A rising trend of unlicensed sonographers is causing concern in the private healthcare sector in Malaysia. These individuals, also known as ultrasonographers, lack medical qualifications but are performing complex diagnostic ultrasound procedures in standalone sonography centers, GP clinics, and some private hospitals.
Performing diagnostic ultrasound requires specific training, particularly for complex procedures like detailed foetal anomaly scans. In Malaysia, only registered medical practitioners with specialist training are authorized to conduct such scans. The Ministry of Health guidelines mandate extensive training under the supervision of a Maternal Foetal Medicine Obstetrics and Gynaecological sub specialist.
These stringent requirements are in place to ensure patient safety and accurate diagnosis. Registered medical practitioners must undergo recognized specialist and sub-specialized training before performing complex diagnostic ultrasound scans on the public. This level of training is vital to uphold clinical standards and prevent misdiagnoses that can harm patients.
Unlike in other countries where sonographers are licensed and regulated, Malaysia lacks official recognition for sonographers and ultrasonographers. Overseas qualifications are not acknowledged by the Ministry of Health or any regulatory body in Malaysia. Sonographers in Malaysia often lack formal medical or clinical training and may undergo short courses that do not meet the necessary standards.
Despite the absence of recognized qualifications, unlicensed sonographers are offering diagnostic services for a fee, including complex procedures that should only be performed by trained medical professionals. This poses a significant risk to public health and has led to cases of missed or erroneous diagnoses, resulting in harm to patients and their unborn children.
The lack of regulation and oversight in the sonography sector is alarming, with unlicensed practitioners freely advertising their services on social media. These individuals operate without professional indemnity, leaving patients vulnerable to substandard care and inadequate compensation in case of errors.
The proliferation of unlicensed sonographers and inadequate training programs poses a threat to the integrity of private healthcare services in Malaysia, especially as the country aims to become a medical tourism hub. Failure to address this issue not only jeopardizes patient safety but also undermines the reputation of the healthcare system.
Dr. Kuharaj Balasubramaniam, a consultant obstetrician and gynaecologist, has highlighted the legal and regulatory violations associated with unlicensed sonographers. Despite complaints and concerns raised by healthcare professionals, regulatory authorities have yet to take decisive action to address this pressing issue.
The public must be made aware of the risks posed by unlicensed sonographers and the urgent need for regulatory measures to safeguard patient safety and uphold medical standards. Without proper oversight and enforcement of existing laws, the practice of unlicensed sonographers performing diagnostic procedures in the private sector will continue to compromise public health and trust in the healthcare system.