Many Peds cases can be handled by general radiologist or non-Peds subspecialist. But if you want to work in children's hospital you need ped fellowship because there are entities that are specific to children. For example think about all congenital syndromes, brain abnormalities, ....Also procedures like fluoro though seem easy, need some experience different from adults. For example an esophagram in a 2 day old neonate is way different from a 60 year old both from technical aspect and from pathologies.The rule of thumb is kids less than 2 years are mostly covered by peds trained radiologist. For older kids most people can do them. Also the model of practice is different in different groups. There are non- ped groups who cover peds imaging by having relevant subspecialist read the study, for example neuro reads brain MR ,...
