Tobias P Meyl1, Maximilian de Bucourt2, Anne Berghöfer3,4, Alexander Huppertz4, Andrew B Rosenkrantz5, Florian Streitparth6, Johannes T Heverhagen1, Martin H Maurer7. 1. Department of Radiology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 10, 3010, Bern, Switzerland. 2. Department of Radiology, Charité - University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany. 3. Department of Social Medicine, Epidemiology and Health Economics, Charité - University Medicine, Luisenstrasse 57, 10117, Berlin, Germany. 4. University Outpatient Clinic, Center of Sports Medicine, Hochschulambulanz der Universität Potsdam, Am Neuen Palais 10, Haus 12, 14469, Potsdam, Germany. 5. Department of Radiology, NYU School of Medicine, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY, 10016, USA. 6. Department of Radiology, LMU University Hospital, Marchionistr. 15, 81377, Munich, Germany. 7. Department of Radiology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 10, 3010, Bern, Switzerland. martin.maurer@insel.ch.
Abstract
PURPOSE: To analyze the changes in the work profiles of radiologists and the reporting time after the implementation of professional subspecialization in the radiology department of a Swiss university hospital. METHODS: In a retrospective analysis, the overall number of different radiologic examinations performed in the department of radiology of the largest Swiss university hospital was documented for 2014 and 2016 before and after the implementation of subspecialized reporting (subspecialities: abdominal, musculoskeletal, cardiothoracic, emergency, and pediatric imaging) in May 2015. For six selected radiologists, the number and types of reported examinations as well as the related radiology report turnaround times (RTATs) were analyzed in detail and compared between the two 1-year periods. RESULTS: Overall, there was a significant increase of 10.3% in the total number of examinations performed in the whole department in 2016 compared with 2014. For four of the six radiologists, the range of different types of examinations significantly decreased with the introduction of subspecialized reporting (p < 0.05). Furthermore, there was a significant change in the subset of the ten most commonly reported types of examinations reported by each of the six radiologists. Mean overall RTATs significantly increased for five of the six radiologists (p < 0.05). CONCLUSIONS: Implementation of subspecialized reporting led to a change in the structure and a decrease in the range of different examination types reported by each radiologist. Mean RTAT increased for most radiologists. Subspecialized reporting allows the individual radiologist to focus on a special field of professional competence but can result in longer overall RTAT.
PURPOSE: To analyze the changes in the work profiles of radiologists and the reporting time after the implementation of professional subspecialization in the radiology department of a Swiss university hospital. METHODS: In a retrospective analysis, the overall number of different radiologic examinations performed in the department of radiology of the largest Swiss university hospital was documented for 2014 and 2016 before and after the implementation of subspecialized reporting (subspecialities: abdominal, musculoskeletal, cardiothoracic, emergency, and pediatric imaging) in May 2015. For six selected radiologists, the number and types of reported examinations as well as the related radiology report turnaround times (RTATs) were analyzed in detail and compared between the two 1-year periods. RESULTS: Overall, there was a significant increase of 10.3% in the total number of examinations performed in the whole department in 2016 compared with 2014. For four of the six radiologists, the range of different types of examinations significantly decreased with the introduction of subspecialized reporting (p < 0.05). Furthermore, there was a significant change in the subset of the ten most commonly reported types of examinations reported by each of the six radiologists. Mean overall RTATs significantly increased for five of the six radiologists (p < 0.05). CONCLUSIONS: Implementation of subspecialized reporting led to a change in the structure and a decrease in the range of different examination types reported by each radiologist. Mean RTAT increased for most radiologists. Subspecialized reporting allows the individual radiologist to focus on a special field of professional competence but can result in longer overall RTAT.
Keywords:
Professional competence; Radiologists; Reporting time; Subspecialization
Authors: Mariano Scaglione; Raffaella Basilico; Andrea Delli Pizzi; Francesca Iacobellis; Elizabeth Dick; Stefan Wirth; Ulrich Linsenmaier; Cem Calli; Ferco H Berger; Koenraad H Nieboer; Ana Blanco Barrio; Maureen Dumba; Roberto Grassi; Katarzyna Katulska; Gerd Schueller; Michael N Patlas; Andrea Laghi; Mario Muto; Refky Nicola; Marc Zins; Vittorio Miele; Richard Hartley; Douglas S Katz; Lorenzo Derchi Journal: Eur Radiol Date: 2020-11-05 Impact factor: 5.315
Authors: Jong Seok Ahn; Shadi Ebrahimian; Shaunagh McDermott; Sanghyup Lee; Laura Naccarato; John F Di Capua; Markus Y Wu; Eric W Zhang; Victorine Muse; Benjamin Miller; Farid Sabzalipour; Bernardo C Bizzo; Keith J Dreyer; Parisa Kaviani; Subba R Digumarthy; Mannudeep K Kalra Journal: JAMA Netw Open Date: 2022-08-01