I’ve discussed this in some prior posts about why. Radiology doesn’t use midlevels like they do in primary care, anesthesia, or ED. We don’t have midlevels who preread for us and then we blindly sign off on their reports without reviewing the images too. If you do, it’s fraudulent and you will go to prison like this fellow. How often do you blindly sign off on the midlevel’s patients without seeing them yourself in EM? It’s sounds like it’s not uncommon practice in EM.
It’s much faster for me to read a plain film, CT, MRI, etc myself than to have a midlevel preread it and then I review the whole study again with them. That’s what residency training involves and you can’t be productive if you do that. For example, I can view a simple chest X-ray and send off the final report within 5 seconds. How is a midlevel going to help me in that case? They don’t. Midlevels are occasionally used to do simple procedures like thoras, paras , LP’s, PICC, etc but they are not doing the complex procedures like embolization or TIPS. For most paras and thoras, it takes me 10 minutes from saying hello to leaving the room. I’m happy to have a midlevel or resident do it for me. Majority of the profits in radiology is in reading the imaging studies and not doing procedures. In some groups, IR is considered a drag because they don’t produce as much daily RVU’s as the radiologist reading the stack of CT and MRI studies. Anyways, my point is that midlevel encroachment is not a concern in radiology.