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Job Details

Senior Sonographer II - Fetal Therapy

Requisition #: 190479
Location: Johns Hopkins Hospital, Baltimore, MD 21201
Category: Allied Health/Clinical Professional
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Aug. 7, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

Position Summary:

Under the general supervision of the Chief imaging Technologist and with the assistance of a physician, performs a more extensive range of diagnostic ultrasound and intervention procedures, assists in the training and supervising of ultrasound Sonographers, in clinical research studies and orients and educates medical staff in theory and applications of sonographic technology.


Requires thorough knowledge of anatomy, physiology and pathology of all fetal conditions that diagnosed with prenatal ultrasound today. In addition, specific knowledge about the presentation of fetal disease as it changes in the different trimester of pregnancy is required.

Requires knowledge about specific targeted ultrasound examination details that need to be acquired to define the severity of the fetal conditions before treatment.

Requires knowledge about the severity staging systems used for certain fetal conditions.

Requires knowledge of all fetal therapies that are available today to address various fetal anomalies and conditions diagnosed prenatally.

Requires knowledge about the ultrasound appearance of recognized complications that can follow invasive and non-invasive fetal therapy.

Requires thorough knowledge of the imaging standards that are required to document either improvement or worsening of the fetal condition after fetal therapy is initiated.

Requires knowledge about physiology of fetal development and the ultrasound examination that is required to assess these parameters.


High School diploma or equivalent and successful completion of an approved curriculum in diagnostic ultrasound.

Work Experience:

Minimum four (4) years of clinical experience in diagnostic obstetrical ultrasound. Minimum 4 years of clinical experience in an obstetric ultrasound unit with a high volume of referrals for fetal anomalies required.


Day Shift, Full Time (40 hours)



Work Location:

Multiple Locations


Must be proficient in high-resolution two-dimensional ultrasound scanning.

Must be proficient in the pulse wave and color Doppler examination of the entire fetal circulation beyond what is required in obstetric ultrasound (renal arteries, organ specific perfusion, coronary arteries, fetal vessels of fetal tumors, etc.).

Must proficient in structural, functional and specialized fetal echocardiography required for diagnosis of fetal cardiac anomalies, monitoring of fetal heart function or rhythm.

Must be proficient in first trimester echocardiography.

Must be proficient in obtaining additional views that go beyond the OB standard ultrasound examination and the application of several imaging protocols (ISUOG (International Society for Ultrasound in Obstetrics & Gynecology) protocols of fetal neurosonography, echocardiography and monitoring of multiple pregnancies. Using two-dimensional ultrasound or three dimensional acquisition and reconstruction.

Must be able to provide ultrasound guidance for invasive fetal procedures, as well as intraoperative monitoring of fetal wellbeing for complex fetal surgeries including fetoscopic spina bifida repair, fetoscopic tracheal occlusion or open fetal surgery.

Must be able to synthesize the information gained during the ultrasound examination and present it in the logical fashion to fetal therapy attending physician in a manner that is relevant to the specific fetal conditions and clinical context (i.e. pre-treatment, post treatment).

Must be able to generate ultrasound reports that capture essential findings even in the most complex conditions.

The fetal therapy sonographer will work in the Center for Fetal Therapy, Labor & Delivery and the operating room. The patient population includes >90% complicated pregnancies with fetal anomalies that are referred for evaluation for fetal therapy. This is in contrast to many obstetric ultrasound units where this proportion is ~10-15%.

Required Licensure, Certification:

Current and active registered diagnostic medical sonographer (RDMS) in obstetrics and fetal echocardiography. Certified in first trimester screening with both the Fetal Medicine Foundation (FMF) and the Society of Maternal FetalMedicine (SMFM). First trimester ductus venosus, tricuspid regurgitation and specialized imaging skills according to the Fetal Medicine Foundation.

Working Condition

Possible exposure to communicable diseases, hazardous materials, radiation, and pharmacological agents with little likelihood of harm if established health precautions are followed.

Work may require the use of lab coats, uniforms and/or protective clothing including gowns, gloves, masks and eye gear.

Position requires the ability to assist the patient on and off the examination table and to also assist the patient into proper positioning to obtain diagnostic results.

The position will require moving and lifting of supplies and equipment as needed, as well as the ability to move the ultrasound unit for portable examinations.

Johns Hopkins is a Smoke – Free campus.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.


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