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Tue Nov 23 12:21:35 GMT 2004

Sal,
That is the template that our folks are using.  Problem is that where
they have agreed to be in house 24/7 and available for readings, they
have failed to live up to the deal.  Not only that, we are now seeing
anywhere between 5 and 15 "misreads" per week, a very concerning
number.
I, for one, have come to telling the resident reading films that I
would like the attending radiologist to call me within 30 minutes of the
completion of all studies with his/her "official" reading.  Seems to me
that this is good all the way around - wwe get the reads we need now,
and the resident actually might learn something by reading the films
with the attending present.
Ron

>>> SJASMD at aol.com 11/23/04 01:23AM >>>

In a message dated 11/22/2004 11:21:35 A.M. Eastern Standard Time,  
Rgross at harthosp.org writes:

Folks,
Is there any data you can come up with relative to timliness  of
attending readings of trauma plain films and CT's?   Does  anyone know
of
any "guidelines" that address the attending vs resident  reading, and
are
there standards out there that mandate immediate attending  reads in
situations where a patient's immediate subsequent course is or  will
be
determined on what is seen/read by the radiologist?  (Get the  feeling
that we are trying to push the rock up  hill??)
Thanks,
RIG  

at Kings County Hospital, the largest hospital of New York City's
largest  
health care enterprises, the new york city health and hospital
corporation, the  
contract between the affiliate radiology department of the University
and the 
 HHC requires  that a STAT film must be performed within one hour and 
have 
its first read within one hour of that performance. An attending
assessment  is 
available upon request but is required by 8am the following morning. 

Of course the practice exceeds this expection in the real emergencies.

Our residents are generally satisfactory for most imaging
interpretation in  
the emergency setting. We have one first or second year resident as
well as  
one  third or fourth year resident on call at all times

There is a formal division of emergency radiology with several faculty
who  
train our residents, who receive additional training by a fair number 
of 
nonemergency radiologists who are comfortable and interested in
teaching  emergency 
and trauma imaging. 

sal

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standards of emergency imaging