Turf wars

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MikeTheGipper

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I've heard in a few different places that their are turf wars between interventional radiologists and interventional cardiologists because they do some of the same procedures. I'm wondering why it is that these turf wars occur? How would a given patient end up with an interventional radiologist doing a specific procedure as opposed to an interventional cardiologist doing the procedure? Does some of it or all of depend on which specialist the primary care physician refers the patient to? Just curious.

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I think this battle arises with regards to peripheral diagnostic and or interventional procedures. There seems to be a Rads/Cards battle brewing over CT Angio as well. I think Cards might have the peripheral cases, since they maybe the initial attending or be closer to the front of a PCP's mind than the Radiologist. I think Rads has control on CT Angio, though.
 
I think this battle arises with regards to peripheral diagnostic and or interventional procedures. There seems to be a Rads/Cards battle brewing over CT Angio as well. I think Cards might have the peripheral cases, since they maybe the initial attending or be closer to the front of a PCP's mind than the Radiologist. I think Rads has control on CT Angio, though.

Simply put, radiology never controls the patient referral. Radiology is a consult service. We also cut across specialties/disciplines/disease entities--i.e. we are a horizontally oriented specialty, not a "vertical" which is like i.e. cardiology. Therefore, radiologists will always face turf battles. Plus, radiology is such a high tech and innovative field, there will always be cool stuff that others want to do. This is excluding the fact there is money to be made w/ new technologies and with diagnostics.

Turf battles vary by institution and local politics. But overall, there is room for collaboration and many opportunities for working together w/ other specialties.
 
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