At my program, the majority of non-academic imaging types are not taking echo boards though its shifting a little bit.
I'm torn on the issue. Private practice traditionally hasn't required it, but IMO, the direction of medicine seems to dictate that that may change..
Some local private practice groups (as imaging reimbursements are getting squeezed) are only having boarded imagers in their group read. They say its for liability reasons (which may be somewhat true) but moreso because the old-timers in the group can use that to control the imaging money.
Also, as the hospital employed trend goes forward it will only take one random committee of our nurse bosses to be like "only echo boarded physicians should read echos." To our nurse bosses that makes sense, right?
Then there is the tightening job market where being echo/nuc boarded can only help in getting a job.
So it's a hassle, it's extra money and time, but I'm starting to try and prep myself into the idea that maybe it's best to get it done and over with my third year.
Going forward, private practice will be much more regulated by nurse bosses, medicare/mediciad reimbursements or even the governing bodies.. Wouldn't surprise me if the ASE states that they "recommend" only echo boarded readers can read which may influence reimbursement.