Features

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At the American College of Radiology’s 2019 meeting last May, speaker after speaker stepped up to the open microphone in the ballroom of a Washington, D.C., hotel to vent their displeasure with the American Board of Radiology (ABR) and its maintenance of certification (MOC) program.

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Ahead of print in Radiology Business Journal: As private medical practices continue feeling the squeeze of consolidation across U.S. healthcare, many radiology groups are considering acquisition offers from physician practice management companies (PPMCs).

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A funny thing happened on the way to the printer with this issue of RBJ. In an email exchange, a radiologist who’d spoken with one of our reporters let me know he had more to say on the combustible subject about which he’d been interviewed. 

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A midsize private practice blooms where planted.

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"There’s so much to be excited about going forward," she told Radiology Business Journal Editor Dave Pearson in an exclusive interview. 

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We sought out a handful of radiology executives, directors and managers who started out as radiologic technologists. They share their stories, talk about radiology’s present challenges and offer tips for today’s techs hoping to become tomorrow’s leaders.

Bibb Allen, MD, FACR, chief medical officer of the American College of Radiology (ACR) Data Science Institute, discusses multiple factors involved in the adoption rate of artificial intelligence (AI) in radiology.

A machine able to interpret diagnostic imaging studies better than radiologists has long been foreseen, yet its arrival comes almost as a surprise. We have underestimated the potential of AI to perform the kinds of work we do.

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Despite authoritative voices reassuring radiologists that artificial intelligence will never seriously cull their workforce, speculation to the contrary continues. In fact, some of the prognosticators most certain about likely job losses are radiologists themselves.

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Those of us who’ve seen Generation Y progress from the digital playground to places alongside us in the workplace sometimes make too much of our differences. We tie ourselves in knots trying to figure out what makes members of this generation tick. What unleashes their endorphins. What we must do to “meet them where they are.” 

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Whenever advanced imaging for low-back pain gets knocked as the “poster child” for overutilization in U.S. healthcare—not an uncommon occurrence—the context of the charge tends to waft away, unconsidered. That’s problematic. To be sure, lumbar-spine MRI in particular has a dicey cost-benefit proposition all its own. The scan’s technical component alone can ring up a bill north of $3,000.

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Medical specialties across the board are getting creative as they work to bring millennials, aka “Generation Y,” into the fold. And even if there’s little truth behind the stereotypical associations—participation trophies, videogame addictions, fear of commitment—millennial radiologists are challenging the profession to adjust now or struggle to remain relevant later.

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Some questions never seem to stop coming up. Should every single incidental finding be reported? If so, how so? In what sorts of cases might the reporting mislead clinicians rather than appropriately guide patient care? Here’s a fresh look at these perpetual concerns. 

Around the web

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"This was an unneeded burden, which was solely adding to the administrative hassles of medicine," said American Society of Nuclear Cardiology President Larry Phillips.