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In this powerful episode of Sonographers After Dark, Lara sits down with Joy Guthrie, PhD., ACS, RDMS, RDCS, RVT, FSDMS, FASE, to discuss the evolution of advanced practice sonography and what it truly means to elevate our profession.
Joy shares the story behind launching one of the first Advanced Cardiac Sonography programs in 2016—and how it expanded to include Advanced Perinatal Ultrasound and Advanced Vascular tracks. Designed for experienced sonographers with at least three years of clinical practice and a bachelor’s degree, these hybrid programs combine online coursework with immersive on-campus residency. The result? Graduates who return to their institutions with increased responsibility, new job descriptions, and higher compensation. Together, Lara and Joy explore: • The shift toward advanced roles in cardiac, vascular, and perinatal imaging • Why many “advanced” roles aren’t labeled that way—but function at a higher clinical level • How accreditation and positions like Technical Director have reshaped expectations (often requiring ACS-level expertise) • The development of the CAAHEP Pathway program for advanced practice • Gaining physician buy-in and aligning with collaborative, extender-style practice models • Practical application tips for competitive advanced program admission • The unique challenges of pediatric echocardiography training and why hands-on experience is non-negotiable This episode is more than a conversation—it’s a roadmap for sonographers who are ready to expand their scope, elevate patient care, and help define the next generation of our profession. If you’ve ever wondered what the future of advanced sonography looks like… this is it. #SonographersAfterDark #AllAboutUltrasound #iheartecho #LoveUltrasound #LoveEcho💜 Watch the full episode here or listen on your favorite platform: Spotify, Apple Podcast, iHeartRadio YouTube: https://www.youtube.com/@SonographersAfterDark TikTok: https://www.tiktok.com/@sonographersafterdark Facebook: https://www.facebook.com/groups/sonographersafterdark Instagram: https://www.instagram.com/sonographersafterdark/
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In this episode of Sonographers After Dark, Lara sits down with Dr. Judy Hung (Mass General Hospital, Boston) for a candid, sonographer-focused conversation on valvular heart disease—and why high-quality echocardiography drives real clinical decisions in today’s structural heart era. Dr. Hung shares what drew her to valve disease through the lens of physiology and hemodynamics, and why echo is the frontline tool for determining whether stenosis or regurgitation is truly hemodynamically significant. The discussion dives into common valve-assessment pitfalls—like failing to chase the highest aortic stenosis gradients with multiple windows, skipping the non-imaging (Pedoff) probe, and missing key steps in MR quantification (zoom, baseline shift, and PISA setup). They also unpack how echo data influences heart team decisions for TAVR, why sonographer training and career pathways matter for retention, and how the profession may evolve with AI-assisted measurements and improving 3D transthoracic imaging—without replacing the need for skilled sonographers. Plus: a few fun rapid-fire moments (equitherapy with "donkeys,” talking to chickens, and an echo myth Dr. Hung is ready to retire for good). If you’re ready to level up your valve game—this one’s for you. 💜💙🩵
Watch the full episode here or listen on your favorite platform: Spotify, Apple Podcast, iHeartRadio YouTube: https://www.youtube.com/@SonographersAfterDark TikTok: https://www.tiktok.com/@sonographersafterdark Facebook: https://www.facebook.com/groups/sonographersafterdark Instagram: https://www.instagram.com/sonographersafterdark/ What really goes into building an echocardiography training program from scratch?
In this episode of Sonographers After Dark, Lara sits down with Daniel Bourque for an honest, behind-the-scenes conversation about launching and sustaining a hospital-based echocardiography program at Orlando Health. Daniel shares the five-year journey of developing an employer-backed echo program—from navigating state licensing, board reviews, and massive documentation requirements to selecting students, building clinical rigor, and fostering real-world decision-making at the bedside. With over 1,300–1,500 clinical scanning hours, early hands-on exposure, and strong internal recruitment, this program is a powerful example of what’s possible when education stays rooted in clinical reality. Together, Lara and Daniel unpack:
Because strong programs don’t happen overnight—and the work behind them deserves to be seen. 💜💙 Watch the full episode here or listen on your favorite platform: Spotify, Apple Podcast, iHeartRadio YouTube: https://www.youtube.com/@SonographersAfterDark TikTok: https://www.tiktok.com/@sonographersafterdark Facebook: https://www.facebook.com/groups/sonographersafterdark Instagram: https://www.instagram.com/sonographersafterdark/ |
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