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Issue 2

Injury Prevalence among Cardiac Sonographers

By:
David
Melchionne
Musculoskeletal injury remains one of the top reasons for sonographer pain and early retirement in the field of cardiac ultrasound. Using a sample pool of 21 sonographers, we discovered that pain rates were highest among sonographers who only scanned transthoracic studies, while pain rates were lowest in those trained in multimodality echocardiograms. We also found no differences in pain rates among sonographers between large and smaller facilities, suggesting that the size of the facility matters less than the actual type of scanning done.
Published:
January 10, 2024
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Frank Marshall Valier, D.B.A., CAIHS

Professor of Healthcare Administration & Technology

Health Sciences & Technology Department

Charter Oak State College

New Britain, CT
Email:  fvalier@charteroak.edu

Dr. Valier is a Distinguished Charter Oak Professor and Certified AI in Healthcare Specialization (Stanford University Medical School) whose career exemplifies the highest ideals of scholarly leadership, transformative teaching, and academic innovation. As the founder, publisher, and editor of the Journal of Healthcare Administration and Policy (JHCAP), he has created a vital forum for advancing knowledge at the intersection of healthcare administration, policy, and emerging artificial intelligence in healthcare and medical blockchain technologies.

Over a distinguished 25-year career, Dr. Valier has made enduring contributions to healthcare administration education through excellence in faculty leadership, graduate-level instruction, scholarly research, and academic publication. At Charter Oak State College in New Britain, Connecticut, he serves as Lead Faculty Instructor for the Master of Healthcare Administration (MHA) program, where he has played a pivotal role in shaping the program's academic identity — most notably through the development and teaching of the MHA Capstone course. His curriculum design reflects a sophisticated command of both healthcare administration and information technology management, preparing students to lead with confidence in an increasingly complex and technology-driven healthcare landscape.

Dr. Valier earned his Doctor of Business Administration in Information Technology Management, with a specialization in Healthcare Systems, from Nova Southeastern University in Fort Lauderdale, Florida. His doctoral dissertation, "A Primary Study of the Perception of Characteristics of Innovation during Pre-Diffusion Stage," earned a Best Paper Award nomination from the Association of Information Systems and was subsequently published in the Journal of International Technology and Information Management — a testament to his significant scholarly contribution to the study of technology adoption in healthcare settings.

As an educator, Dr. Valier is widely recognized for his ability to make complex healthcare concepts both accessible and meaningful. He brings to the classroom a rare combination of rigorous academic standards and genuine investment in student success, consistently bridging theoretical frameworks with real-world application. His pedagogical approach reflects a deep alignment with Charter Oak State College's mission of delivering relevant, career-focused, and student-centered education.

Dr. Valier's professional interests continue to evolve at the forefront of healthcare innovation. His expertise in artificial intelligence and blockchain technology management positions him as a thought leader in the digital transformation of healthcare administration — and as a tireless advocate for preparing the next generation of healthcare leaders to meet that challenge.

© 2026 Journal of Healthcare Administration Practice. all rights reserved
Updated 6/1/26