To determine an optimal embargo period preceding release of radiologic test results to an online patient portal. Materials and Methods: This prospective discrete choice conjoint survey with modified orthogonal design was administered to patients by trained interviewers at four outpatient sites and two institutions from December 2016 to February 2018. Three preferences for receiving imaging results associated with a possible or known cancer diagnosis were evaluated: delay in receipt of results (1, 3, or 14 days), method of receipt (online portal, physician's office, or phone), and condition of receipt (before, at the same time as, or after health care provider). Preferences (hereafter, referred to as utilities) were derived from parameter estimates (b) of multinomial regression stratified according to study participant and choice set. Results: Among 464 screened participants, the response and completion rates were 90.5% (420 of 464) and 99.5% (418 of 420), respectively. Participants preferred faster receipt of results (P , .001) from their physician (P , .001) over the telephone (P , .001). Each day of delay decreased preference by 13 percentage points. Participants preferred immediate receipt of results through an online portal (utility, 2.57) if made to wait more than 6 days to get results in the office and more than 11 days to get results by telephone. Compared with receiving results in their physician's office on day 7 (utility, 2.60), participants preferred immediate release through the online portal without physician involvement if followed by a telephone call within 6 days (utility, 20.49) or an office visit within 2 days (utility, 2.53). Older participants preferred physician-directed communication (P , .001). Conclusion: The optimal embargo period preceding release of results through an online portal depends on the timing of traditional telephone-and office-based styles of communication.
Hip pain is a common problem in adult athletes and may be caused by a wide range of acute and chronic injuries, many of which lead to prolonged time away from sport. This article highlights the magnetic resonance imaging (MRI) findings of important hip injuries in adult athletes, including select osseous, impingement, intraarticular, and musculotendinous injuries. The most commonly affected athletes, clinical presentation, and MRI findings of each injury are reviewed with corresponding clinical pearls from the orthopedist's perspective.
THE PROBLEM: TOO FEW FEMALE ROLE MODELS IN RADIOLOGYWomen are underrepresented in radiology [1]. A 2014 study found that the percentages of female practicing radiologists (23.5%), academic radiology faculty (26.1%), radiology residents (27.8%), and radiology applicants (28.1%) were all substantially below the percentage of women graduating from medical school in the United States (48.3%) [2]. Additionally, of the twenty largest residency training programs in the US, radiology ranked ninth for overall size but only seventeenth for female representation [2].As the medical field has become increasingly diverse, radiology has failed to keep pace.Over the last four decades, the percentage of female radiologists in the United States has held steady in the low to mid-20s [2,3,4,5]. Many studies have been conducted in recent years to better understand the forces behind the apparent gendering of certain medical specialties, a term which reflects the overwhelming predominance of women in some specialties such as pediatrics and obstetrics-gynecology and men in others such as radiology and orthopedic surgery [6,7,8].Although these studies failed to reveal conclusive evidence as to the causes, they managed to uncover potential contributing factors, such as the presence of gender bias in certain specialties, cultural differences between the sexes, and the presence or lack of identifiable role models in different fields [6,7,8,9]. The forces that produce gender disparity in medical specialties are
Introduction: Time management is an essential skill set for physicians. The importance of time management is not routinely emphasized in undergraduate or graduate medical education curricula, often resulting in the development of poor time-management practices early in training. Improving timemanagement practices may lead to decreased stress, increased productivity, and improved well-being for physicians. Methods: This interactive workshop targeted trainees and junior faculty. It aimed to highlight common physician knowledge gaps with respect to cognitive limitations and to teach effective timemanagement strategies. It also aimed to educate learners about how time management may increase physician career satisfaction. The workshop included a detailed presentation with structured resources to reinforce skill development. Results: This workshop was given four times to 54 residents in two different training paradigms. Evaluations were based on a 4-point Likert scale (1 = Strongly Disagree, 4 = Strongly Agree). Overall, participants indicated that the workshop addressed an educational need (M = 3.72) and would recommend this workshop to a colleague (M = 3.83). Follow-up survey results at 4 months indicated that most workshop participants had noticed some degree of improved productivity and well-being, that only a small minority had not incorporated new elements of time management into routine practices. Discussion: This workshop offers an effective way to teach time-management strategies to physicians. Our results imply that this workshop meets an early career physician need by addressing a necessary skill set. Effective time-management skills may promote physician career sustainability.
Imaging is the key to diagnosing and guiding management of bone tumors. Although radiographs are the gold standard for initial imaging evaluation and may make the diagnosis, computed tomography (CT) and magnetic resonance (MR) imaging are important adjunct tools for further characterization as a benign or aggressive lesion, accurately determining matrix composition, assessing lesion extent as well as secondary involvement of nearby structures if malignant, and staging tumors when applicable. In this article, we will highlight important features of CT and MR imaging for bone tumor _________________________________________________________________________________
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