04-05-2012, 02:41 PM
*hiding from patients*
Join Date: Apr 2003
Location: North of 8 mile...
Originally Posted by Taurus
So what part of "high litigation risk" did you not understand?
Reading a mammo is not hard. Neither is reading chest or abdominal radiographs.
There are two huge deterrence to anyone but radiologists doing mammo's:
1) Lawsuits. Have fun convincing a jury why you missed that breast cancer if you're a nonradiologist. Also have fun explaining why you missed that mediastinal bleed or peritoneal free air (that's why nonradiologists love CT's because they can't competently read radiographs without missing something important.)
2) MQSA (look it up).
Besides, people who go into mammo fellowship do it because they want to learn how to do breast procedures like ultrasound, sterotactic, CT and MR guided biopsies.
I'm not convinced that you're a radiologist. I shouldn't have to point that out to you. If you are one hard as it to believe, you're most likely one of those lazy ones who only wants to work 8-5, no call, no procedures, don't want to see patients. You may even be doing teleradiology only. Your type needs to retire and get out of the field.
Honestly, I don't care what you are.
While I'm less than impressed by your business acumen, we can finally agree on something. Outpatient medicine is hurting right now. Medicare has skewed reimbursements toward hospitals (thanks to their lobbying). For example, many cardiology practices are selling out to hospitals and becoming hospital employees.
But practicing medicine is most expensive in the hospital setting and it's cheaper at the outpatient centers. Do you really believe that all outpatient medicine such as radiology, cardiology, GI, etc will move to the hospital? If you believe that, I have a bridge to sell you too. The bean counters in Washington will eventually wake up to this and change the reimbursement formula. The pendulum will swing once again.
The beauty of radiology is that it is very flexible. I can go from outpatient to inpatient to ED with little difficulty. Isn't that one of my earlier points? Be flexible. Adapt to the changes. Take advantage of opportunities.
regarding mammo- i don't know if "master" is the right word... "easy" to "practice" may be true... you can easily read the birads and mammo text in a month and get everything you need to know. however, If you've ever done mammo tumor board then i'm sure you've realized that there are a good number of cases where the cancers were visible on the prior mammograms. Not always easy to make "correct" diagnostic decisions.
Itís fun. Youíll see.