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Wednesday, December 9th, 2020
196, No. 3, Journal of the American College of Radiology, Vol. Log in. Uncertainty can be very unpleasant, particularly for patients who are worried about an important diagnosis such as the fate of a pregnancy or the possibility of cancer. Before you can become a radiologist, you will need plenty of training. 1, Journal of the American College of Radiology, Vol. Part 1: Challenges and Heightened Expectations, Enhancing Patients' Experiences in Radiology. 199, No. An infant with a history of prenatal hydronephrosis is found to have a normal renal sonogram. Again, the American Medical Association’s Code of Medical Ethics is clear on this point (15). Once you have graduated from medical school, you will need to complete a four year radiology residency. It is both a responsibility and a privilege for radiologists and radiology personnel to play a role in communicating imaging results to patients. 3, American Journal of Roentgenology, Vol. Radiologists know the indications, limitations, risks, and implications of imaging test results better than referring physicians and patients. The radiologist under certain circumstances may give the imaging results directly to the patient especially if the results are urgent. A radiologist is a physician or medical specialist trained in obtaining and interpreting medical images. Levitsky et al (6) found that if the results are normal, 89% of radiologists and 76% of referring physicians say the radiologist should provide the information. The idea is that patient anxiety while waiting to find out a test result could … Should the sonographer? "Before you go to get a mammogram, make sure you know whether you're there for a screening mammogram or a diagnostic mammogram. 33, No. A final approach is to inform all patients of their results, whether they ask or not. American College of Radiology, Patient communication: what to teach radiology residents, Getting the most out of the clinical encounter: the four habits model, ACR standard for communication: diagnostic radiology, http://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/default.html, https://www.cchs.net/onlinelearning/trnmnu.asp?roleid=152&;CaseID=109&;presid=2191, http://www.mypatientconnection.com/Articles/NeimanLetter.aspx, What Happens after a Diagnosis of High-Risk Breast Lesion at Stereotactic Vacuum-assisted Biopsy? Part of the problem with radiology reports arises because we do not really understand how important this document has become to the non-radiologist caregiver. Should radiology department personnel, including radiologists, nurses, technologists, or clerical staff, provide results of diagnostic imaging studies to patients or their families? plan and conduct food service or nutritional programs to assist in the promotion of health and control of disease. One is to refrain from providing results, even if patients ask. Consider the following scenarios, each drawn from clinical ultrasonography (US). Please still keep your doctor's appointment they may have additional lab results and would be important in the treatment plan. Decades ago, when medical practice conformed to a more paternalistic model, it was more common for physicians to tell patients relatively little about their conditions, and the responsibility for determining what patients should know was understood to rest with the physician (1). We did a survey to ask other Radiologists what degree they had when they became a Radiologist. 210, No. Your doctor will explain the meaning of your test results and what to do next. Images may be obtained with x-rays, (CT scans or radiographs), nuclear medicine (involving radioactive substances, magnetism (MRI), or ultrasound. When patients ask questions to which radiologists do not know the answer, it is best to say, “I don’t know the answer to that, but I think your referring physician (or someone else) will.” When unexpected or alarming findings are encountered, radiologists can always contact referring physicians to find out how they would like to handle the situation (6,12). 10, No. Or should the results be conveyed to the patient later by the referring physician? Few physicians would want a colleague to withhold such information from a relative or friend, and what physicians would not want others to do to them or their loved ones, they should not do to others (19). They pretty much know what they’re looking at but aren’t responsible for interpreting results and are not allowed to tell the patients what they see. No one “falls through the cracks.” The patient is always informed, alleviating the radiologist and referring physician of future liability due to breaches in communication (13,14). 215, No. Find out more about what Radiologists do at work. For one thing, radiology reports will likely follow the model of breast imaging and become more structured and standardized. First, such policies should probably be uniform throughout a health care organization, so that there are not wide divergences in practice across a department. 41, No. Furthermore, it may reduce the rate of error in the communication of results, because radiologists and radiology personnel are best equipped to point out and explain imaging findings (16). Diagnostic radiologists use a variety of imaging procedures to see inside the body and assess or diagnose the patient’s condition. If the address matches an existing account you will receive an email with instructions to reset your password. Enter your email address below and we will send you the reset instructions. Two of those years will be spent in the classroom, while the other two will be spent doing clinical rotations. For example, radiologists could review imaging examinations while the patient waits and then ask technologists to inform the vast majority of patients who have normal or near-normal results. Goest the radiologist or sonographer inform the patient should be informed of the American College of Radiology, Vol do... The latter approach would be important in the promotion of health and control disease! Some cases, referring physicians, patients, but only if they so request what radiologists do not understand. 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