Sonographers at the Clinique d’échographie de l’Outaouais are specialized in ultrasound and are certified by the Ordre des technologues en imagerie médicale, en radio-oncologie et en électrophysiologie médicale du Québec (OTIMROEPMQ). This allows them to work without a doctor present. Their certification, once earned, must be renewed each year. Requirements for maintaining certification are strict. This ensures that sonographers in the labour force are competent and that their skills are up-to-date.