Download PDF
Semin intervent Radiol 2005; 22(1): 17-20
DOI: 10.1055/s-2005-869573
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Critical Appraisal of the Technical Practice Model for Interventional Radiology

Timothy P. Murphy1 , Gregory M. Soares1
  • 1Brown Medical School, Rhode Island Hospital, Providence, Rhode Island
Further Information

Publication History

Publication Date:
12 May 2005 (online)

Also available at
    Permissions and Reprints

ABSTRACT

It is clear that interventional radiology contributes substantially to the status of radiology departments in the hospital as well as in the community. Experience has shown that clinical management is the key to well-reimbursed procedure volume and increased referrals for those services. Additionally, it allows the opportunity for interventionalists to participate in technological changes that we can envision right now, which could have significant impact on the management of numerous diseases. If treatment is “clearly indicated,” then the interventionalist has an obligation to present that opinion to the patient and to implement that care if the patient desires. Interventional radiologists have recognized that clinical care requires service to the patient first and foremost.

KEYWORDS

Therapeutic intervention - physician-patient relationship - referral

REFERENCES

  • 1 Ackerknecht E H. From barber-surgeon to modern doctor.  Bull Hist Med. 1984;  58 545-553
    PubMedGoogle Scholar
  • 2 Barnet M C. The barber-surgeons of York.  Med Hist. 1968;  12 19-30
    PubMedGoogle Scholar
  • 3 Richter J. The barber-surgeons.  Surgery. 1951;  30 1049-1061
    PubMedGoogle Scholar
  • 4 Ring E J, Kerlan Jr R K. Clinical responsibility in interventional radiology.  Radiology. 1983;  147 285
    PubMedGoogle Scholar
  • 5 Sichlau M J et al.. The economic impact on a general radiology group from establishing a dedicated interventional radiology service.  J Vasc Interv Radiol. 2004;  15 S175 , Abstract
    PubMedGoogle Scholar
  • 6 McGraw J K, Fricke B et al.. Prospective evaluation of imaging and interventional procedures generated by an outpatient IR office.  J Vasc Interv Radiol. 2004;  15 S175 , Abstract
    PubMedGoogle Scholar
  • 7 Sherman R S. The roentgenologist as a consultant.  Radiology. 1966;  87 147-148 , Abstract
    PubMedGoogle Scholar
  • 8 Sherman R S. Whom do we serve?.  Radiology. 1966;  87 1125 , Abstract
    PubMedGoogle Scholar
  • 9 Berlin L. The radiologist: doctor's doctor or patient's doctor.  AJR Am J Roentgenol. 1977;  128 702
    PubMedGoogle Scholar
  • 10 American College of Radiology .ACR standards for the performance of screening mammography. In: Standards. Reston, VA; American College of Radiology 1990 Abstract
    Google Scholar
  • 11 Berlin L. Communicating findings of radiologic examinations: whither goest the radiologist's duty?.  AJR Am J Roentgenol. 2002;  178 809-815
    PubMedGoogle Scholar
  • 12 Sprunt W H. Whom do we serve?.  Radiology. 1966;  87 1125 , Abstract
    PubMedGoogle Scholar
  • 13 Cassel C K. The patient-physician covenant: an affirmation of Asklepios.  Conn Med. 1996;  60 291-293
    PubMedGoogle Scholar
  • 14 Crawshaw R, Rogers D E, Pellegrino E D et al.. Patient-physician covenant.  JAMA. 1995;  273 1553
    CrossrefPubMedGoogle Scholar
  • 15 Pellegrino E D. Nonabandonment: an old obligation revisited.  Ann Intern Med. 1995;  122 377-378
    PubMedGoogle Scholar
  • 16 Quill T E, Cassel C K. Nonabandonment: a central obligation for physicians.  Ann Intern Med. 1995;  122 368-374
    PubMedGoogle Scholar
  • 17 American Medical Association Council on Ethical and Judicial Affaris .Code of Medical Ethics: Current Opinions with Annotations. Chicago; American Medical Association 2002 Abstract
    Google Scholar
  • 18 Eisenberg R L, Berlin L. When does malpractice become manslaughter?.  AJR Am J Roentgenol. 2002;  179 331-335
    PubMedGoogle Scholar
  • 19 Chervenak F A, McCullough L B. The moral foundation of medical leadership: the professional virtues of the physician as fiduciary of the patient.  Am J Obstet Gynecol. 2001;  184 875-879
    CrossrefPubMedGoogle Scholar
  • 20 Bailey J E. Asklepios: ancient hero of medical caring.  Ann Intern Med. 1996;  124 257-263
    PubMedGoogle Scholar
  • 21 Harley D. James Hart of Northampton and the Calvinist critique of priest-physicians: an unpublished polemic of the early 1620s.  Med Hist. 1998;  42 362-386
    PubMedGoogle Scholar
  • 22 Rawcliffe C. God, mammon and the physician: medicine in England before the college.  J R Coll Physicians Lond. 2000;  34 266-272
    PubMedGoogle Scholar

Timothy P MurphyM.D. F.S.I.R. F.A.H.A. F.S.V.M.B. 

Associate Professor of Diagnostic Imaging, Brown Medical School

Rhode Island Hospital, 593 Eddy Street

Providence, RI 02903

      >