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Although no State requires licensure in diagnostic medical sonography, organizations such as the American Registry for Diagnostic Medical Sonography (ARDMS) certify the skills and knowledge of sonographers through credentialing, including registration. Because registration provides an independent, objective measure of an individual's professional standing, many employers prefer to hire registered sonographers. Sonographers registered by the ARDMS are Registered Diagnostic Medical Sonographers (RDMS). Registration with ARDMS requires passing a general physical principles and instrumentation examination, in addition to passing an exam in a specialty such as obstetric and gynecologic sonography, abdominal sonography, or neurosonography. Sonographers must complete a required number of continuing education hours to maintain registration with the ARDMS and to stay abreast of technological advancements related to the occupation.
Sonographers need good communication and interpersonal skills because they must be able to explain technical procedures and results to their patients, some of whom may be nervous about the exam or the problems it may reveal. Good hand-eye coordination is particularly important to obtaining quality images. It is also important that sonographers enjoy learning because continuing education is the key to sonographers staying abreast of the ever-changing field of diagnostic medicine. A background in mathematics and science is helpful for sonographers as well.

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