Eric Postal, MD

A prospective employer’s willingness or unwillingness to negotiate notice periods in a contact may signal the difference between a worthwhile opportunity and a one-way, dead-end job.

Going beyond the humdrum, eye roll-inducing platitudes of orientation training may foster improved attention and adherence to training priorities such as cybersecurity.

Is it time to rethink the burden of applicant fees, credentialing costs and medical staff dues?

A singular database of current rules, guidelines and best practices in radiology would be a welcome advance to ensure ease of access, consistency, and proactive prevention of frivolous malpractice cases.

While CT, MRI and X-rays provide more of a workout for one’s radiological skills, more occasional spurts of DEXA scans and Doppler ultrasounds can provide comfortable diversions on worklists.

A comfortable environment for reading CTs, MRIs and X-rays may be conducive to less interruptions and longer intervals at radiology workstations.

The will to provide legitimate make goods to help address bad situations for radiologist employers can be a key difference between staff loyalty or mutiny.

Expressing appreciation for the technological advances that have limited previous disruptions to radiology workflow, this author speculates about what could come next with AI, voice recognition and workstation enhancements.

Will AI-powered diagnostic workups without on-site docs be a new reality in 2024?

Is there a happy medium with “recommendations” for referring clinicians?

Excess verbiage, at the behest of non-clinical interlopers, continues to pervade radiology reports.

Can a return to a per-click reimbursement model reignite one’s drive?

Is it time to reassess what constitutes a never event?

The ability to consider and comment on prior imaging in the radiology report may help reduce extraneous addenda requests.

Could adjustments to quality assurance review facilitate improved teamwork between radiologists and referring clinicians?

Is there a certain hypochondriasis that may lead some radiologists to pursue their own imaging, and would it change how aggressively they follow up incidentalomas on their own scans?

The success of compliance initiatives is often preceded by an easily understood rationale and simply stated benefits.

While some may see a job applicant with multiple past employers as a job hopper, others may see an opportunity to hire a radiologist with diverse work experience.

Is the continued rise of artificial intelligence (AI) driven by legitimate “machine learning,” or do the frequently “suspicious” chest X-rays and questionable detection of subtle findings on head CTs reveal a hype-driven train of new products with an ultimately “planned obsolescence”?

What constitutes an optimal work schedule in radiology?

While this author has no intention of retiring from radiology, he notes that retiring from certain work schedules or aspects of the field have had a favorable impact on his life.

While there may be awkwardness and a degree of embarrassment in noting obvious findings to referring clinicians in radiology, consistent communication of those findings is essential.

How strong is your own quality assurance (QA) barometer for interpreting CT, MRI, and ultrasound images?

I’ve long since learned that good faith is far more reliable than, say, contracts.

When facilities routinely forward X-rays for “pain,” vascular ultrasound studies without Doppler or chest computed tomography (CT) scans devoid of breath holding, patient care suffers.

When you are asked for an informal medical opinion, one’s intellectual curiosity and desire to help others never fade away.

Does access to prior imaging results have to be mission impossible for teleradiologists?

What do you do with a CD of imaging that has no information on the doc requesting the radiologist read?

Addressing ancillary repetitious inhibitors to radiology workflow could go a long way to mitigating burnout risk.

The notion of non-physician practitioners (NPPs) attempting to do radiologist-level work is a very slippery slope and what this author refers to as the “bargaining” stage of grief.