The Effect of International Teleradiology Attending Radiologist Coverage on Radiology Residents’ Perceptions of Night Call

Joffe, Sandor A.; Burak, Jarett S.; Rackson, Marlene; Klein, Devon A.; Joffe, Marshall M.

doi:10.1016/j.jacr.2006.02.014

Cited by 15 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although this study was performed with digitized film-screen mammograms, it is likely that the same results would be observed in the interpretation of full-field digital mammograms. Conversion to digital mammography would facilitate intrapractice and teleradiology consultative review [30], enabling double reading of cases in which the primary interpreting radiologist has a low level of confidence. Reimbursement of such a practice may improve the overall accuracy of mammographic interpretation even if the interpreting radiologist asks for review of only the troublesome cases.…”

Section: Discussionmentioning

confidence: 99%

Is Confidence of Mammographic Assessment a Good Predictor of Accuracy?

Geller

Bogart

Carney

et al. 2012

American Journal of Roentgenology

View full text Add to dashboard Cite

OBJECTIVE Interpretive accuracy varies among radiologists, especially in mammography. This study examines the relationship between radiologists’ confidence in their assessments and their accuracy in interpreting mammograms. MATERIALS AND METHODS In this study, 119 community radiologists interpreted 109 expert-defined screening mammography examinations in test sets and rated their confidence in their assessment for each case. They also provided a global assessment of their ability to interpret mammograms. Positive predictive value (PPV) and negative predictive value (NPV) were modeled as functions of self-rated confidence on each examination using log-linear regression estimated with generalized estimating equations. Reference measures were cancer status and expert-defined need for recall. Effect modification by weekly mammography volume was examined. RESULTS Radiologists who self-reported higher global interpretive ability tended to interpret more mammograms per week (p = 0.08), were more likely to specialize (p = 0.02) and to have completed a fellowship in breast or women’s imaging (p = 0.05), and had a higher PPV for cancer detection (p = 0.01). Examinations for which low-volume radiologists were “very confident” had a PPV of 2.93 times (95% CI, 2.01–4.27) higher than examinations they rated with neutral confidence. Trends of increasing NPVs with increasing confidence were significant for low-volume radiologists relative to noncancers (p = 0.01) and expert nonrecalls (p < 0.001). A trend of significantly increasing NPVs existed for high-volume radiologists relative to expert nonrecall (p = 0.02) but not relative to noncancer status (p = 0.32). CONCLUSION Confidence in mammography assessments was associated with better accuracy, especially for low-volume readers. Asking for a second opinion when confidence in an assessment is low may increase accuracy.

show abstract

Section: Discussionmentioning

confidence: 99%

Is Confidence of Mammographic Assessment a Good Predictor of Accuracy?

Geller

Bogart

Carney

et al. 2012

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

“…It now has clinical applications in most medical specialties, including cardiology,6–9 chronic wound care,10 dermatology,5, 11 ophthalmology,12, 13 and trauma care 14. Teleradiology has become a common and effective way of providing radiology night coverage in hospitals throughout the United States 15. For example, our clinic and hospital in the upper Midwest is covered at night by radiology services located in Hawaii.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

2011

View full text Add to dashboard Cite

show abstract

“…Most surprisingly, the survey results revealed that ITARC relieved radiology residents' stress and anxiety related to on-call shifts and promoted accurate afterhours readings and availability of attending radiologists for consultation with referring clinicians, reduced load on daytime attending radiologists and enhanced their educational experience as well. However, ITARC necessitates licensure and credentialing of off-shore teleradiologist in US hospitals, a secure network, redundant internet connections to banish downtime and an expeditious transmission of images for contemporaneous interpretations [18] .…”

Section: Offshore Reporting Of Radiologic Examinations Supplementing ...mentioning

confidence: 99%

Offshore reporting of radiologic examinations supplementing healthcare delivery worthy of Medicare reimbursement

Kalyanpur,

Mathur

2024

Imaging. Radiat. Res.

View full text Add to dashboard Cite

Medicare, a major healthcare program under the Centers for Medicare & Medicaid Services (CMS) has extended telemedicine services within several states in the US for different specialties for which it reimburses in order to establish a qualitative and accessible healthcare system. In parallel, it has been seen that teleradiology services by American Board Certified radiologists based offshore can significantly supplement healthcare delivery in the US by mitigating the shortage of radiologists and enhance outcomes of patient care especially for after-hours emergency work. Teleradiology can help workflow by improving workload distribution, lowering the cost of reporting, shortening turn-around-time for reports, and improving quality of life for staff. The aim of the article is to provide perspective on Medicare reimbursement of offshore telereporting services. We submit that due to its value proposition and contribution to healthcare, offshore telereporting by American Board Certified Radiologists is worthy of Medicare reimbursement and should be re-evaluated for its credits.

show abstract

The Effect of International Teleradiology Attending Radiologist Coverage on Radiology Residents’ Perceptions of Night Call

Cited by 15 publications

References 14 publications

Is Confidence of Mammographic Assessment a Good Predictor of Accuracy?

Is Confidence of Mammographic Assessment a Good Predictor of Accuracy?

Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

Offshore reporting of radiologic examinations supplementing healthcare delivery worthy of Medicare reimbursement

Contact Info

Product

Resources

About