Academic Radiologists’ On-Call and Late-Evening Duties

Hunter, Tim B.; Taljanovic, Mihra S.; Krupiński, Elizabeth A.; Ovitt, Theron W.; Stubbs, Alana Y.

doi:10.1016/j.jacr.2007.06.012

Cited by 20 publications

(7 citation statements)

References 9 publications

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“…29 Once automated, computer-aided BSI decision support could be more than an order of magnitude faster than current turnaround times for trauma CT reports by expert readers, which typically range from 20 minutes to 30 minutes, 30 and vary with the number of trauma admissions, reading room distractions, and fatigue-related performance degradation. [30][31][32][33][34] Advancements in quantitative imaging for stroke are instructive in forecasting the future of quantitative imaging in trauma. Automated quantitative visualization software based on principles initially established using manual volumetric measurements, 35,36 is now routinely incorporated into the clinical care of stroke patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, inference times of previously described proof-of-concept deep learning-based quantitative visualization algorithms for relevant tasks including splenic vascular injury, 27 active bleed, 25 hematoma, 17,28 and hemoperitoneum 16 segmentation are rapid, requiring 90 seconds or less using graphics processing units that were state-of-the-art at the time of publication and continue to be subject to rapid technological advancement following Moore's law 29 . Once automated, computer-aided BSI decision support could be more than an order of magnitude faster than current turnaround times for trauma CT reports by expert readers, which typically range from 20 minutes to 30 minutes, 30 and vary with the number of trauma admissions, reading room distractions, and fatigue-related performance degradation 30–34 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Blunt splenic injury in adults: Association between volumetric quantitative CT parameters and intervention

Dreizin

Champ

Dattwyler

et al. 2022

J Trauma Acute Care Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Blunt splenic injury in adults: Association between volumetric quantitative CT parameters and intervention

Dreizin

Champ

Dattwyler

et al. 2022

J Trauma Acute Care Surg

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“…In addition to clinical service, on-call duties also have many benefits for the radiology resident as an important educational experience, including developing independence and providing exposure to unique and challenging cases [6]. The experience is similar in the United States [6], where, in fact, only 10% of academic departments surveyed had 24-hour coverage by an in-house attending radiologist [7].…”

Section: Discussionmentioning

confidence: 99%

After-Hours Radiology Consultation in an Academic Setting, 2005-2009

Raja

Amann

2012

Can Assoc Radiol J

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After-hours radiology is an increasingly frequent topic for discussion and debate within the medical community; in the academic community, this topic centers around the role of the ''on-call'' radiology resident. Academic and nonacademic centres have been experiencing ballooning workloads and have had to introduce new and creative work paradigms to accommodate this extra burden [1]. Results of one representative study reported an increase in after-hours utilisation of computed tomography (CT) by 59%, magnetic resonance imaging (MRI) by 51%, and ultrasound by 30% over a 4-year period [2]. Furthermore, the use of crosssectional imaging, particularly CT, is increasing at a rate that far exceeds emergency department (ED) volumes and acuity [3]. Not only is the volume and breadth of on-call imaging growing, there is increasing pressure for ''stat'' or contemporaneous reports. These realities place a significantly increasing and changing load on radiology residents, who typically manage the department after hours. Hence, to optimally prepare residents for on-call commitments as well as to allocate manpower and resources optimally, it is important to be aware of the trends and variations in the current after-hours radiology landscape. This information would be particularly useful to the University of Western Ontario's Diagnostic Radiology Residency program planners.The purpose of this study was to assess for any significant trends with regard to on-call radiology consultations in a Canadian academic health care setting (London Health Sciences Centre and St. Joseph's Health Care in London, Ontario) between 2005 and 2009. Specifically, the following questions were analysed:Has there been a significant increase in total number of after-hours radiology consultations? If so, by how much? Is there any variation based on modality? Is there any variation based on the month? Is there any variation based on day of the week? Is there any variation based on resident level of training? Materials and MethodsA retrospective review of on-call radiology consultations at the University of Western Ontario (UWO) from January 1, 2005, to December 31, 2009, was performed. This was achieved by using the ''UWO Radiology Preliminary Reports'' Web site and its associated search engine ( Figure 1). While on-call (5 PM to 8 AM on weeknights and 8 AM to 8 AM on weekends and statutory holidays) radiology residents at the UWO are required to enter certain demographic and contextual data into the Web site, along with a preliminary report for all consultations performed. Typically, a single entry is made for a consultation on a single patient, although the actual number of tests may be multiple for that patient.The radiology resident is responsible for all after-hours CT, ultrasound, MRI, fluoroscopy, as well as occasional plain film interpretation at the specified request of a clinician. The preliminary report includes date and time, patient initials, hospital identification number, type of study or studies (modality, body part), summary of findings, ...

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“…Recently published results from the spring 2015 Association of Program Directors in Radiology annual survey revealed that 32% of residency programs no longer offer independent call experience for their trainees free from in-house faculty [23]. The loss of these transformational rotations can often be traced back to mounting clinical pressure for improved report turnaround [22,24].…”

Section: Threats To Educationmentioning

confidence: 99%