The Section on Radiology

Hodges, Fred M.

doi:10.1001/jama.1930.02720120001001

Cited by 2 publications

(2 citation statements)

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“…Ever since, radiologists’ values have remained rooted in using technology to provide unparalleled clinical information that could not have obtained without their interpretation or guidance: “…findings should be interpreted always in conjunction with the laboratory and clinical findings… [A Radiologist is] not a marker of pretty pictures.” -Radiologist (1912) [ 36 ] “…a real radiologist has to be more than a photographer. He should be a very versatile general practitioner specializing in radiology… A great part of the general medical profession, however, does not realize this and some physicians feel that a six weeks’ course will make them fairly familiar with x-ray work.” –Radiologist (1930) [ 37 ] “The ultimate objective is to find out what’s wrong with a patient… it is not just a simple report as you say, it’s deciding what is the most appropriate way of making that diagnosis …[radiologists] have to be familiar with the full spectrum of disease…” –Radiologist (2016) …”

Section: Discussionmentioning

confidence: 99%

“…“…a real radiologist has to be more than a photographer. He should be a very versatile general practitioner specializing in radiology… A great part of the general medical profession, however, does not realize this and some physicians feel that a six weeks’ course will make them fairly familiar with x-ray work.” –Radiologist (1930) [ 37 ]…”

Section: Discussionmentioning

confidence: 99%

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Physicians' professional identities: a roadmap to understanding “value” in cardiovascular imaging

Keller

Vogelzang

Freed

et al. 2016

Journal of Cardiovascular Magnetic Resonance

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BackgroundQuality improvement efforts in cardiovascular imaging have been challenged by limited adoption of initiatives and policies. In order to better understand this limitation and inform future efforts, the range clinical values related to cardiovascular imaging at a large academic hospital was characterized.Materials and methods15 Northwestern Medicine physicians from internal medicine, cardiology, emergency medicine, cardiac/vascular surgery, and radiology were interviewed about their use of cardiovascular imaging and imaging guidelines. Interview transcripts were systemically analyzed according to constructivist grounded theory and combined with 56 previous interviews with interventional radiologists, interventional cardiologists, gynecologists, and vascular surgeons to develop a model describing specialty-specific values. This model was applied to the 15 pilot interviews focused on cardiovascular imaging, highlighting specialty specific differences in values and practice patterns. Transcripts were also reviewed independently by a cardiologist and 2 radiologists followed by a group discussion to assess reproducibility and achieve a consensus regarding the results.ResultsDifferences in perceived value of cardiovascular imaging and use of guidelines among physicians were well explained by three value-associated identity categories (managers, diagnosticians, and fixers) that were further differentiated along three axes (broad v. focused-thinkers, complex v. definitive-answer-seekers, and public visibility).ConclusionsQuality improvement in cardiovascular imaging may be limited by a lack of understanding and incorporation of the complexity of medical culture into ongoing initiatives. Both individually and during policy development, it is important to first understand the complexity of stakeholders’ diverse perceptions of “value,” “quality,” and “appropriateness.”

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