Rol de la actitud propositiva en la evaluación de competencia ultrasonográfica del tecnólogo de imagenología

Background: the evaluation of ultrasonography professional competence across healthcare levels requires recognizing the active role of the Imaging Technologist. Strengthening its interpretation and development demands the integration of technological knowledge with a proactive attitude, in order to assess performance through traits that underpin the process and results of the evaluation. Objective: to explain how the incorporation of the Imaging Technologist's proactive attitude contributes to the evaluation of ultrasonography professional competence across healthcare levels. Methods: a descriptive study with a qualitative-interpretive approach was conducted at healthcare levels in Havana between February 2022 and January 2024. Theoretical methods were applied: systematization, conceptual triangulation, and inductive-deductive analysis; empirical methods: documentary analysis of professional performance reports, supervision or tutoring records, and written reflections from the technologist. Information was processed through categorization and systematization, and comparative tables of national research and evaluative dimensions of the proactive attitude were developed. Results: it was found that the proactive attitude constitutes concrete evidence in the evaluation of ultrasonography competence. The actions that express it manifest a transformative intentionality in professional performance, and therefore should be considered in both the process and the results of the evaluation. Conclusions: the proactive attitude links continuous performance improvement, resolution of healthcare problems, methodological innovation, and ethical-social commitment. These findings integrate the proactive attitude as a cross-cutting criterion in the training, evaluation, and professional development of the Imaging Technologist across healthcare levels.