> The challenege for us as a specialty is surely not to react to today's
> perceived egotistical trip by radiology juniors but to spend our time
> looking at why it is we receive such a response.
I don't think the issue here was radiologists refusing to do investigations;
it's more about our hurt feelings as a speciality when radiologists value
the opinion of a junior from another speciality above that of a more senior
doctor from our own. We receive this response because it is still the case
that in some hospitals we are seen as a filter, passing on the sicker
patients to other specialities. As we change how we work, this perception
will change, but there's always going to be a frustrating lag period.
> radiology registrars is clearly a pervasive problem. But surely it is for
us
> to provide solutions to why it happens not look for reactive solutions to
> when it happens. Why does this keep happening? Surely we are not that
> naieve as a specialty to think that when we convince today's radiology
> registrar that we are clinicians, or know better, or whatever it is we
want
> to convince them that when they change over jobs then next year's lot will
> never have the same attitude again?
The way to convince them that we are the best at dealing with the sickest
patients is to be the best at dealing with the sickest patients. Convincing
today's registrars won't help you when the change over occurs, but it will
help your colleagues in the next hospital.
> I can recommend a reading of the diatribe of responses from radiologists
to a
> particular BMJ filler last year. It does give some insight into how they
> think and the pressures they are under:
http://bmj.com/cgi/eletters/325/7368/831#26283
Not every radiologist takes the attitude taken by those responding to this,
particularly with regard to sending down juniors who aren't fully clued up
on the case. The other argument I've come across (albeit tongue in cheek) is
that if the consultant can make it down to discuss the case, the patient
can't be all that sick and can wait, but if the only person they can spare
is the medical student, the investigation needs doing pdq.
Matt Dunn
Warwick
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