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  1. #1
    dojomaster is offline Newbie 510 points
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    Ultrasound practice in Canada?

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    Can anybody enlighten me on the present practice of Ultrasound / Diagnostic Centers in Canada? Does the government own all diagnostic centers, or can one own a private center?

    By the way, I'm not from Canada, but I plan to move my practice there in the near future. I'm not familiar at all with the Canadian Laws concerning ultrasonography, which is my field of interest.

  2. #2
    Mourning Cloak is offline Member 529 points
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    Long story short, if you were granted licensure as a radiologist in whichever province you settle, you could certainly join an existing private imaging clinic, or form one yourself. The latter would likely be an expensive undertaking, of course.

    This is one example of a private imaging clinic that operates within Canada: Canada Diagnostic Centres | Private imaging services | Calgary, Alberta

    This is the legal stuff. Note that the Health Canada Act does not prohibit delivery of insured health services by the private sector, and those are the auspices under which these clinics operate. In other words, "the Canada Health Act does not prevent private, or for-profit, providers from delivering and being reimbursed for publicly insured health services, so long as private payment by patients (through user charges and extra-billing) is not involved."

    It is a violation of the Health Canada Act to sell medically necessary scans to patients for out-of-pocket fees.
    Last edited by Mourning Cloak; 08-16-2009 at 12:26 PM.

  3. #3
    dojomaster is offline Newbie 510 points
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    interesting

    Interesting read. I do have some questions :

    1) How does one differentiate a study / procedure to be "medically necessary" from one that is not?

    2) I notice the bulk of the issue is on CT / MRI clinics. What about 3D / 4D ultrasound clinics? Is a 4D ultrasound "necessary" if the mother just wants to do a routine check-up (without medical complaints)?

    3) Even if there is an Obstetric complaint, a 4D study is not even necessary. So do you mean that the usual OB sonography can be done (charged to public medicare), and if the patient desires a 4D study, she will be charged an out-of-pocket fee?

    4) Does the Radiologist have to be there for ultrasound, or can an ultrasound tech just do the scan himself/ herself, and just consult with the radiologist for difficult/ unusual cases?

    5) How is the radiologist re-imbursed if an out-of-pocket fee is paid?


    I am asking all these questions because we have a very different system here (in my home country).

  4. #4
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    olek is offline Member 510 points
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    Quote Originally Posted by dojomaster View Post
    Interesting read. I do have some questions :

    2) I notice the bulk of the issue is on CT / MRI clinics. What about 3D / 4D ultrasound clinics? Is a 4D ultrasound "necessary" if the mother just wants to do a routine check-up (without medical complaints)?
    Majority of imaging scans HAVE to be ordered by a licensed MD.

    Quote Originally Posted by dojomaster View Post
    4) Does the Radiologist have to be there for ultrasound, or can an ultrasound tech just do the scan himself/ herself, and just consult with the radiologist for difficult/ unusual cases?
    The technician is only performing the scan. Radiologist is usually the one interpreting them.

  5. #5
    dojomaster is offline Newbie 510 points
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    Quote Originally Posted by olek View Post
    Majority of imaging scans HAVE to be ordered by a licensed MD.
    I see. So I guess these clinics have to rely on the primary care physician's requests for them to thrive.

    Quote Originally Posted by olek View Post
    The technician is only performing the scan. Radiologist is usually the one interpreting them.
    This part I understand. But I also understand that most Radiologists are not present ALL the time due to their busy schedule. So I guess that means the technician just performs the scan, saves all pertinent images / video, then refers them to the Radiologist for interpretation at the end of the day?

    Which reminds me, is Teleradiology (images passed through internet, radiologist just sits at home and interprets) an accepted practice in Canada these days?

  6. #6
    AlexMal is offline Newbie 510 points
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    Ultrasound practice in Canada?

    I was just wondering whether you found more information about this topic.My wife is Xray technician in Canada and we are actually thinking about private clinic. So if you are interested we can discuss.Thanks

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