1. An appropriately qualified physician must be readily available to review and interpret the ultrasound examination.
2. In the exceptional circumstance when such a physician is not immediately available at the time of the sonogram:
a. A sonographer credentialed in the relevant specialty must be immediately available to review the images;
b. A mechanism must be in place to address unexpected, questionable, or urgent findings;
c. If immediate physician review is not available, a patient call-back mechanism must be established; and
d. Image review, interpretation, and reporting must be performed in compliance with the AIUM documentation guideline.