| Volume of neuroradiology studies read by neurologists: implications for fellowship training. | |
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MedLine Citation:
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PMID: 21723484 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: The ACGME recognizes radiology's neuroradiology fellowship programs as the pathway to neuroradiology expertise. Members of the American Society of Neuroimaging have called for the expansion of neuroradiology fellowships for neurologists with informal accreditation through the United Council for Neurologic Subspecialties. The aim of this study was to investigate the number of neuroradiologic studies read by neurologists to assess their capacity to support fellowship positions at ACGME training criteria. METHODS: The numbers of neuroradiologic studies interpreted by radiologists and neurologists in the inpatient and hospital outpatient settings were determined from the CMS Physician/Supplier Procedure Summary Master Files for 1996 to 2008. The ACGME requirements of 1,500 neuroradiologic CT and 1,500 neuroradiologic MR scans per fellow per year were used to calculate the number of fellowship positions that could be supported by each specialty. RESULTS: In 2008, in the inpatient and hospital outpatient setting, radiologists interpreted 9,287,768 (98.3% of the total) and neurologists interpreted 43,107 (0.5% of the total) neuroradiologic examinations on Medicare patients. Per ACGME requirements, on the basis of CT volumes, radiologists could potentially train 4,256 neuroradiology fellows, compared with neurologists' 12 fellows, assuming a single fellow was exposed to every Medicare case. On the basis of MR volumes, radiologists and neurologists could train 1,935 and 16 fellows, respectively. CONCLUSIONS: Radiologists are responsible for interpreting the vast majority (98.3%) of neuroradiologic studies. Neurologists have a limited exposure to neuroradiologic CT and MR and could support only 12 fellowship positions by ACGME criteria on the basis of reading available 1996 to 2008 Medicare cases. |
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Authors:
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Lukasz S Babiarz; David M Yousem; Laurence Parker; Vijay M Rao; David C Levin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American College of Radiology : JACR Volume: 8 ISSN: 1558-349X ISO Abbreviation: J Am Coll Radiol Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101190326 Medline TA: J Am Coll Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 477-82 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 American College of Radiology. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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The Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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