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Improving Care and Education Through a Radiology Resident-driven Clinical Consultation Service

Published:April 06, 2017DOI:https://doi.org/10.1016/j.acra.2017.01.023

      Rationale and Objective

      As health care moves toward bundled payment systems and merit-based incentive models, increasing awareness of the value of the radiologist is essential. A resident-driven clinical imaging rounds (CIR) program initiated at our institution allows radiologists to actively and directly participate in the team-based medical model. A retrospective review of survey data evaluated the qualitative and quantitative effects of CIR on clinical management, communication, and education of referring providers and radiology residents.

      Materials and Methods

      The initial 10 months of a resident-organized CIR were evaluated in a retrospective study. Twenty radiology residents and 150 internal medicine physicians and medical students participated in imaging rounds. An anonymous survey of participants was performed and results were analyzed.

      Results

      Eighty-five percent of radiology resident participants completed the survey (N = 17). Approximately 30% of internal medicine participants completed the survey (N = 45). There was an overwhelming positive review of imaging rounds, with a large majority of all groups agreeing that imaging rounds improve education, communication, and patient care.

      Conclusions

      Resident-driven imaging rounds provide a valuable opportunity to improve communication, education, and patient care. We have created a CIR with a sustainable workflow that allows direct and regularly scheduled imaging-medicine consultation valued by both radiologists and internal medicine physicians, improving the quality of patient care and providing education to our radiology residents in value-based care.

      Key Words

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      References

        • Bautista A.B.
        • Burgos A.
        • Nickel B.J.
        • et al.
        Do clinicians use the American College of Radiology Appropriateness criteria in the management of their patients?.
        AJR Am J Roentgenol. 2009; 192 (Available at:): 1581-1585
        • Norbash A.
        • Bluth E.
        • Lee C.I.
        • et al.
        Radiologist manpower considerations and imaging 3.0: effort planning for value-based imaging.
        J Am Coll Radiol. 2014; 11: 953-958
        • Khorasani R.
        • Silverman S.G.
        • Meyer J.E.
        • et al.
        Design and implementation of a new radiology consultation service in a teaching hospital.
        AJR Am J Roentgenol. 1994; 163: 457-459
        • Moser J.W.
        • Wilcox P.A.
        • Bjork S.S.
        • et al.
        Pay for performance in radiology: ACR white paper.
        J Am Coll Radiol. 2006; 3: 650-664
        • American College of Radiology
        Imaging 3.0 FAQ.
        (Available at:) (Accessed July 16, 2016)
        • Hassan A.
        Case study: radiology's open door.
        (1–3; Available at:)
        • Hobson C.
        Case study: the value of hard work.
        (1–2; Available at:)
        • RSNA
        Radiology cares.
        (Available at:) (Accessed July 12, 2016)
        • Mangano M.D.
        • Bennett S.E.
        • Gunn A.J.
        • et al.
        Creating a patient-centered radiology practice through the establishment of a diagnostic radiology consultation clinic.
        AJR Am J Roentgenol. 2015; 205: 95-99
        • Slanetz P.J.
        • Mullins M.E.
        Radiology education in the era of population-based medicine in the United States.
        Acad Radiol. 2016; 23 (Available at:): 894-897
        • Cizman Z.
        • Hammer M.
        • Mollard B.
        • et al.
        A resident perspective on adding value as radiologists.
        Acad Radiol. 2016; 23 (Available at:): 517-520
        • ACGME
        ACGME program requirements for graduate medical education in diagnostic radiology.
        (Available at:)
        • Porter M.E.
        What is value in health care?.
        N Engl J Med. 2010; 363 (Available at:): 2477-2481