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.
Though there is no point in arguing with stupidity, I give some comments:
1- Mammo is very separate from the rest of radiology. A lot of mammo is read by non-fellowship trained rads.
By doing 3 months of mamo rotation and 6 months of fellowship (FYI who is not a radiologist, most mammo fellowships are 6 months) you are entitled to have monopoly over reading mammo. But GIs who do 3 years of fellowship to learn to scope should let you scope people. Then my question is: How can you convince the jury that you are qualified to do colonoscopy while there are GI doctors trained to do it at least 3 years (or some 4 years)?
2- you are stupid if you think that a general surgeon or even a trauma surgeon can not pick up free peritoneal air or mediastinal hematoma as good as a radiologist.
3- Somebody who talks about CT guided breast biopsy, should STFU and study for his step 1.
4- You are not a resident so I do not expect you to know. Other than MR guided biopsy, US guided and sterotactic biopsy can be easily done by a general radiologist. You can train a monkey to do it in 2-3 months.
5- Being a master in everything is very tough. That includes mammo, CXR and CT. But also it includes doing colonoscopy, neurological exam, chemotherapy, ...
That was my whole point. There is somebody who is trained for 3 years to do that ****.
6- Whoever thinks DR is an easy or lazy job has not done one day of radiology. Your perception of radiology is limited to your rotation as a medical student.
7- Most radiologist see lack of patient contact the main advantage of the field. It is at the same time the Achilles heel of the field. If you are really deep into seeing patients and doing procedures go and do some surgical field.
And at the end FYI, CT guided breast biopsy does not exist. You can google it while you are doing kaplan for step1.
Also have fun convincing a jury that you perforated a colon doing colonoscopy if you are not a GI doctor or a surgeon.