients. Asking for criticism is never easy, but it helps you identify areas where you can improve. Demonstrate your willingness to listen by staying open to others and asking questions.

Asking isn’t enough, though. When you receive feedback, you have to act on it. Be willing and ready to take on a new task, change a process, take on a new project, or make adjustments to the way you work. Change isn’t easy either, but when you’re open to it, you can change yourself, your team, and your organization for the better.

Result: By seeking out and incorporating feedback, your peers and supervisor will be active participants in your growth and have a front-row seat to your achievements. Plus, listening to others makes them more apt to listen to you when you advocate for what you want.

4. Take on New Challenges

Plenty of new challenges might emerge from seeking feedback. If they don’t, you can still proactively seek out opportunities for growth and volunteer for those that align with your goals. This is important—don’t wait for opportunities to come to you or depend on your manager to identify them for you.

Don’t be afraid to be audacious. Reach beyond your comfort zone (that’s why they’re called stretch projects!), and remember to communicate your desire to learn, grow, and contribute through these experiences.

Then be heard. Don’t engage in these opportunities only to stay quiet and take a back seat. Ask questions, make suggestions, and be willing to provide a different point of view from those around you. Even without seniority or depth of experience, you can be a catalyst for success.

Result: By taking on new challenges, you will increase your depth of experience in the type of work you want to do and demonstrate your drive and ability.

5. Build a Network

Career growth doesn’t happen in a silo. It takes cultivating relationships with colleagues and mentors—people who can offer guidance, provide support, and help you find new opportunities for advancement. You can find these people within your organization, through professional institutions (ARDMS, SDMS, AIUM), by attending industry events (UltraCon, SDMS Annual Conference), and by engaging in conversations (in person, forums, social media groups).

As you build relationships, remember they’re a two-way street. When you connect with peers and mentors, be ready to help them when you can. Don’t step on or over people on your way up—you’ll go farther by becoming a dependable resource for others.

Result: Building a network grows your reputation, expands your visibility, and amplifies your voice.

6. Negotiate

This is the last step for a reason. We all know some people skip straight to this one, sometimes out of enthusiasm, sometimes out of a sense of entitlement. Don’t be that person.

After you’ve done the hard work in the other five steps, it’s appropriate to demonstrate your progress and negotiate terms for the goal you set. If you were specific about your goals previously, this conversation should hold no surprises for your manager. Rather, it will be time to celebrate a hard-won achievement.

Result: By following these steps, you have successfully advocated for yourself and have all the evidence needed to reach your goal.

But… what if I don’t get what I worked so hard for?

It’s terrible to feel like you’ve reached your goal, only to be told “no.” Don’t despair, though—all your hard work is not in vain. There could be at least two things happening:

  1. While you’ve made significant progress, you may not have fulfilled all the requirements to meet your goal. Maybe there was a miscommunication (this is why writing things down is so important), but with a little more effort, you can still reach your goal.

  2. Unfortunately, growth isn’t always rewarded the way it should be. If this is your experience, it may be time to make a difficult decision about your employment. The good news is all the experience you’ve amassed will help you negotiate for your next position. This article provides some advice on whether it’s time to quit.

 Do you have any advice to add? How have you successfully advocated for yourself at work?

Looking for a new opportunity?

Last month, we published Six Self-Advocacy Steps for Sonographers, and step #3 was to seek feedback and act on it. That is easier said than done, so this month, we’re going to take a deep dive into how to ask for on-the-job feedback—and how to respond to it.

Tell me again, why should I bother asking for feedback?

We know, the word “feedback” can bring on performance review butterflies, but you can mitigate that fear response by remembering all the good things that can happen when you ask for feedback regularly:

  • Increase your chances for promotion: As we discussed in our previous post, by requesting and working to incorporate feedback, you involve your peers and supervisor in your growth. That gives them a front-row seat to your achievements and makes them more likely to listen to you when you advocate for that promotion you’ve been eyeing.

  • Improve your performance: Nobody is perfect, which means everyone has room to improve. Gathering feedback presents you with the opportunity to grow while also increasing your confidence.

  • Gain clarity: Feedback can help you zero in on top priorities and help you understand how your work is connected to larger goals. Bonus: clarity can help you be more productive.

  • Create transparency: Healthy dialogue impacts the whole company, not just you or your team. By engaging in open conversations, you can help build a culture where honest feedback is considered constructive, not threatening.

  • Embrace problem-solving: You might not be the first person to ask this question. The answer may be some tips just for you, or it could lead to identifying and solving an organizational challenge. Either way, by asking the question, you’ve created an environment where critical thinking and innovation are possible.

Okay, I see the benefits of asking for feedback, but… what do I actually say?

We’re glad you asked! Before questioning anyone else, though, you should know two things:

  1. What you hope to gain out of this conversation (refer to the benefits above).

  2. Who you should reach out to for feedback.

For example, if you’re hoping to gain clarity about your role or responsibilities, your supervisor is probably your best bet. If you’re looking for scanning tips to help you perform a specific exam, a charge sonographer with several years of experience might be a better choice.

Once you know what you’re looking for, and who to ask, it’s time to prep your questions. There are two ways to ask for feedback: close-ended questions and open-ended questions.

Close-ended questions provide both prompt and response options. Examples of this kind of question include yes/no questions or requesting a rating. Close-ended questions are generally easier to answer because you’re giving the respondent choices. For example, if you’re working on mastering a certain type of scan and you’re paired with a mentor, you can make a habit of asking them to rate your images on a scale. That number can help you track your progress and provides the opportunity to celebrate small wins along the way. A big benefit of close-ended questions is that they can provide “hard data.” Here’s a list of ideas to help you generate your own close-ended questions:

  • How clear are these images, on a scale of 1 to 10?

  • True or false: I’ve been a helpful mentor to my teammates this month?

  • I feel like I’ve taken on more responsibility this year—do you agree or disagree?

On the other hand, open-ended questions provide a prompt but leave the respondent room to construct their own response. Examples of this kind of question include, “What can I do to be a better teammate?” or “Can you provide a couple of tips for performing fetal echo exams?” Open-ended questions are generally more difficult to answer because the response is left completely up to the respondent. However, that openness also provides space for deeper insights, spontaneous kudos, and valuable critique. The big benefit of open-ended questions is that you can glean information you didn’t specifically ask for. Here are some examples to help you form your own open-ended questions:

  • What do you think I’m currently doing well? Not so well?

  • Who should I be working more closely with to grow this skill?

  • What steps can I take to set myself up for a charge role?

Depending on what your goal is, and who you’re talking to, you may find more success with one or the other of these types of questions—or a good mix of both. Don’t be afraid to mix up how you ask for information and make sure to make a mental note of which kinds of questions work best for different people.

It’s also a good idea to have some follow-up questions in your back pocket so that you can draw out additional information during the flow of conversation. Here are some examples:

  • You mentioned [fill in the blank], can you tell me more about that?

  • You said I should work on [fill in the blank], can you give me an example?

  • I don’t understand what you mean by [fill in the blank], can you clarify?

  • We briefly discussed [fill in the blank], do you have any other thoughts to share?

Okay, I think I can prep good questions now, but… what if I get an answer I don’t like?

We won’t lie, it’s entirely possible—even likely—that you will hear something you don’t like when you ask for honest feedback. Critique can make us feel defensive, upset, or even angry. But remember, you’re doing this for the growth it can bring you, and you won’t get anywhere if people aren’t willing to be honest with you. So, no matter how much you like or dislike their response, here are some guidelines for how to respond to feedback:

  • Don’t get defensive: Ironically, it can be just as flustering to give feedback as it is to ask for it, and people will shut down if you respond defensively.

  • Don’t argue: You’re asking for their perspective, so listen to it without judgment or argument.

  • Show you’re listening: Use body language like leaning forward, maintaining eye contact, and nodding to demonstrate that you’re listening.

  • Say thank you: Even if you disagree or are hurt by what someone said, thank them for their honesty and for taking the time to speak with you.

  • Indicate how you’ll follow up: If your conversation results in action steps, communicate what you’ll do or work on next. If it doesn’t, you can simply say you’ll spend time reflecting on what they’ve said.

That makes sense, but I’m still nervous to start the conversation.

We’ve been there! Just remember that this will get easier with practice and that others’ feedback probably isn’t going to be as painful as you think it might be.

When you’ve completed the thought work above, you might start the conversation by asking for some time to meet face-to-face. Tell them the topics you’d like to discuss and give them a little time to think about their responses. When the time to meet comes, you’ll both be ready to have a productive conversation. If you know the person well, or perhaps as you become more comfortable with them, feedback could take the form of a more spontaneous dialogue.

Embrace this process as a great opportunity to learn and grow. And remember, you’ve got this!

We love telemedicine and can see so much potential for it to improve health outcomes among pregnant patients in the U.S. and around the globe. Statistics for prenatal telemedicine are largely positive and encouraging, and we want to see that trend continue.

In pursuit of that goal, we have to consider potential pitfalls and work to prevent them. In this article, we’ll leave technical issues to the IT specialists and examine patient-centric problems the healthcare industry can work to avoid.

The five pitfalls we’ve identified are low technical literacy and access, impersonal connection, relational fragmentation, ineffective communication, and lack of assurance. Let’s take them one by one, examine the potential issues, and suggest some solutions.

1. Low Technical Literacy and Access

Familiarity with technology and access to devices or an Internet connection are not equal across the patient population. Those with limited access or limited technical literacy may struggle to attend and navigate telemedicine appointments.

The good news for pregnant patients is that a gender gap doesn’t exist for the issue of digital literacy and access, and age only tends to become a factor for the 55+ crowd. However, other factors can impact their use of telemedicine:

  • Rurality:  About 40% of rural Americans lack access to broadband service. They’re also 4 times less likely to use the Internet than their urban counterparts.

  • Race:  When looking at the whole adult population, almost half (46%) of digitally illiterate adults are White. However, when you break statistics down by race, 35% of Hispanic adults and 22% of Black adults struggle with digital literacy, compared to 11% of White adults.

  • Education: Stark contrasts in digital literacy exist among varying education levels. Only 5% of adults with a college degree are considered digitally illiterate, compared with 17% of those with high school diplomas and 41% of those without a high school diploma. Those who didn’t graduate high school are also more likely to lack Internet access.

  • Income: Low-income households are more likely to lack access to a family computer (33% compared to only 6% of high-income households). Additionally, more than a quarter of low-income homes (27%) have smartphones, but no broadband access.

To provide great telemedicine care for everyone, providers can consider the following suggestions:

  • Make patient intake forms more inclusive by asking about patients’ access to technology, their preferences regarding appointment format, and the opportunity to indicate their need for assistive devices.

  • Before a telemedicine visit, call patients to confirm they have access to the necessary technology and are comfortable using it.

  • Schedule extra time for a virtual visit if the patient indicates they require technical support.

2. Impersonal Connection

Patients want to develop a trusting relationship with their providers, and sometimes telemedicine can feel like a barrier to that relationship. Pregnant patients especially, despite being satisfied with virtual prenatal care during the pandemic, overwhelmingly (89.95%) indicated a preference for in-person care.

Compared to telehealth visits, patients indicated that in-person appointments were more personal, established greater rapport, and built greater trust. These benefits, in turn, create more highly satisfied patients.

We’ve seen similar results in patient surveys regarding TeleScan®, our telesonography® solution. The care is rated highly, with 92% of patients indicating high satisfaction with the care team, and 69% of patients indicating high satisfaction with the telesonography exam experience. Those who didn’t indicate high satisfaction with their experience commented that telesonography felt distant compared to onsite sonography because it did not provide a more personalized, connective experience—like narration of the scan and more visualization of the baby.

So how can we use these telemedicine exams to build trust and provide a more personal experience?

  • Begin the appointment with small talk. It’s easy to jump right into business, but small talk can emphasize that providers care for patients holistically. Bonus points for making a note and following up during the next visit.

  • Practice good listening skills. Always look at the patient, indicate attentiveness through nonverbals like head nods and smiles, and use friendly body language and facial expressions.

  • Repeat what the patient says to confirm it’s correct. This can help them feel heard and minimize misunderstandings.

  • Bonus: We provide our telesonography patients with pictures of the baby after their exam, which provides a highly personalized touchpoint.

3. Relational Fragmentation

Whether patients are being seen in person or through telemedicine, care from different providers has the potential for relational fragmentation and discontinuity of care. Studies suggest fragmented care can lead to a loss of information and inconsistent advice, which can create unsafe situations. Conversely, one study suggests continuity of care may lead to a lessened need for pain relief and feeling safer during the birthing experience. Additionally, patients were less satisfied when they had to repeat their medical history to a new provider.

But offering both in-person and telemedicine care methods (even from multiple providers) doesn’t have to end in relational fragmentation. Here are some ways providers can create relational continuity:

  • Especially for the first telemedicine visit, try to schedule the appointment with a provider the patient is familiar with.

  • Integrate telemedicine and in-person data. That way, when a patient’s known provider is unavailable, another provider can step in, equipped with the information to make the patient feel known.

  • For patients who want a single point of contact, consider encouraging midwifery-led care, which gives the patient a constant care professional and offers providers more scheduling flexibility.

4. Ineffective Communication

Patients have indicated that in-person discussions put them more at ease and allow for a better flow of conversation. Pregnant patients worry that telemedicine appointments make it more difficult to bring things up with their doctor and believe the provider might miss something if they aren’t there in person. One patient reported, “I do wonder if you’ll be able to catch everything that you would have [at] an in-person appointment. [. . .] In person, with facial expressions and such, you can pick up on some subtleties. So, I do wonder if something might get lost.” Patients were also concerned about their ability to understand and retain information that was provided during a telemedicine appointment.

A patient’s environment could also lead to ineffective communication. While telemedicine has been praised for its ability to give providers greater insight into a patient’s home life, it can also be disruptive if patients can’t find a quiet and private location to conduct their visit. One patient indicated that the waiting room also provided time to think about the visit and potential questions for the provider, as opposed to a telemedicine visit, where they were “running around the house” and “probably not thinking about the visit as much.”

Providers can consider the following ideas to encourage more effective communication during telemedicine calls:

  • Tell patients their provider will complete telemedicine visits from a quiet and secure location and encourage them to choose a similar type of space.

  • During the visit, pause for questions and ask about their comprehension often, not just at the end of the appointment.

  • Provide written appointment notes, treatment instructions, and follow-up directions, and show patients where they can access them for future reference.

5. Lack of Assurance

A recent survey showed patients’ peace of mind was lower in telemedicine appointments than during in-person prenatal check-ups. Pregnant patients particularly felt they had more need for in-person reassurance, and even those with remote monitoring tools were still worried that something would be missed or overlooked.

Additionally, some women linked high-risk pregnancies with an increased risk of losing their pregnancy and trusted in-person visits more than virtual appointments.

Fostering patient assurance, especially if a patient is experiencing a high-risk pregnancy, can be difficult. In-person examination and explanation is a highly effective tool, but there are ways to build patient confidence in virtual methods:

  • Ask about patient preferences. Most patients, both low- and high-risk, prefer a mix of in-person and virtual care during their pregnancy.

  • During a visit in early pregnancy, explain how remote monitoring technology operates, answer questions, and provide reassurance of the efficacy of telemedicine.

  • Don’t force a particular type of appointment on a patient. Rather, present methods they can benefit from, and then welcome their feelings, pushback, and engagement in their healthcare decisions.

Despite these potential pitfalls, we believe telemedicine offers significant advantages for both minority and rural patients as well as their providers and sonographers. We’ve even gone so far as to say that telesonography is the future of ultrasound! We love to see the development of telemedicine solutions and know that if we’re careful to prevent these pitfalls, we can get much closer to equitable care and positive maternal outcomes.

See Our Telemedicine Solution

If you’ve followed BB Imaging for even a short time, you already know we’re always hiring. Previously, we’ve given you tips on how to ace an interview, but today we’re putting ourselves in the hot seat. We’re going to answer some of the best interview questions we’ve heard from you.

1. Is BB Imaging a recruiting firm, or will I actually work for you?

BB Imaging is not a recruiting firm. We are a sonographer-owned ultrasound services company that partners with healthcare providers. You will work at our partner clinic locations but are employed directly by BB Imaging. We will handle your onboarding, continuing education, payroll, benefits—all that good stuff. In addition to working for us, you’ll also be working with us—alongside a team of 102 registered diagnostic sonographers spanning the country.

2. What are the ideal qualities you look for in a diagnostic medical sonographer?

The necessary skillset for a sonographer is fairly easy to define, but we’re also looking for certain intangibles in our prospective team members. These qualities can be summed up with our company values acronym, In DEEP. That stands for Innovation, Dependability, Excellence, Elevation of Others, and Purpose-Driven. Here are some helpful questions to ask yourself to see if we’re the right fit:

  • Innovation: Are you adaptable and curious? We’re looking for people who aren’t content with the status quo and work to innovate forward.

  • Dependability: Are you helpful, reliable, and trustworthy? The people who thrive on our team always show up, use their talents for good, and say “yes” to solving hard problems.

  • Excellence: Do you want to be the best at what you do? Our team members are continually up-leveling their skills and pursuing new credentials.

  • Elevation of Others: Are you supportive and nurturing? Everyone in our company is willing to freely share their expertise through mentorship, thought leadership, and advocacy.

  • Purpose-Driven: Are you committed to a mission bigger than yourself? While we provide industry-leading benefits, our people are most motivated by our mission to make high-quality ultrasound more accessible.

3. Can you share details about the mentorship and training provided for new sonographers?

Absolutely! We truly believe in the elevation of every team member, starting Day 1. That’s why every new sonographer receives a tailored orientation schedule for their first few days with BB Imaging that includes introductory tasks and meetings with key team members.

In clinic, a charge or training sonographer will go over each image with you, referring to the template we use to ensure each image meets the correct criteria. We encourage two-way dialogue between the trainer and trainee to allow for open conversation, questions, and constructive feedback. Additionally, multiple resources are available to reference correct imaging techniques and protocols for each clinic. We want new sonographers to feel fully supported during the training period and beyond.

4. Can you describe the communication processes between teams?

We’ve made it a priority to offer a variety of communication channels to our teams. From daily, in-person meetings with your onsite team to weekly Microsoft Teams calls with your whole region, we encourage communication across our dispersed clinics. We keep each team member in-the-know through a weekly internal newsletter that publicizes kudos, growth opportunities, and company news. We also utilize Teams channels, including a Clinical Chat, where sonographers can share interesting cases or pose questions to the entire clinical staff.

For personal or interpersonal issues, we encourage reaching out to Charges and Regional Directors, who work to build a trusting relationship with each team member and are ready to provide support and resources. And if you ever feel like you can’t speak directly to someone, we have an anonymous suggestion box that is monitored by our executive team. They read and respond publicly to every message.

5. What kind of continuing education and professional development benefits do you offer?

Professional growth is so important to our culture, and we back it up with benefits. Team members are eligible for tuition reimbursements as well as a conference stipend every three years. We also offer certification, registry, and license fee reimbursements when you pass these rigorous tests.

6. What opportunities are available for career growth?

Sonographers don’t often have a clear path for growth beyond a charge position. At BB Imaging, we’ve differentiated ourselves by providing a variety of growth opportunities so that each team member can create the career they’ve always dreamed of.

For those who want to grow within a staff sonographer role, we have 4 levels you can target. Each level comes with a pay increase and is based on a combination of educational attainment, certification completion, industry engagement, and years of experience.

For those who want to grow into other roles, opportunities exist to grow into a charge sonographer role as well as clinical and administrative leadership positions. Vacant roles are always open for internal team member applications, and we do our best to practice internal advancement.

We also offer the unique growth opportunity of the telesonographer® role. Telesonographers work with our tech-enabled telesonography® program, TeleScan®, to provide remote ultrasound services. Currently, this is a hybrid position that offers a regular work-from-home schedule as well as routine in-clinic shifts to keep your scanning skills sharp. Our hope for this role is that it will provide career optionality and keep sonographers in the field longer by minimizing pain and injury.

7. Are there opportunities for involvement in special projects?

Yes! While most sonographer workplaces don’t have the option for special project involvement, this opportunity is another differentiator of the BB Imaging sonographer role.

First, we are always open to suggestions. Many company and cultural improvements come from team suggestions and are spearheaded by member involvement. Sonographers are also encouraged to share their expertise with others through internal presentations and external webinars. Occasional special projects may be brought to our team members’ attention based on organizational needs.

We support our team members when they elect to share their expertise on the big stage. For instance, staff sonographer Molly, RDMS (AB, OB, FE), RVT will be presenting at the SDMS Annual Conference this year. You can find her talks here: Conquering the Middle Cerebral Artery Doppler and Cardiac Outflow Tracts: More Than Just Another Artery.

8. How do you stay current with evolving best practices and guidelines?

For starters, we abide by American Institute of Ultrasound in Medicine (AIUM) standards, encourage our partners to practice them, and can even help with AIUM accreditation if desired. Additionally, as mentioned above, we rely on our team members to educate each other regarding developing best practices. The field of medical sonography is vast, so we work together to stay informed, create new resources, and improve our skillsets.

9. You claim to have industry-leading benefits. Can you tell me about some of them?

Absolutely. Let’s review three of the best ones here:

  • Our team members love our wellness stipend that goes toward massages, yoga, gym memberships, and the like. This is meant to help you prevent injury and practice wellbeing.

  • Team members also appreciate the mileage reimbursements we offer for those who travel outside their work zone. It’s only fair!

  • We also offer PTO for team member birthdays. We want you to have time to celebrate YOU.

These are just a few, so be sure to check out the full list of benefits on our website.

10. What would I have to do within my first year to convince you that I was a strong hire?

This is a great question, and simply asking it demonstrates that you have the right mindset to succeed at BB Imaging. Strong hires are humble and teachable but grow in their confidence to educate and elevate others. If you were nodding along to all the values we reviewed in question #1, chances are, we’ll be a great fit for each other.

11. If I don’t get placed in this role, how can I stay updated regarding future opportunities?

We’re so glad you asked. We get multiple applications for each open position, so a “no” for one role doesn’t mean we don’t want to work together. We’d love for you to stay updated on future roles by subscribing to our monthly newsletter, which provides a full listing of our job opportunities, event attendance information, and helpful content. And when you see another role that fits your expectations, please apply again!

This one is for sonographers. We want all of you to take care of yourselves and enjoy long, fulfilling careers. Pain and injury creep into this industry so quickly, and we know many of you have experienced or are currently struggling with work-related musculoskeletal disorders (WRMSDs).

So, in honor of the upcoming holiday, we’re handing out three tricks and one lovely treat to help you scan pain-free!

Impact of Sonographer Injuries

Research shows sonographers can experience the onset of WRMSD symptoms as early as six months into their first job. A 2009 study on WRMSDs among U.S. sonographers discovered up to 90% of you are scanning in pain, with all 90% reporting shoulder pain, 69% reporting low back pain, and 54% reporting hand and wrist pain. A 2017 study on WRMSD impact among Chinese sonographers revealed even worse outcomes: 99% of sonographers had experienced WRMSD symptoms. Among respondents, 84% reported shoulder pain, 82% reported lower back pain, and 81% reported wrist and hand pain.

This pain isn’t just impacting sonographers, though. A Society of Diagnostic Medical Sonography whitepaper shows that WRMSDs cost employers more than $120 billion every year in direct and indirect costs. Patients are also impacted as 20% of sonographers suffer career-ending injuries, which takes specialized skills out of the field and contributes to the sonographer shortage.

All that said, we don’t just want you to take care of yourself—we need you to.

Trick #1: Practice Healthy Ergonomics

Ergonomics refers to how people function within their workplace. Your environment has a big impact on your work performance, so it’s best practice to modify the spaces where you work to promote a long and healthy career. As a sonographer, you can set yourself up for success at the beginning of every exam. Don’t rush through or skip this step—this is vital prep work!

Start by adjusting the height of the patient’s bed or chair and asking them to move closer if needed. Next, move the console so that it is close to you, and you aren’t twisting your body to reach it. Now adjust the screen height. It should be at eye level and shouldn’t require you to twist your neck to see it. If your patient doesn’t have a screen to watch and wants to see what’s going on, tell them you need full use of the screen during the exam and assure them they will see their images later.

We know your focus will be largely taken up during the scan but try to check in with yourself occasionally. Do you keep having to fight cords? Consider investing in a cable brace to keep them out of the way. Are you straining your eyes? Try shifting your focus from the screen to objects that are farther away throughout the scan. You might also consider getting a pair of glasses that filter blue light.

Between scans, take as much time as you can to stretch or walk around. Even a few minutes throughout the day will make a big difference.

Trick #2: Adjust for Good Posture and Positioning

Now that your environment is as comfortable as you can make it, it’s up to you to make good choices in how you use it. This is especially true for sonographers when it comes to maintaining proper posture throughout exams. Here are our recommendations:

Hand/Wrist

  • Use a palmar grip rather than a pencil grip.

  • Use a light grip. Your knuckles and fingertips should never turn white from pressure.

  • Keep your hand and wrist in a neutral position and avoid extreme flexion of the wrist.

  • Try alternating which hand you scan with to balance the load.

Shoulders

  • Keep both arms as close to your body as possible.

  • Relax your shoulders down rather than hunching them up toward your ears.

  • As much as possible, avoid raising your arms in any direction. Ergonomics will help with this!

Neck

  • Keep your neck in a neutral position.

  • Adjust the monitor to sit at eye level to avoid hunching over or craning your neck.

  • Keep the monitor facing you to avoid twisting your neck.

Back

  • Try completing some scans standing up. Doing so can relieve pressure on your spine.

  • If you do stand, be sure to adjust the workstation and bed height and consider adding an anti-fatigue mat under your feet.

  • Sit or stand straight up.

The more you keep these tips in mind, the more you can build healthy posture habits that you won’t even have to think about. However, we know it isn’t always possible to practice the best posture and positioning, and that you are very busy. So, in the likely event that your posture suffers, give yourself some grace and go get a massage. You can also avoid pain from bad posture by working out and strengthening those areas of the body and making sure to take time to rest and recover.

Trick #3: Consider a Telesonography® Position

Telesonography provides career optionality and gives you the chance to help more patients. We think it’s going to be a game-changer for WRMSDs in our industry. At BB Imaging, an OB Telesonographer® provides virtual diagnostic services to our physician partners via our telemedicine solution, TeleScan®. In this role, you work from home, which gives your body a break while keeping your specialized knowledge in the field. Not convinced? Check out even more ways telesonography benefits sonographers.

If you find this opportunity as intriguing and exciting as we do, we hope you’ll apply. We’ll be hiring both full-time and part-time roles in 2024, with PRN roles coming soon.

Treat: Take Time to Stretch!

We promised you a treat, and here it is! If you’re eyeing a long career, stretching is key to keeping your muscles limber, avoiding pain and injury, and staying healthy well into the future. That’s why we’re sharing our Dynamic Stretches Poster as a free download. This was created especially for sonographers and includes eight different stretches you can easily do in-clinic or from the comfort of home.

Dynamic Stretches Poster Download

Happy Ultrasound Awareness Month! This month is dedicated to recognizing and appreciating ultrasound technology and the sonographers who wield it. In honor of the occasion, we’ve pulled together a timeline of the history of this increasingly vital imaging modality and explored the depths of innovation in this exciting field.

Feel free to share this timeline to spread awareness of the industry and showcase your place in its storied history.

1700s

Yes, ultrasound is more than 300 years old! In the late 1700s we discovered bats rely on their ears rather than their eyes for navigation. This was an early acknowledgement of echolocation: the location of objects by reflected sound. Similar to bats, ultrasound technology uses sound waves to generate images from the deflected echoes of inaudible, high-frequency sound waves.

1800s

In the late 1800s, the Curie brothers discovered the capacity of crystals to both generate and receive pressure waves in the range of megahertz frequencies, which paved the way for modern-day transducer technology.

Early 1900s

Following the sinking of the Titanic, a Canadian electrical engineer named Reginald Fessenden created an ultrasound-based collision avoidance system as well as sonar-based submarine navigation.

1940s

Ultrasound transitioned to medical applications during WWII. Dr. Karl Theodore Dussik published the first work on medical ultrasonics in Austria in 1942 after using ultrasound to investigate the brain. This experiment was one of the earliest attempts to depict an organ in vivo (Latin for “within the living”).

Dussik used a process known as through-transmission ultrasound, in which a probe on one side of the patient transmits an ultrasonic pulse to a receptor probe on the other side. Due to its limitations, the through-transmission technique would soon be replaced.

Early 1950s

Researchers across the USA, Japan, and Europe developed pulse-echo ultrasound technology. In pulse-echo ultrasound, a transducer both produces the transmitted sound wave and receives its reflected echo. The pulse-echo method is used in multiple ultrasound imaging modes, including:

  • A-mode: A-mode ultrasound imaging is the simplest type of ultrasound and returns echoes in a one-dimensional, graphical format. Usually, it was conducted by placing transducers on both sides of a patient who was partially submerged in water. This method is complex and can’t determine direction or the shape of an object, which has made it nearly obsolete today.

  • B-mode: B-mode ultrasound imaging returns greyscale two-dimensional images. This method added directionality to A-mode data. As it improved, the ability to create multiple B-mode images in rapid succession allowed for real-time imaging and the recording of cine clips.

  • M-mode: M-mode ultrasound imaging displays one-dimensional images over time and is commonly used in cardiac and fetal cardiac imaging to evaluate heart motion.

1955

A doctor used industrial ultrasound technology at a boiler fabrication plant “…to test whether it could differentiate between tissue samples (including an ovarian cyst and a juicy steak).” Spoiler alert: It could. Furthermore, he discovered that when ultrasound was applied to a pregnant person’s abdomen, the technology produced “…a dark oval with crackling shadows.” This imaging offered a window into the uterus, with white lines indicating a placenta in formation, and captured a fetal heartbeat.

1958

A medical article titled “Investigation of Abdominal Masses by Pulsed Ultrasound” was published by Ian Donald, John MacVicar, and Tom Brown. For the first time, ultrasound echo was used for the dating of a pregnancy, which was achieved by comparing current fetal size with fetal growth trajectory charts.

Initially, ultrasound technology within the prenatal space was met with controversy and opposition, as many felt it prioritized scientific rationalization and machinery over centuries of maternal knowledge and intuition.

1963

Midwives and pregnant patients experienced the first obstetric ultrasounds performed by Donald and his colleagues in Glasgow hospitals between 1963 and 1968. The experience was positive, leading to the expression of wonder and delight by expectant parents.

Donald, MacVicar, and Brown produced the “Diasonograph,” the world’s first commercial ultrasound scanner.

1970s

The development of the microchip led to even more technological advances in imaging capabilities. Meanwhile, the price of machines began to drop, which brought ultrasound imaging to the masses.

Doppler imaging became mainstream with the development of color Doppler imaging, spectral Doppler imaging, and continuous-wave Doppler imaging. These methods showcase the movement of blood within blood vessels.

1980s

Kazunori Baba at the University of Tokyo developed 3-D scanning, and patients began to bring their partners and family members to ultrasound appointments, viewing them as exciting life events. To this day, patients receive ultrasound images following their appointments, which is said to contribute to maternal-fetal bonding.

1990s

Power Doppler imaging is added to the mix, which allows for even more detailed studies.

Today—The Future

As you can see, ultrasound has come a long way since the 1700s, and it’s a field that continues to experience innovation. We believe telesonography® is the next big step in the ultrasound timeline—and that it’s happening right now! See how this newest development will impact key demographics by clicking the links below:

And finally, thank you to everyone who participates in this incredible field of medical care. Happy MUAM!

HistoryofUltraSoundFullTimeline_101923

Full timeline can be downloaded here.

Telesonography provides ultrasound services via a telecommunications link. It applies the telemedicine approach to sonography, and it comes with a host of benefits.

BB Imaging is the proud owner of TeleScan®, our very own telesonography solution that connects healthcare providers with expert remote sonographers. We’ll refer to TeleScan and some of the results we’ve seen so far throughout the article. If you’d like to learn even more about it, you can visit our website.

Our mission with TeleScan is to bring prenatal ultrasound care to places where it isn’t already available and accessible—and improve outcomes for pregnant patients across the nation. Those are the driving forces behind our innovation, but we also know this technology can serve as a revenue builder for our provider partners.

Here are seven ways telesonography can impact a provider’s bottom line:

1. Increased Billing

Our partners have realized an average 30-40% increase in billing. This is because medically indicated ultrasound exams can be billed at a higher frequency when they are reviewed by highly credentialed perinatal sonographers. Our telesonographers all hold active registries in OB/GYN and Fetal Echocardiography through the ARDMS and are credentialed in Nuchal Translucency, Nasal Bone, and Cervical Length Education and Review (CLEAR). They all also have a minimum of two years of perinatal experience.

These experts work in TeleScan to provide reports that are both highly accurate and thorough. Data from TeleScan has shown:

  • Exams visualize critical anatomy with greater than 90% reliability in all three trimesters.

  • Remotely estimated fetal weights are well within the established 20% margin of error.

  • TeleScan can identify high-risk indicators and demonstrate the need for further testing.

  • No repeat exams have been required.

At this level of exam quality, our clients have seen that utilizing one room twice a week for TeleScan exams yields an estimated $19,000+ in monthly revenue.

2. Exam and Reporting Efficiency

TeleScan software and workflows are designed to increase clinical efficiency. It takes a healthcare worker an average of 30 minutes or less to capture all necessary cine clips for a TeleScan exam. After capture is complete, a telesonographer® can provide a preliminary diagnostic report in one hour or less—for one facility, this amounted to a 61% decrease in report turnaround times.

What do our partners do with all those time savings? They schedule additional patient appointments. On average, the increase in available time slots cuts the time until the next available appointment by 50-75% within just a few months of service.

3. Reduced Recruitment Costs

As an ultrasound service provider, we’re keenly aware of how difficult it is to hire sonographers. A longstanding shortage makes an already small talent pool even smaller, and issues like injury and burnout can take sonographers out of the field early in their careers. Currently, the recruiting cycle can take 180+ days to hire for an open role. In addition, many facilities are now offering sign-on bonuses to compete for limited talent, making the hiring of a sonographer an increasingly expensive endeavor.

Through a TeleScan implementation, you can access perinatal sonographers in as little as one month—no hiring required.

4. Reduced Retention Costs

As we mentioned previously, pain and injury play a big role in sonographers quitting the field. If you already have onsite sonographers, we’re sure you know long days of scanning can bring on work-related musculoskeletal disorders, which can result in high turnover rates and career-ending injuries.

Telesonography is designed to take some of the physical burden of scanning from these hard-to-find professionals. TeleScan can augment care for low-risk pregnancies while allowing your onsite sonography experts to focus on more complex or high-risk examinations. This offers your sonographers a balanced schedule and the capacity to work at the top of their license, which can lead to more years of happy, healthy scanning.

5. Continuity of Care

If your facility doesn’t currently schedule ultrasounds in-house, we’re guessing your patients have to travel to third-party imaging centers. From scheduling (and rescheduling when the patient no-shows) to chasing down reports, we know this setup can cause a lot of hassle for both you and your patients.

Telesonography provides the option to keep patients in-house for their imaging, which increases patient compliance, and allows you to offer a seamless patient experience. Minimizing frustration can also lead to higher patient satisfaction and retention.

6. Appropriate Escalation of Care

When you keep patients in-house for imaging, you can also provide immediate escalation of care when necessary. If TeleScan discovers pathology that requires immediate attention, we will follow a pre-determined plan to inform the right people, through the right channels. This way, the patient can receive the care they need directly from you.

7. Expanded Reach

Telesonography is an excellent solution for expanding your reach, especially if you can take advantage of underutilized outreach clinics and satellite locations. This is especially helpful for patients who live in remote areas or face transportation challenges—and can be advantageous to many more.

For example, one of our partners utilized TeleScan in a satellite clinic and provided a shorter travel time for 20% of patients who were currently driving to the main campus. Another partner decreased their patients’ average distance to ultrasound from 120 miles to just 5 miles.

That all sounds good… but how does it work?

TeleScan is a software-as-a-service product that connects healthcare providers with expert remote sonographers.

Here’s how it works: A knowledgeable healthcare worker (like a medical assistant) uses TeleScan and an ultrasound machine to capture cine clips, which are uploaded to our secure cloud platform. From there, a remote, perinatal sonographer reviews them, provides analysis and annotations, and compiles a preliminary diagnostic report. When the report is ready, the provider is notified, and can use TeleScan to review, update, and finalize the report. If they have opted in, the patient will receive selected keepsake images via a secure text message.

TeleScan is designed to be accessible and financially feasible for everyone. It utilizes existing resources, works with 2D machines, and is paid via a tiered monthly subscription.

Ready to learn more?

Watch Telescan® Demo

Austin, Texas — April 4, 2025 — BB Imaging has been named to the 2025 Inc. Regionals Southwest list, ranking No. 52 among the fastest-growing privately held companies in the region. This marks a significant jump from its previous ranking at No. 131 in 2023, reflecting a 126% two-year growth rate.

This prestigious recognition, published by Inc. magazine, honors companies that have demonstrated exceptional expansion and impact. This year’s Southwest honorees contributed more than 13,800 jobs to the U.S. economy and generated a collective $15.9 billion in revenue, with a median growth rate of 106% from 2021 to 2023.

Founded in 2005, BB Imaging is celebrating 20 years of advancing equitable access to high-quality ultrasound care. The company provides diagnostic imaging solutions to underserved communities and healthcare systems nationwide through scalable staffing, clinical expertise, and patient advocacy.

“This recognition by Inc. highlights our commitment to delivering compassionate, expert care in places that need it most,” said Blanca Lesmes, President, Chairperson, and Co-founder of BB Imaging. “For 20 years, we’ve been pushing boundaries—geographic and systemic—to ensure every person, no matter where they live, has access to the care they deserve.”

“This milestone isn’t just about growth, it’s about impact,” added Sanjay Patel, CEO of BB Imaging. “Every scan, every patient, every partnership is part of a larger mission to change healthcare for the better.”

BB Imaging continues to champion innovation and accessibility in healthcare by investing in their sonographers’ professional development, elevating the industry, and transforming care delivery models to close gaps in coverage.

The complete list of Inc. Regionals: Southwest winners is available at inc.com/regionals/southwest.

About BB Imaging: BB Imaging delivers high-quality sonography services designed to improve health outcomes and expand access to care. We partner with healthcare facilities to provide expert diagnostic ultrasound with a compassionate touch, carried out by skilled sonographers who see their work as both science and service. Our scalable model eases operational burdens, helping partners focus on patient experience, because we believe everyone deserves exceptional imaging and the dignity that comes with it.

Media Contact: Jennifer Whisnant / Email: jennifer.whisnant@salesfactory.com

To meet our mission

As a team, we’re working to improve health outcomes by making high-quality ultrasound services accessible to everyone. This mission has defined us since Day One, and it tops our wish list because we remain totally committed to it. Right now, we’re pursuing this goal in two ways: onsite ultrasound services and telesonography®.

We started with our onsite services 18 years ago, and they’re still going strong. Our dependable and highly credentialed sonographers work with provider partners across the United States to provide access to a variety of ultrasound modalities. Our partners have found us to be helpful, reliable, and trustworthy, which has given us a great reputation in the industry.

Just this year, we launched our new telesonography service, TeleScan®. It’s a secure software that connects providers and their patients with remote sonographers. This solution came about because we kept seeing the need to reach patients who can’t access bedside ultrasound care. More than 50 of our sonographers helped to develop this innovative product, and now it’s seen more than 1,000 patients.

The best thing about this wish list item is that we’re not just wishing for it… we’re working toward it every day!

To keep learning

Our team is dedicated to excellence. We desire to be the best at what we do, so continuing to add to our knowledge and accomplishments is a wish that is near and dear to our hearts.

We’re not seeking accomplishment for only ourselves though. We’re also hoping to elevate others and gladly share what we know with you through our webinars, newsletter, and blog posts.

We hope you’ll take advantage of these free resources and let us know if there’s another topic you’d like to hear about.

To make more friends

Our team members tend to form close-knit communities—and we love it that way! That’s why our third wish is to keep that going by adding folks to our team. All across the country, we need more people to help us meet the demand for ultrasound services.

By the way… we’re not a staffing agency (but we get that a lot). You will be on OUR team and that comes with some sweet benefits that are specifically designed to meet the needs of clinical workers:

  • Monthly wellness benefit: We provide a monthly stipend for you to spend on whatever makes you feel well—massages, gym memberships, yoga classes, etc.

  • PTO on your birthday: We all need to feel loved and celebrated, and our gift to you is a full day of PTO to use on or around your birthday.

  • The schedule you want: Wanna travel? We have roles for that. Looking for regular work hours? We have roles that are never on-call and get weekends off.

If you like those benefits, you can see the rest by viewing our job listings.

If you’re not interested in a new job, we hope you’ll be our friend on social media. Follow us on Facebook, Instagram, and LinkedIn to get a peek into our culture, stay updated, and participate in giveaways.

To add something new to the trophy case

Our final wish is to earn a shiny new acknowledgement next year.

This year we were honored as one of the fastest-growing companies, both in Inc.’s Southwest Region and nationally on the Inc. 5000 list. We also won a Silver Stevie in the American Business Awards and were honored with a writeup on their website.

Our Cofounder and CEO, Blanca Lesmes, also bagged a couple of high-profile awards, including Inc. Female Founders and a Woman’s Way Business Award.

And just last week, TeleScan won the Technology Innovation category in the Fierce Healthcare Innovation Awards, which identify and showcase innovation that is improving and transforming the industry.

These are the things on our Christmas list, but what about you? What do you hope the holidays and new year will bring for you?

In the clinic and beyond, sonographers have many opportunities to use their skills, expand their horizons, and grow their careers. In this article, we’ll look at clinical options that range from charge sonographer all the way up to vice president of clinical services. Along the way, we’ll suggest steps you can take to grow into each role successfully.

Clinical Jobs for Sonographers

If patient care is your passion, it’s entirely possible to stay on the clinical side of the industry while growing your career. Consider this hypothetical career trajectory: from sonographer to charge sonographer, to department supervisor, to practice manager, to vice president of clinical services. The titles may be different in the health system where you work, but similar roles are likely available.

And if the path we suggest seems impossible, you may need to work with a company that better supports your growth. BB Imaging is a big believer in internal promotions. Join us and start building your dream career today.

 

How to become a charge sonographer

Charge sonographers scan patients and take on additional leadership responsibilities like quality assurance tasks, continuing education, and training new team members.

If that sounds like something you’re interested in, consider taking these steps to set yourself up for success:

  1. Gain scanning experience and regularly ask for feedback: Make it your goal to have a reputation for being “that sonographer”—the one who pursues ultrasound excellence with the passion of a Taylor Swift fangirl. Ask to do the scans you know you need practice in and keep learning. One of the easiest ways to learn is to ask for feedback 🔁.
  2. Add a registry or credential: One of the easiest ways to set yourself up for leadership is to become multi-certified. Check out the ARDMS certification list to see what other areas you’re interested in, and then stop by our tips and tricks blog 🤓 for advice on acing your next board exam.
  3. Mentor younger sonographers: As you gain experience, remember to elevate the next generation of sonographers. Your expertise is invaluable, and even one year in-clinic can set you up to be a great mentor 👩‍🏫 for a fresh graduate.
  4. Learn to communicate effectively: Communicating with patients, team members, supervisors, and physicians is a big part of a sonographer’s job. Learning to communicate effectively can include becoming more compassionate in your speech, onboarding physician preferences, or even advocating for yourself 💪.

 

How to become an ultrasound department supervisor

In this next step up, you may add accreditation and schedule management tasks and even be responsible for helping to meet financial goals.

So, while you’re in your charge sonographer era, here are some career-building steps to prepare you for a supervisor role:

  1. Stay current on best practices and new technologies: Ultrasound is developing and changing rapidly, so staying updated is essential. Sign up for an AIUM membership and industry newsletters (like ours 👀) for delivered-to-you updates. And don’t neglect industry conferences or online events like our webinars that help you stay sharp.
  2. Build rapport: It’s a no-brainer to promote someone who gets along with everyone else. You can be that person! Here are eight ways to start building rapport with your team.
  3. Demonstrate your organization: Organizational skills take many forms. Are you a great time manager? Can you recognize others’ skill sets and delegating tasks effectively? Then speak up, take on those tasks, and showcase your talent!
  4. Push past the status quo: “The way we’ve always done it” might not be the best way to do it anymore. Someone willing to ask questions and suggest improvements demonstrates their readiness for greater responsibility.

 

How to become a practice manager

Practice managers are still heavily involved in clinic life but take on more administrative tasks. This role is a great growth opportunity for sonographers looking to remain in healthcare without aggravating a musculoskeletal injury. As a practice manager, your workload may include managing clinic processes, hiring and retaining team members, and managing budgets.

Here are some ways to stand out as a great fit for this role:

  1. Own departmental projects: As a department supervisor, you’ll likely gain experience creating and maintaining processes. Use that time to prove that you take initiative, have leadership skills, and can communicate effectively to accomplish goals.
  2. Gain interview experience: As time allows, sit in on new hire interviews or prospective employee assessments. Get familiar with the signs of high performers and collaborative team players.
  3. Foster cross-departmental relationships: Working in cross-departmental teams shows you understand how all the pieces work together to create an excellent patient experience.
  4. Earn an advanced degree in healthcare administration: As you move into more administrative-heavy work, it can be helpful to pick up new knowledge and terminology and add new perspectives to your toolbox.

 

How to become a vice president of clinical services

In this role, you will develop, manage, and report on new programs, choose and implement enterprise-wide technical systems, and interface with C-suite leaders.

Here are some ways to set yourself up for success in this role:

  1. Tell your success stories: Use the skills and experience you’ve gained from previous roles to position yourself as a qualified candidate. If you’ve done even a few of the tasks we’ve recommended already, you have a great list of accomplishments to add to your resume.
  2. Master communication skills: As a VP, you’ll be responsible for organizing teams, getting people on the same page, and overseeing change management—all tasks that require effective interpersonal skills. Pro tip: start practicing these now (in whatever role you hold), and they’ll be second nature when you reach this level!
  3. Build and leverage relationships: They say, “your network is your net worth,” and they’re not wrong. Industry organizations, product and service vendors, and healthcare educators can lend a lot of support to the goals you’ll be chasing, so start building those relationships now.
  4. Fill in the gaps: We’ve presented a hypothetical career path, but titles and responsibilities will vary. If you’ve missed anything along the way, find a course or class (or, better yet, find a mentor!) to build your knowledge in that area.

 

Get started—become a sonographer!