how to become an ultrasound tech

sonographer and patient

How to Become a Sonographer in 2021

If you enjoy helping people and working in a dynamic, challenging environment, then a career as a diagnostic medical sonographer may be for you. Ultrasound technicians, sonographers, and ultrasound technologists are interchangeable terms used to describe a highly specialized and trained allied health professional. Often, an ultrasound technologist is associated with performing pregnancy ultrasounds, though career opportunities extend beyond obstetrics.

Learn more about becoming an ultrasound technician with our free guide, which provides helpful information about the field. Everything from researching the career and learning what a sonographer does, to the specialties and advanced employment opportunities available is detailed below.

In our Guide you will learn:

Required skills, abilities, and education
How long it takes to complete a degree
Licensing and certification requirements
How much a sonographer earns

"Sonographers need to be able to make hypothesis of a possible diagnosis and know how to carry out their job to test that hypothesis. Being able to contribute as much as possible to patient care is what made me decide to become a sonographer." -Brooke A., sonography student, Southern Illinois University of Carbondale

Why Choose Diagnostic Medical Sonography?

First, it's important to consider why sonography might be a good choice. It's necessary to learn the requirements, benefits, and challenges of any potential career path, and sonography is no different.

Becoming an ultrasound tech is a great career choice for many reasons, including:

Short degree program: Most sonographers hold an Associate of Science Degree (AAS), which typically takes 2 years to complete.
Earn a great salary: Average salary for ultrasound techs is among the highest available for associate degree holders.
Strong job market: Sonography is a high demand job. Double digit job growth is expected over the next ten years.

According to the Bureau of Labor Statistics (BLS), jobs for diagnostic medical sonographers are expected to increase by 17% in the next decade, which amounts to roughly 21,000 new sonography positions. Salary and employment figures are based on a national average and may vary by location.

Ultrasound Technician Requirements

Sonography is a non-invasive procedure where ultrasound techs use specialized equipment that emits high frequency sound waves. These sound waves travel into the body and reflect back to the machine. The sound wave reflections have different appearances depending on the type of tissue being imaged.

Healthcare professions and other service industry related careers require a wide-range of skills, from technical know-how (commonly known as hard skills) to good interpersonal communication (the soft skills). In order to be a successful and well-rounded sonographer, it's necessary to have both. Hard skills represent the abilities a professional must be able to do to accomplish their job. Soft skills are the abilities a professional must utilize when carrying out the hard skills.

Hard Skills	Soft Skills
Hand-eye coordination	Compassion and empathy
Ability to lift, push, pull over 50 lbs	Staying calm under pressure
Dexterity to operate equipment	Listening and communication skills
Knowledge of anatomy/physiology	Ethical conduct
Understanding of pathophysiology	Independent work ethic
Reading, writing, and interpretation of technical findings from exams	Ability to function as part of a team

Ultrasound technologists work in close concert with other healthcare professionals, such as doctors and radiologists. They also help prepare patients for procedures, maintain ultrasound equipment, record patient history and present findings to the medical team.

Sonographers work in many different locations, such as hospitals, doctor's offices, medical/diagnostic labs, outpatient centers and other healthcare facilities.

How Long Does it Take to Become an Ultrasound Technician?

An Associate of Science Degree (AAS) in diagnostic medical sonography is the minimum education required to become a practicing sonographer. Students with an existing degree in a patient-care related field may be able to apply to a shorter-term certificate program. Prerequisites to enter most degree programs include college-level math, science, and English. Program completion times may vary depending on specific program requirements.

Earn Your Degree

Certificate Program

Approximately 12-18 months
Typically designed for current healthcare professionals or those
who have already completed some type of higher education
Prepares students for entry level sonography positions

Associate Degree

At least 2 years of full-time attendance
Typically results in an Associate of Applied Science (AAS) degree
with a specialization in diagnostic medical sonography
Prepares students to become a practicing sonographer
Choosing a program that is accredited through the Commission on Accreditation of Allied Health Education Programs (CAAHEP) is important to be eligible to take examinations through the ARDMS or Cardiovascular Credentialing International (CCI) organizations

Bachelor's Degree

Approximately 4 years
Typically results in a Bachelor of Science Degree with a
specialization in diagnostic medical sonography
Prepares students to become a practicing sonographer
Choosing a program that is accredited through CAAHEP is
important to be eligible to take examinations through the ARDMS
or CCI organizations
May provide students with more job opportunities due to the
additional length of education and specialty training, allowing
them to be eligible for various specialty registry examinations

Whether you choose a two-year or four-year program, it is crucial that you do
your research before starting a program. CAAHEP accredited programs have
distinguished their quality in educational resources through a rigorous external
review process. Learn more about your options by visiting our degree center.

Hear what these sonography educators have to say about becoming a diagnostic medical sonographer.

Get Certified

Attendance at a college accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) will prepare you to sit for national certification exams. Certification by the American Registry for Diagnostic Medical Sonography (ARDMS) is required by almost all employers.

ARDMS: The ARDMS (American Registry for Diagnostic Medical Sonography) is a leading accrediting organization recognized across the United States and the world. Many states require an aspiring sonographer to become certified in one of the 5 ultrasound specialties offered through the ARDMS by meeting educational and experiential pre-requisites and writing a certification exam.

Other licensing or certification organizations that offer credentials relevant to ultrasound technology include the ARRT (American Registry for Radiologic Technologists), CCI (Cardiovascular Credentialing International) and JCAHPO (Joint Commission on Allied Health Personnel in Ophthalmology).

In certain states, such as New Hampshire, New Mexico, North Dakota, and Oregon, mandatory licensing laws for ultrasound technologists have either been passed or proposed. In these four states, it will be impossible to become a sonographer without receiving a license or certificate.

In states where ultrasound certification is not legally required, most employers still prefer or require an ultrasound technician to be licensed or credentialed. Generally speaking, those who are certified have a competitive advantage over those who are not when searching for employment.

How Much Does a Sonographer Make?

In 2020, the national median annual salary for an ultrasound technician was $75,920, according to the Bureau of Labor Statistics. The BLS adds that the bottom 10% of ultrasound technologists made up to $53,790 a year, whereas the top 10% made over $105,340. Salary and employment figures are based on a national average and may vary by location.

Diagnostic medical sonography is frequently categorized as one of the top paying jobs available without a four year degree. In a recent article, Monster.com ranked Sonography second out of the top ten highest paying fields available to Associates Degree holders, along with three other medical imaging fields making the list as well.

More experience in the sonography field can result in higher compensation. Certifications and higher education may lead to more advanced or specialized job roles which correlate to a higher salary.

The setting a sonographer works in plays a part in determining their salary. The BLS stated that in 2020, ultrasound technologists working in outpatient care centers were paid more than those in doctor's offices, labs, and hospitals. Additionally, sonographers who are on-call or working less desirable shifts may receive additional compensation (conditions in your area may vary).

Lastly, geographic location is also a factor in determining salary. Hawaii, Alaska, California, the District of Columbia, and Washington provided the highest salaries to their sonographers compared to other states.

New technologies and opportunities

As new technologies have emerged, so have new fields within medical imaging. Whether it be telemedicine, Point of Care Ultrasound (POCUS), or new markets for a traveling sonographer, the field is changing rapidly.

There is an emerging job market for traveling or temporary sonographers, which we explore in an interview with Dave Felix, founder of SonoTemps, Inc. Traveling as an ultrasound tech is an appealing option for many due to the more flexible schedule, variety in the workplace, and often higher compensation. Is being a traveling sonographer your dream job? Find out in this 2-part interview with Stephanie Eisler, RDMS, where she chronicles the ups and downs of traveling for a living.

According to sonographer Yonella Demars, MSRS, RDMS (Ab, Ob/Gyn, PS) RVT, "We are the first to interact with fetuses, we know what cancer looks like, we know when a patient has appendicitis, a torsed testicle, or in the process of miscarriage. We are story tellers that use images to create a beginning, middle, and an end."

Coursework, Internships and Externships

A wide range of coursework is included a Sonography program. While specific classes vary by institution, there are some commonalities.

Examples include:

- - Anatomy and Physiology
  - Medical Terminology
  - Principles of Sonography

See complete list…

Hands on learning, both in the form of internships and clinical externships, are an important part of the sonography training process. When considering which program to attend, find out what types of experiential learning are offered to students.

"The student needs to determine what area of the body is of most interest to them. Don't look at the job market – it fluctuates, as do salary ranges and job responsibilities. "Each student should research, job shadow/observe and speak with professionals or other sonography students – learn how they determined their specialty area. But honestly, from most educator perspectives, you can't make a bad decision. The bottom line is that the foundation of all the specialties is sonography. They are all interesting, ever-changing and challenging." –Tricia Turner, DMS Program Director at the South Hills School of Business and Technology.

Specialties in Sonography

Which Specialization is the Best Match for you?

The American Registry for Diagnostic Medical Sonography (ARDMS) offers five different credentials in sonography, which correspond to a main exam and different specialty exams. There are also a variety of non-clinical career paths available to working sonographers.

Credential Earned	Main Exam	Specialty Exam
RDMS	Sonography, Principles and Instrumentation (SPI) Exam	Abdomen (AB) Breast (BR) Fetal Echocardiography (FE) Obstetrics and Gynecology (OB/GYN) Pediatric Sonography (PS)
RDCS	Sonography, Principles and Instrumentation (SPI) Exam	Adult Echocardiography (AE) Pediatric Echocardiography (PE) Fetal Echocardiography (FE)
RVT	Sonography, Principles and Instrumentation (SPI) Exam	Vascular Technology Exam (VT)
RMSKS	Sonography, Principles and Instrumentation (SPI) Exam	Musculoskeletal Sonographer Examination (MSKS)
Midwife Sonography Certificate	Midwife Sonographer Examination	No special examination needed

*Salary information provided by the Bureau of Labor Statistics, Occupational Employment Statistics Survey, 2020 Data: www.bls.gov/oes/current/oes292032.htm.

Sonographer Samantha Callis
Sam Callis is the clinical coordinator for the diagnostic medical sonography program at a CAAHEP accredited bachelor degree program at the University of Southern Indiana in Evansville, IN. In addition to clinical coordinating duties, she teaches didactic and laboratory coursework in cardiac and general sonography.

Sam holds three degrees from the University of Southern Indiana: Health Services ('11), Radiologic and Imaging Sciences ('13), and a Master of Health Administration. She is currently pursuing a Doctor of Education (Ed.D) degree in Educational Leadership with a focus on community-based education at USI.