2013 ACR Presidential Address: A Personal View on the Future of Radiology

Patti, John A.

doi:10.1016/j.jacr.2013.06.001

Cited by 9 publications

(5 citation statements)

References 2 publications

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“…Early programs allowing patients to consult directly with radiologists report favorable patient feedback (27). Qualitative research has also illustrated that patients desire further information about imagingrelated radiation risks, a role that radiologists are optimally positioned to fulfill at the point of service (28).…”

Section: Teleradiology: Expanding Access or Commodifying Radiology?mentioning

confidence: 99%

Radiologic Professionalism in Modern Health Care

Hryhorczuk¹,

Hanneman²,

Eisenberg³

et al. 2015

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Modern radiology is at the forefront of technological progress in medicine, a position that often places unique challenges on its professional character. This article uses "Medical Professionalism in the New Millennium: A Physician Charter," a document published in 2002 and endorsed by several major radiology organizations, as a lens for exploring professional challenges in modern radiology. The three main tenets of the Charter emphasize patient welfare, patient autonomy, and the reduction of disparities in health care distribution. This article reviews the ways in which modern technology and financial structures potentially create stressors on professionalism in radiology, while highlighting the opportunities they provide for radiologists seeking to fulfill the professional goals articulated in the Charter. Picture archiving and communication systems (PACS) and voice recognition systems have transformed the speed of radiology and enhanced the ability of radiologists to improve patient care but also have brought new tensions to the workplace. Although teleradiology may improve global access to radiologists, it may also promote the commoditization of radiology, which diminishes the professional stature of radiologists. Social media and patient portals provide radiologists with new forums for interacting with the public and patients, potentially promoting patient welfare. However, patient privacy and autonomy are important considerations. Finally, modern financial structures provide radiologists with both entrepreneurial opportunities as well as the temptation for unprofessional conduct. Each of these advances carries the potential for professional growth while testing the professional stature of radiology. By considering the risks and benefits of emerging technologies in the modern radiology world, radiologists can chart an ethical and professional future path.

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Section: Teleradiology: Expanding Access or Commodifying Radiology?mentioning

confidence: 99%

Radiologic Professionalism in Modern Health Care

Hryhorczuk¹,

Hanneman²,

Eisenberg³

et al. 2015

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“…If you are one of them, I urge you to consider the words of John Patti, MD, a past president and chairman of the board of chancellors of the ACR whose roots are in private practice. In his presidential address to the 2013 annual ACR meeting, later published in the Journal of the American College of Radiology (27), Patti asked, What would happen to us if we allocated some percentage, say 10%, of the radiologist workforce in each practice to engage in non-revenue- Or consider the words of Geraldine McGinty, MD, current chair of the ACR Commission on Economics and one whose roots are also in private practice. In a column in the March 2013 ACR Bulletin (28) she wrote the following:…”

Section: Monitoring Advanced Imaging Examinations For Quality While Tmentioning

confidence: 99%

“…Since virtually all trainees take fellowships these days, they could provide the group with more subspecialty expertise. There would no doubt be some extra cost involved, but as John Patti has said (27), the financial sacrifice would be small and well worth the value that would be added. Of equal importance, this would provide jobs for young radiologists who are having so much trouble finding them.…”

Section: Two Storiesmentioning

confidence: 99%

The 2014 RSNA Annual Oration in Diagnostic Radiology: Transitioning from Volume-based to Value-based Practice—A Meaningful Goal for All Radiologists or a Meaningless Platitude?

Levin¹

2015

Radiology

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“…Invested time and subsequent impact on throughput and reimbursement are additional, and maybe the most limiting, concerns to implementation. John A. Patti, MD, past president of the ACR, recently suggested that although this model may initially result in a small dip in reimbursement, it may be essential to preserve the professional and financial future of radiologists [13]. When elements of this model have been informally tested at our various institutions, patients and referring providers have voiced only increased satisfaction, and the impact on time and reimbursement has been negligible.…”

Section: Diagnostic Imaging Consultationmentioning

confidence: 99%