Estimating the effects of informal radiology resident teaching on radiologist productivity

Jamadar, David A.; Carlos, Ruth C.; Caoili, Elaine M.; Pernicano, Perry G.; Jacobson, Jon A.; Patel, Smita; Noroozian, Mitra; Dong, Qian; Bailey, Janet E.; Patterson, Stephanie K.; Klein, Katherine A.; Good, James; Kazerooni, Ella A.; Dunnick, N. Reed

doi:10.1016/j.acra.2004.11.006

Cited by 48 publications

(8 citation statements)

References 11 publications

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“…Thus, the bulk of work performed by SpRs would be individually checked by a consultant, this process often taking at least as long as its primary reporting, often longer. One published study of staff (consultant) radiologist output in an academic centre alone and while engaging in informal teaching of a radiology trainee showed a decrease in output of approximately 50% while engaging in teaching [11]. Furthermore, procedural work involving teaching a trainee is often slower than if the same procedure were performed by a consultant working alone.…”

Section: Discussionmentioning

confidence: 99%

Measuring Consultant Radiologist workload: method and results from a national survey

Brady

2011

Insights Imaging

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ObjectivesThe role of the Consultant Radiologist has changed substantially in recent decades, yet manpower planning is often based on older inappropriate methods of measuring Radiologist workload. We report a nationwide survey of Consultant Radiologist workload in Ireland in 2009.MethodsRelative value units (RVUs) were assigned to easily countable studies. Hospitals’ activity was collated for the full calendar year of 2009. Radiologist time engaged in activities not easily counted (interventional and procedural work, multi-disciplinary meetings, teaching, administration, etc.) was separately measured.ResultsData were obtained from 28 of 38 public hospital radiology departments. Mean Consultant Radiologist workload across all hospitals was 57,659.1 crude RVUs/WTE and 103,987 net RVUs/WTE. A mean of 32.47% of WTEs are engaged in non-countable activity. Means of 85.35% and 65.73% of the required numbers of WTEs were available in 2009 to achieve respectively annual crude and net RVU/WTE figures of 45,000. Excluding Specialist Centres, plain films accounted for 28–41% of recorded activity, mammography for 0.8–5.8%, US for 16–20%, CT for 27–32% and MR for 5.9–15.8%.ConclusionsIrish Consultant Radiologist staffing levels are well below appropriate international benchmarks for the current workload. Approximately one-third of radiologist time is engaged in activity not easily counted in study numbers.

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Section: Discussionmentioning

confidence: 99%

Measuring Consultant Radiologist workload: method and results from a national survey

Brady

2011

Insights Imaging

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“…It has been estimated that informal resident teaching reduces patient throughput, RVUs, and subsequently dollars by half. 86 We would respectfully disagree: residents make us far more efficient. Time spent teaching them while reviewing a case is fairly equivalent to the time it takes for an attending to thoroughly dictate a body imaging case.…”

Section: Impact Of Voice Recognitionmentioning

confidence: 94%

Comprehensive Review of the Limitations of Relative Value Unit Measurements of Productivity in Academic Departments

Dubinsky¹

2013

Ultrasound Quarterly

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Measuring radiologist, especially sonologist, productivity has never been of greater interest than now, as radiology has moved from its historical status as a cost center to the largest revenue generator in most institutions. With more local institutional and federal oversight and regulation into the reimbursement and valuation of imaging procedures, including emphasis on outsourcing, overvalued procedures, and bundling, the ability to measure productivity and to draw meaningful conclusions from the data becomes increasingly imperative if we as radiologists and sonologists expect to contribute meaningfully to the process. This article presents a history of the "relative value unit" and discusses the valuation of radiologist/sonologist productivity in this era of ubiquitous high-technology implementation.

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“…Technological advancements allow for on‐line rounds and mock‐board examinations and will likely become more robust with time . Informal (at the monitor) teaching of radiology residents by private practitioners is unfortunately not more prevalent, likely because teaching reduces clinical productivity and earnings …”

Section: Collaborations Between Academic and Private Practice Veterinmentioning

confidence: 99%

Academic and private practice partnerships in veterinary radiology residency training

Fischetti

Shiroma²,

Poteet³

2017

Vet Radiology Ultrasound

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As veterinary radiologists devote greater time to telemedicine consultation, residency training must evolve to reflect the skills of these services. The contribution of private practice/consultant radiologists to residency training has traditionally been minimal but academic and private practice partnerships in education and research can provide the framework for a well-rounded residency. These partnerships can also lessen the impact of workforce shortages in academia and provide financial compensation to academicians through external consultation. The purpose of this commentary is to review existing collaborative interactions between academic and private practice veterinary radiologists; with a focus on ways to sustain, improve, and cautiously increase the number of veterinary radiology training programs.

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Estimating the effects of informal radiology resident teaching on radiologist productivity

Cited by 48 publications

References 11 publications

Measuring Consultant Radiologist workload: method and results from a national survey

Measuring Consultant Radiologist workload: method and results from a national survey

Comprehensive Review of the Limitations of Relative Value Unit Measurements of Productivity in Academic Departments

Academic and private practice partnerships in veterinary radiology residency training

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