The challenges to radiology caused by turf battles
Challenges: Radiology in turf battles.
Prof. Philippe Grenier, Chairman of the Department of Diagnostic Radiology, Hôpital Pitié-Salpêtrière; Paris/FR
There are several reasons why turf battles for imaging occur: 1) Medical imaging has become essential for the diagnosis, treatment planning and patient follow-up. 2) Interventional radiology provides efficient procedures that are a credible alternative to surgery, challenging the surgeons who want to survive. 3) Radiologists are currently facing an explosion of the demands and, paradoxically at the same time, a drop in human resources. 4) Radiologists do not have the control of patients. 5) As their interests are driven by the market, equipment companies advocate purchase of imaging equipment for clinicians.
1) The radiology department must ensure service 24/24 hours for 365 days per year and demonstrate efficiency, quality insurance and patient safety. An increase in productivity may convince the administrative director not to fragment and multiply imaging equipment in clinical departments.
2) Ensure competence of all staff radiologists in emergency radiology, develop radiology subspecialties and participate in all multidisciplinary conferences.
3) Forge an alliance with clinicians having no desire to engage in a battle against radiologists and keep a strong position on the hospital’s Executive Board.
4) Refuse any training in imaging techniques to clinicians and promoting studies that compare performances of radiologists and clinicians in interpreting imaging examinations.
5) Produce recommendations in training requirements of a high level in specific fields of radiology to discourage clinicians getting through.
6) Keep advances in the science and knowledge of new emerging imaging techniques or modalities. ‘Today’s research is tomorrow’s clinical practice’.
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