- Issues relating to residency education are addressed, focusing on initiatives that help trainees advance in capability and seniority within the training interval
- Communication skills, foreign national health care models, quality issues and radiation doses are discussed with a worldwide audience in mind
- The author's experiences and knowledge are shared to instruct radiologists on concerns such as radiology costs, demographic trends or the improvement of communication consultations
Written by an expert in the field, Notes of a Radiology Watcher presents a compilation of essays given by the author, which run from clinical issues to practical matters, from residency concerns to ruminations about the future of radiology and about comparisons between U.S. radiology and diagnostic imaging practice abroad.
Notes of a Radiology Watcher aims to show the reader how radiology is being transformed from its customary focus of the last 40 years to meet the disparate challenges of competing influences and an uncertain future. Considerations on the elaboration of ‘milestones’ for residency education are examined, as well as the social and economic issues that are codified into focused initiatives that must be addressed by each trainee as they advance in capability and seniority within the training interval. With the expanse and reorganization schemes of training of the Accreditation Committee for the Graduate Medical Education (ACGME), this book is of interest to radiologists worldwide as it discusses both the U.S. models of training as well as foreign national health models, new initiatives and quality issues.
Table of contents
Part I: Early Residency – Preparation and Participation.- 1. Centralized Interviews for Prospective Radiology Residents.- 2. A Critique of the Transitional Internship.- 3. Looking Back at the Value of the Internship.- 4. Radiology Residents - Internship Survey.- 5. The Debt Crisis and Radiology.- 6. Radiology Residency Positions – Growth, Distribution and California.- 7. Radiology Resident Recruitment – Robustness in an Uncertain Environment.- 8. Radiology Residencies – Disasters and Preparedness.
Part II: Late Residency, Fellowship and Just Beyond.- 9. Reorganizing the Fourth Year, Part I.- 10. Reorganizing the Fourth Year, Part II.- 11. Reorganizing the Fourth Year, Part III.- 12. Are We Losing the Certification Wars?.- 13. The Trouble with Fellowships.- 14. The Changing Board Exam Schedule in the U.S. – Will General Radiologists and Emergency Radiologists Become Synonymous?.- 15. Bubble Trouble.- 16. Regulation Without Representation.
Part III: Radiology Elsewhere in the World.- 17. O.E.C.D. Health Data – Where does the US stack up?.- 18. Characteristics of Radiology Training Programs In Europe In Comparison With Those In The United States.- 19. Japan – A Country With A Currently Successful Radiology Model Of Health Care.- 20. Radiology in Cuba – A Different Path With Fewer Resources And More Compulsion.- 21. Geography and Radiology – Perfect Together .
Part IV: Radiologist Inclusiveness – Minority Features.- 22. Who Will be the New Radiologist? – A 2012 Assessment.- 23. Women in Radiology.- 24. South Asians in Radiology in the United States, Part I.- 25. South Asians in Radiology in the United States, Part II.
Part V – The Appearances and Implications of the Radiology Report.- 26. Towards More Literate Reports – Avoiding Words and Phrases You Should Not Say.- 27. The Radiology Report.- 28. More Jargon.- 29. Anything is Possible so is Possible Anything.- 30. The Radiology Report – the Value of the Impression.- 31. Metaphors in Radiology.- 32. Metaphors – Redux.- 33. Electronic Health Records and Expectations of the Transformation of the Work of Radiologists.- 34. Telling Patients Results.
Part VI: Radiologist Responsibilities.- 35. Fallacies in Reasoning, Part 1.- 36. Fallacies in Reasoning, Part 2.- 37. We Are Radiologists: What Business Are We In?.- 38. Communication vs. Consultation – Two Duties We Must Pursue.
Part VII: Quality Considerations.- 39. Quality- Metrics in Radiology.- 40. Quality- Measures in Radiology.- 41. Quality - Initiatives You Should Know But You May Not Have Heard About.- 42. Quality- Some Simple Things You Might Change.
Part VIII: Malpractice Apology and Appropriateness.- 43. U.S. Medical Malpractice: Some Data-Driven Facts.- 44. Malpractice Suits Against Radiologists.- 45. Radiology Malpractice: The Demography of Medical Malpractice Regarding Radiology.- 46. Apology: Its Elements and Legal Intrusions.- 47. Is it Appropriate to Have Appropriateness Criteria for Radiology Testing?.- 48. Authorization or Appropriateness or the Lady or the Tiger Redux.
Part IX: Opportunities for Radiologists.- 49. Teleradiology – From the Confines of Place to the Freedom of Space.- 50. Medical Tourism, Opportunities for American Radiologists.- 51. Geriatric Radiology A Proto-Manifesto.- 52. Self-Referral Remedies.
Part X: The Challenges Facing American Radiologists.- 53. The Radiologist Assistant – Do We Need This Job Title.- 54. Challenges to Radiology from Below, Astride, and Afar.- 55. The Coming Revolution in Radiology: Beware and Prepare.- 56. Teleradiology and GATS- An-800lb Gorilla Down the Hall.- 57. Commodity Policy and the Vulnerability of Radiology.- 58. Radiologists and The Press.- 59. Will the Job Market for Radiologists Remain Grim? A Contrarian Perspective – A 2013 Assessment.- 60. American Radiologists at a Crossroad.
Part XI: Research.- 61. Peer Review – Peering Over Our Shoulder.- 62. Peer Review – Innovations and Ethical Issues.- 63. Electronic Publishing – A Boon or a Bugbear.- 64. The Tendentious Tendency in Radiology Clinical Research.
Part XII - Radiation Dose.-65. Radiation Dose – A Primer of Units and Limits.- 66. CT–ER-Dose and Cost and What To Do About It.- 67. Radiation Dose Redux.- 68. CT Techniques: Risk and Challenges – Who Will Control Radiology?.- 69. CT Utilization and Thyroid Cancer – Is There a Connection?.- 70. MR Safety - Another Look.
Part XIII: Nooks and Crannies in General Radiology Including Some Forgotten Observations.- 71. From Nipple Shadows to Bullet Holes.- 72. Pelvic Phleboliths.- 73. Eponymous Abdominal Hernias, Part I.- 74. Eponymous Abdominal Hernias, Part II.- 75. Other Radiology Bits and Pieces of Lore.- 76. It Ain’t What You Don’t Know, It’s What You Do Know that Ain’t So.- 77. Illicit Drug Transport.- 78. The Spleen – The Forgotten Organ, Is there Anything To Say?.- 79. Acute Pancreatitis – What and When is There Room for Imaging in the Diagnosis.