The Management of Radiologic Practice in Hospitals

Abstract

THE management of radiologic practice in hospitals is a very timely subject. This paper is not intended for those who are seasoned in hospital radiologic practice—I am sure there are many of you who are more competent to present this subject than I. However, I have been interested in this subject for some time, and the present paper is the result of observations and investigations, which have been made during the past five years. The ideas and facts presented have been effectively carried out in general hospital radiologic practice, during the same length of time. It is understood that no fast rules and regulations can be made, as many institutions have their individual problems. The size of the hospital, and the character of the practice, whether private or charity, as well as numerous other obvious factors, bear a definite relationship to the management of radiologic practice. In a relative, practical way the following aspects are of importance. The department of radiology in a hospital is an integral part of the institution: it plays a rôle closely associated with the other departments. Harmony and compatibility in their interrelationships are of considerable importance in maintaining efficiency. Personnel.—The director of the radiologic department must be a graduate physician, licensed to practise; ethical; in good professional standing; with sufficient clinical experience and, in addition, special training in radiology. If the volume of work is adequate, it is preferable that the director of the department be a full-time man. Small hospitals, not able to afford a full-time radiologist, should be encouraged to share the part-time services of such a person. The small community with but one hospital will find it quite feasible for members of the hospital staff to pool their interests, and to select one of their number to make a special study of the subject, with a view toward directing the radiologic department. The radiologist should respond willingly to a call to the operating room, or to the bedside for consultation when necessary, for frequently he can be of considerable assistance. At all times the utmost co-operation between the radiologist and the medical staff should be maintained. The radiologist should be present at all clinical conferences, as well as at staff meetings. These views are in accord with those presented by the American College of Surgeons in the Manual of Hospital Standardization, and Hospital Standardization Report, for the year 1930. It is true that the radiologist has a referred practice, and should be considered as a consultant, but may I emphasize that if he expects to be considered as a consultant, he must so manage his department as to fulfill that status. Radiologist's Compensation.—There is no strict uniformity in hospital practice in the manner of compensation for the services of the radiologist. We are all familiar with the various plans in practice.