Why can't a Neurorad/msk(or dual certified in them) do a neurophys/electrodiagnosis/EMG NCS fellowship and why can't INR do gamma knife procedures?

[Tman507]

---

Members don't see this ad.

Was just wondering why a neuro and msk certified rad(in either both or neurorad) cannot do a electrodiagnostics fellowship and why an INR cannot do gamma knife procedures when it is minimally invasive and he/she clearly knows the neuroanatomy/radioanatomy as well as or better than a neurosurgeon or radiation oncologist?

Has it just never been considered as something a radiologist could do?

 

[guytakingboards]

Anyone can do anything with a medical license. Getting credentialed, insured and reimbursed is completely different.

 

[Tman507]

Anyone can do anything with a medical license. Getting credentialed, insured and reimbursed is completely different.

Agreed, but what's keeping rads from getting a credential in those? Its seems to me that those fellowships/skills fall into the realm of the aforementioned rad specialties

 

[IJL]

I’ve wondered this as well. Rad onc calls us on every single pre gamma knife MRI and they constantly miss small Mets or important findings. Seems like it could fall in the realm of neuroradiology.

 

[Clean7795]

As with most of medicine, specialities are much less likely to fight for turf when that turf doesn't pay well. I assume doing radiology just pays better. Plus it's not like there's a huge wait-list of patients that can be served by radiologist expanding into that field.

For any therapeutics, ideally a diagnostic radiologist doesn't get involved because handling complications can take up a lot of time. That time could be spent either reading cases or doing diagnostic procedures.

 

[Tman507]

As with most of medicine, specialities are much less likely to fight for turf when that turf doesn't pay well. I assume doing radiology just pays better. Plus it's not like there's a huge wait-list of patients that can be served by radiologist expanding into that field.

For any therapeutics, ideally a diagnostic radiologist doesn't get involved because handling complications can take up a lot of time. That time could be spent either reading cases or doing diagnostic procedures.

There's lots of DRs like a msk rad doing joint injections and spine procedures, neurorads(non interventional) do LPs and myelograms etc (all of them have their contraindications and complications like all procedures do).. don't see why electrodiagnostics/ncs/emg would be an issue to add to their ammunition, I feel it can really improve the radiologists understanding of neurophysiology even further. With eeg a neurorad could monitor epilepsy surgery for a neurosurgeon etc.

As for gamma knife, rad onc was previously part of radiology in the past. And neurorads and know radioanatomy of the brain better than rad onc/n.surg, they know all about radiation protection, and working with tech is second nature to rads... interventional neuroradiologists are already exclusively involved in therapuetics... So i don't see why a neurorad/INR shouldn't be able to practice gamma knife as well.

 

[Dave1980]

Was just wondering why a neuro and msk certified rad(in either both or neurorad) cannot do a electrodiagnostics fellowship and why an INR cannot do gamma knife procedures when it is minimally invasive and he/she clearly knows the neuroanatomy/radioanatomy as well as or better than a neurosurgeon or radiation oncologist?

Has it just never been considered as something a radiologist could do?

Dude...why do you keep making posts about how come rads aren't into this or that? You just made a post saying IR should be endoscopy now its MSK doing emg and neuro doing rad-onc.

You clearly have no understanding of what it's actually like to be a radiologist or practice medicine.

 

[Tman507]

Dude...why do you keep making posts about how come rads aren't into this or that? You just made a post saying IR should be endoscopy now its MSK doing emg and neuro doing rad-onc.

You clearly have no understanding of what it's actually like to be a radiologist or practice medicine.

I'm just looking at the possibilities that could be beneficial in radiology. What harm comes from simply asking the opinions of others? None. Some parts of medicine have taken things from radiology, even most orthopods insist on only getting reports from a msk rad, people always bringing up AI, rads that want to see patients, IR not being for everyone, physicians already act as if they know everything off the xray/mri/ct, other medical specialties trying to use ultrasound in their own fields etc....Most students didn't even know IR existed a few years back.
Radiology is a field that transforms with technology, "could AI be the new MRI?"..NYU has an AI fellowship for rads on their page already, don't know what is up with that, but a very bold gesture non the less. Rads keep on saying "yes, I'm fine because AI will only kick in after I retire"... Who'd want to live like that. Why not look for ways to see the field of Radiology grow especially in a time like today where many people opt to do more procedural work, or might want to see more patients. if AI comes through, yes rads will be needed, but people will lose jobs due to increased workflow in future. Dream big or go home...This post and the interventional EUS thread in IR are not far fetched things (i know emg doesn't fit but its doable, gamma knife shouldn't be too complicated for a neurorads as well), its all things that some how are related to radiology and with rads current skills and little more training could be possible to do these things. People would've laughed at the first cardiologist who suggested that they should start stenting, look at them today. Even some oncologists are attempting interventional oncology, endoscopists are doing RFAs.... Why can't radiology evolve as well?