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Objective: To offer an evidence-based account of the effect of 24/7/365 attending radiologist coverage on the turnaround time (TAT) of trauma-related radiographs finalized within 48 hours of exam completion, drawing data from an emergency radiology department of a tertiary care hospital in Vancouver, British Columbia. Materials and Methods: This was a retrospective chart review, where TATs of imaging studies for a sample of trauma patients, who had visited the emergency department of the Vancouver General Hospital between two time periods, January 1 to September 30, 2013, and January 1 to September 30, 2017, were noted. Results: In models adjusted for patient’s age, sex, and seasonality, the 24/7/365 attending radiologist coverage was associated with an average of 19.1 (95% confidence interval [CI]: 18.7-19.4) hours of reduction in time from exam completion to report finalization by an attending radiologist. Approximately 11.3 (95% CI: 18.7-19.4) hours was due to reduction in time from exam completion to preliminary diagnosis of reports. When the impact of the increased number of radiology staff in 2017 was removed in the analysis, the overall TAT was reduced by 13.3 (95% CI: 13.0-13.6) hours and the time from exam completion to preliminary report was reduced by 7.8 (95% CI: 7.6-8.1) hours. Limitation: Since we have used a simple random sample (SRS) for this research, this study does not describe the burden of reports that are finalized in the emergency and trauma radiology department during the given time periods. Conclusion: Our pilot study demonstrates that the implementation of 24/7/365 attending radiology coverage significantly reduces TAT for finalized radiology reports of all modalities of trauma imaging studies in an emergency and trauma radiology department. Policy implication: This research serves the contemporary health-care administration, policymaking information needs by providing the evidence for significantly reduced TAT of finalized radiology reports from a Canadian perspective.

This paper explores public podium addresses involving identified Indigenous speakers within the context of eco-Indigenous alliances. In Montreal, the field site, Indigenous podium talk takes place with impressive frequency. These kinds of reflexive, discursive productions are part of a larger trend in staging ethnically reflexive voices in public discourse. Indigenous podium talks serve as important sites for Indigenous communities to engage and seek beneficial relationships from various Canadian publics. Yet, insofar as speakers speak from an identified cultural identity, perennial quandaries around the presentation of the "other" persist. In this article, I examine Indigenous podium talk as a discourse genre through which Indigenous identities and social issues are made recognizable and brought to the attention of non-Indigenous publics. Through an in-depth analysis of a single speaking event, focusing on reported speech and pronomial deixis, the interactional demands and possibilities of podium presentations are investigated and related to both the genre and the tar sands dispute that has brought the participants together. Analysis shows the fraught footings available and the sheer delicacy through which speaker and collective voices are presented and aligned to audience and issue, as speakers speak both as and for Indigenous people within the terms of podium talk.

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