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8.CASE Report



CASE was formed to ensure a high quality educational experience for students and trainees in ultrasound and to ensure that on completion of a pathway of learning, that they are competent to undertake medical ultrasound examinations.  Initially this looked at just postgraduate courses but the remit is constantly expanding.

Originally CASE was made up of seven parent bodies, but over the years some have gone and others have come into the group and there are now six. The present professional body membership of CASE is made up of six groups: these are Institute of Physics and Engineering in Medicine (IPEM), the British Medical Ultrasound Society (BMUS), The Society of Radiographers (SCoR), Chartered Society of Physiotherapy (CSP), The College of Podiatry (COP) and The Society for Vascular Technology of Great Britain and Ireland (SVT).   There are 2 Member Organisation meetings each year that oversees the running of CASE.

Three representatives from each of the societies sit on CASE Council and the current representatives for SVT are Valda Gazzard, Mary-Ellen Williams and Jo Walker. 

Simon Richards (BMUS) is currently still the Chair of CASE  but hopes to be replaced soon.  IPEM act as the host group and provide excellent administrative and Finance Officer support.

In the last year, CASE Council has met face to face three times, in London, York and Darlington. It is expected that 2 reps from each society should attend each Council meeting.  Recently it has been possible to remotely “zoom” into these meetings so that we can still contribute even from afar.

At the council meetings discussion takes place about courses undergoing accreditation, training of accreditors, study days, the CASE handbook, CASE newsletter and the annual monitoring of ultrasound courses as part of the Annual Programme Monitoring Review (APMR).  Valda Gazzard (SVT) is lead of the APMR subgroup. There are also sub groups for: Strategy, Politics & Workforce; Accreditation: Applications & Events; Third Trimester Growth Courses; Training, Mentoring & Accreditor Day; and Handbook & Learning Outcomes.

CASE looks at level 6 and 7 standards and workforce issues, and the CASE handbook reflects this.

CASE is looking into accrediting a course aimed at Vets for small animal scanning which the Member’s Organisations have agreed to.

The updating of the accreditation process is ongoing, but this will aim to streamline the data required to ensure that both applicants and accreditors time and effort is effective and the document control is robust. It also aims to clarify what courses are suitable for accreditation. There is a concurrent project which is also looking at defining the process for focussed courses.

Generally the workload of CASE, and that of individual Council members outside of their CASE roles, continues to increase and it has been useful that some virtual meetings have been added to discuss recent accreditation events and other issues, including holding a teleconference before each physical meeting to go over the matters that are to be addressed when the committee meets. This means that those Council members who are physically unable to attend every meeting still can actively contribute.

17 Universities have full master programmes accredited by CASE (15 in England, 1 in Scotland and 1 in Northern Ireland). 6 institutions (including Public Health England) run focused courses.  8 Universities offer Vascular modules.  2 universities (Cumbria and Derby) now run direct entry BSc courses and the member organisations have recently agreed CASE fees for these.

The Member Organisations have agreed to support temporary funding of an Education Officer for CASE.  This post will help to develop the Annual Performance Monitoring Review further to include Undergraduate and focussed courses.

The Case Newsletter will be discontinued due to this taking up a significant amount of time to prepare, compared to the analysis of the amount of individual downloads of the document. However all the updates and CASE information is fully accessible on the website, and this ensures the information is also fully up to date.

The Saving Babies Lives; Care bundle Two report recommends  the use of Doppler investigations for the management of the SGA (small for gestational age) and growth restricted fetus.  In order to implement this element effectively Trusts must: Ensure that all pregnant women are assessed for their risk of placental dysfunction with the associated potential for FGR (fetal growth restriction) in early pregnancy and ensure that a robust training programme and competency assessment is included in any screening for SGA, including uterine artery Doppler measurement to screen for early onset FGR.  This updated element recognises that uterine artery Doppler screening of high risk pregnancies can improve efficiency by targeting scan resources. The use of uterine artery Doppler screening for women whose pregnancies are at high risk for placental dysfunction will require training of the ultrasonography workforce but allows triage to pathways which require fewer third trimester scans.  Providers with capacity may wish to use assessment of Middle Cerebral Artery (MCA) Doppler pulsatility indices (PI) in addition to umbilical artery Doppler to help identify and act upon potential fetal compromise in later pregnancy (after 34+0 weeks).  SVT membership may need to be aware that within Trusts there may be a requirement for staff training in more advanced use of Doppler, and going forward Ultrasound courses will be updating this in their programmes (this will vary from hospital to hospital).

The SVT accreditors for CASE are the SVT reps, Theresa Fail and Ben Freedman. We would welcome new accreditors – so ask one of us about this.  Valda is planning on standing down from CASE next year once she has completed the APMR, so SVT will need an additional representative for CASE council and an accreditor.

This year’s ‘CASE Update Day’ which will be held on Wednesday 24th June 2020 at the IPEM Office in York (edit - TBC).  The day is open to anyone with an interest in CASE as it provides a good opportunity to get together in one place to discuss the issues and exchange ideas so everyone is welcome.  It would be useful for anyone considering becoming an SVT rep on CASE Council and/or an accreditor.



Valda Gazzard                           

SVT Representative on CASE