Journal of the American College of Radiology最新文献

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Leadership: A Different Approach From a Different Perspective 领导力：从不同的角度看不同的方法。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.08.028

Ed Catmull PhD , Elliot K. Fishman MD , Linda C. Chu MD , Ryan C. Rizk BS , Steven P. Rowe MD, PhD , Jen-Hsun Huang

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The End of CMS’ Appropriate Use Criteria Program JACR 卫生政策专家小组：CMS 适当使用标准计划的终结。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.06.006

Christoph I. Lee MD, MS, MBA , Bethany Agusala MD , Jhee U. Lee MD , Marta E. Heilbrun MD , Joseph R. Bledsoe MD , Joshua M. Liao MD, MSc

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Editorial Response to Watson et al 编辑对Watson等人的回应。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.11.029

Ruth C. Carlos MD, MS (Editor-in-Chief, JACR)

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Embracing Appreciative Inquiry in Radiology to Enhance Performance 在放射学中采用欣赏式探究：提高绩效的策略。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.09.005

Subha Ghosh MD, MBA , Peter S. Liu MD , James Stoller MD, MS

引用次数: 0

Status of LGBTQ+ Inclusion Using a Multi-Institution Assessment of US Radiology Residencies LGBTQ+ 纳入情况：美国放射科住院医师多机构评估。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.08.008

Jordan D. Perchik MD , Charles M. Maxfield MD , Megan Mills MD , Atul Agarwal MD , Nate C. Hull MD , Anne Darrow MD, MA , Morlie Wang MD , Erin Cooke MD , Jayne Seekins DO , Mary Marx MD , Heidi Wassef MD , Jennifer Gould MD , Lars J. Grimm MD, MHS

Introduction

An inclusive residency program is crucial to the recruitment and retention of competitive and diverse applicants. The radiology lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity (LGBTQ+) inclusion audit was published in 2022, which provided a road map for assessing the inclusivity of a program’s policies, facilities, culture, and engagement. In this multi-institutional trial, we detail the results of the LGBTQ+ inclusion audit for nine US radiology residency programs.

Methods

A volunteer cohort of academic radiology programs was recruited through the Radiology Residency Education Research Alliance. The LGBTQ+ inclusion audit was modified to apply to a multi-institutional study. Participating programs performed the audit from December 2023 to February 2024. Pre- and postaudit surveys were distributed to capture participants subjective assessment of inclusivity at their programs.

Results

Nine US radiology residency programs completed the audit. Audit scores ranged from 6 out of 10 to 9 out of 10; no program received a perfect 10 out of 10 score. Inclusive facilities and institutional culture scored highly, with eight of nine programs reporting all milestones met in these areas. The lowest-performing areas were department culture and community engagement with only three of nine and four of nine programs reporting “all milestones met.” After the audit, programs overall reported improved self-perceived inclusivity, with postaudit survey scores increasing in areas related to department policy, inclusive facilities, and LGBTQ+ community outreach.

Discussion

Participating radiology residency programs demonstrated an overall high level of LGBTQ+ inclusivity; however, all programs identified inclusion shortcomings in department policy and practice. Intentional review of a department can be a helpful tool to promote a welcoming and healthy environment for a diverse radiology practice.

介绍：具有包容性的住院医师培训项目对于招募和留住具有竞争力的多元化申请者至关重要。放射科LGBTQ+包容性审核于2022年发布，为评估项目的政策、设施、文化和参与的包容性提供了路线图。在这项多机构试验中，我们详细介绍了九个美国放射学住院医师项目的LGBTQ+包容性审核结果：方法：我们通过放射学住院医师教育研究联盟招募了一批放射学学术项目的志愿者。LGBTQ+包容性审核经过修改，适用于多机构研究。参与项目在 2023 年 12 月至 2024 年 2 月期间进行审核。审核前和审核后都发放了调查问卷，以了解参与者对其项目包容性的主观评价：结果：九个美国放射学住院医师培训项目完成了审核。审核得分从 6/10 分到 9/10 分不等；没有一个项目获得 10/10 分的满分。包容性设施和机构文化得分较高，8/9 的项目报告在这些领域达到了所有里程碑。表现最低的领域是部门文化和社区参与，分别只有 3/9 和 4/9 个计划报告 "达到所有里程碑"。审核结束后，项目总体上报告了自我感觉包容性的提高，审核后的调查得分在与科室政策、包容性设施和 LGBTQ 社区外联相关的领域有所提高：讨论：参与的放射科住院医师培训项目显示了较高的 LGBTQ+ 包容性，但所有项目都指出了部门政策和实践中的包容性不足之处。对一个科室进行有目的的审查可以成为一种有用的工具，为多元化的放射学实践营造一个欢迎和健康的环境。

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引用次数: 0

Radiology Integration Into the Preclinical Curriculum: Ways to Maximize Early Impact 将放射学纳入临床前课程：将早期影响最大化的方法。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.10.001

Matthew Lee MD , Tabassum Kennedy MD , Venkata Meduri MD , Allison Grayev MD

引用次数: 0

Registered Radiologist Assistants Are Not Able to Bill Independently 注册放射科医师助理不能独立计费。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.11.028

Liana M. Watson DM, RT(R)(M)(S)(BS)(ARRT), RDMS, RVT, FASRT PMP, CAE, Melissa B. Pergola EdD, RT(R)(M)(ARRT), FASRT CAE, Eric M. Rubin MD

引用次数: 0

Table of Content

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/S1546-1440(24)00995-5

引用次数: 0

Evolving Trainee Participation in Radiologists’ Workload Using A National Medicare-Focused Analysis From 2008 to 2020 受训人员参与放射医师工作量的演变：从 2008 年到 2020 年以全国医疗保险为重点的分析。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2025-01-01 DOI: 10.1016/j.jacr.2024.08.029

Judah Burns MD , YoonKyung Chung PhD , Elizabeth Y. Rula PhD , Richard Duszak Jr. MD , Andrew B. Rosenkrantz MD

Purpose

Increasing volumes and productivity expectations, along with practice type consolidation, may be impacting trainees’ roles in the work effort of radiologists involved in education. We assessed temporal shifts in trainee participation in radiologists’ workload nationally.

Methods

All US radiologists interpreting noninvasive diagnostic imaging for Medicare fee-for-service beneficiaries were identified from annual 5% Research Identifiable Files from 2008 to 2020 (n = 35,595). Teaching radiologists were defined as those billing services using Medicare’s GC modifier, indicating trainee supervision. Billed work relative value units were used to determine the percentage of teaching radiologists’ total workload with trainee participation. Mean trainee participation in workload was calculated for teaching radiologists overall and stratified by radiologist and practice characteristics determined using National Downloadable Files.

Results

The percentage of radiologists involved in teaching increased from 13.6% (2008) to 20.4% (2020). Among teaching radiologists, mean total workload increased 7% from 2008 to 2019 and decreased in 2020 to 2% below 2008’s level; mean teaching workload decreased 19% from 2008 to 2019 and decreased in 2020 to 31% below 2008’s level. Mean trainee participation in teaching radiologists’ total workload decreased from 35.3% (2008) to 26.3% (2019) and 24.5% (2020). Teaching radiologists showed decreased mean trainee participation when stratified by gender, experience, subspecialty, geography, practice type, and practice size.

Conclusions

The percentage of US radiologists involved in resident teaching has increased, likely reflecting academic practice expansion and academic-community practice consolidation. However, a declining percentage of teaching radiologists’ total workload involves trainees; this dispersion effect could have implications for education quality.

目的：随着业务类型的整合，对工作量和生产率的期望不断提高，这可能会影响到受训人员在放射科医生教育工作中所扮演的角色。我们在全国范围内评估了受训人员参与放射医师工作量的时间变化：我们从 2008 年至 2020 年每年 5% 的研究可识别档案（n = 35,595）中确定了为医疗保险付费服务受益人解释无创诊断成像的所有美国放射科医师。教学放射科医生的定义是使用医疗保险 GC 修饰符计费的放射科医生，该修饰符表示受训人员的监督。计费工作相对价值单位用于确定实习生参与教学放射科医师总工作量的百分比。计算了教学放射科医师的受训人员参与工作量的平均值，并根据放射科医师和使用国家可下载文件确定的执业特点进行了分层：结果：参与教学的放射科医师比例从 13.6%（2008 年）增至 20.4%（2020 年）。在教学放射科医生中，平均总工作量从 2008 年到 2019 年增加了 7%，2020 年减少到比 2008 年水平低 2%；平均教学工作量从 2008 年到 2019 年减少了 19%，2020 年减少到比 2008 年水平低 31%。受训人员参与放射科医生教学总工作量的平均值从 35.3%（2008 年）降至 26.3%（2019 年）和 24.5%（2020 年）。根据性别、经验、亚专科、地域、执业类型和执业规模进行分层后，教学放射科医师的受训人员平均参与率有所下降：美国放射科医师参与住院医师教学的比例有所上升，这可能反映了学术实践的扩展和学术与社区实践的整合。然而，放射科医生的总工作量中涉及受训者的比例正在下降；这种分散效应可能会对教育质量产生影响。

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Patient-Friendly Summary of the ACR Appropriateness Criteria®: Sudden Onset of Cold, Painful Leg ACR 适宜性标准®患者友好型摘要：突发性腿冷、疼痛。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2024-12-01 DOI: 10.1016/j.jacr.2024.04.018

Avani Shinde MD , Sonya Bhole MD

引用次数: 0

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