Subspecialization in radiology: effects on the diagnostic spectrum of radiologists and report turnaround time in a Swiss university hospital.

Meyl, Tobias P; de Bucourt, Maximilian; Berghöfer, Anne; Huppertz, Alexander; Rosenkrantz, Andrew B; Streitparth, Florian; Heverhagen, Johannes; Maurer, Martin (2019). Subspecialization in radiology: effects on the diagnostic spectrum of radiologists and report turnaround time in a Swiss university hospital. Radiologia medica, 124(9), pp. 860-869. Springer 10.1007/s11547-019-01039-3

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Heverhagen, Johannes and Maurer, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0033-8362

Publisher:

Springer

Language:

English

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

27 Jun 2019 09:51

Last Modified:

22 Oct 2019 23:49

Publisher DOI:

10.1007/s11547-019-01039-3

PubMed ID:

31011996

Uncontrolled Keywords:

Professional competence Radiologists Reporting time Subspecialization

BORIS DOI:

10.7892/boris.130285

URI:

https://boris.unibe.ch/id/eprint/130285

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