Journal of the American College of Radiology : JACR

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This special focus issue article provides a large number of contemporary and seminal resources developed to improve well-being, and discusses specific challenges and proposed strategies to mitigate burnout through the Veterans Health Administration, a large Private Academic Practice, and Academic Medical Centers.

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OBJECTIVE: To examine follow-up care in patients with a history of acute allergic-like reaction to iodinated contrast material (ICM), including subsequent imaging management, allergy consultation, and repeat ICM exposure and reactions. METHODS: All patients who had a moderate or severe acute allergic-like reaction to ICM following contrast-enhanced (CE)CT exam from June 1, 2009 -January 1, 2022 at our institution were included. Chart review was performed to determine 1) whether subsequent imaging was not performed or altered in these patients, 2) whether the patient underwent a subsequent CECT exam, and 3) whether the patient had an allergist consultation...

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Burnout, defined by the presence of emotional exhaustion, depersonalization, and decreased sense of personal accomplishment, impacts a significant portion of radiation oncologists. This has been exacerbated by the COVID-19 pandemic, is notably worse for women, and has been identified as an international concern. Key contributors to burnout within radiation oncology include inadequate clinical and administrative support, imbalanced personal and professional lives including time with family and for self-care, decreased job satisfaction secondary to increased electronic medical record and decreased patient time, unsupportive organizational culture, lack of transparency from leadership and inclusion in administrative decisions, emotionally intensive patient interactions, challenges within the radiation oncology workforce, financial security related to productivity-based compensation and increasing medical training-related debt, limited education on wellness, and fear of seeking mental health services due to stigma and potential negative impacts on the trajectory of one's career...

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The collision of physician burnout and the collective trauma related to the COVID-19 pandemic warrants unique consideration in the conversation in regards to personal transformation. This article examines pathways to heal burnout and trauma through the lens of polyvagal theory and examines the post-traumatic growth theory as it relates to personal growth.

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PURPOSE: Actionable incidental findings (AIFs) are common in radiologic imaging. Imaging is commonly performed in emergency department (ED) visits, and AIFs are frequently encountered, but the ED presents unique challenges for communication and follow-up of these findings. The authors formed a multidisciplinary panel to seek consensus regarding best practices in the reporting, communication, and follow-up of AIFs on ED imaging tests. METHODS: A 15-member panel was formed, nominated by the ACR and American College of Emergency Physicians, to represent radiologists, emergency physicians, patients, and those involved in health care systems and quality...

OBJECTIVE: To evaluate prevalence and demographic factors associated with both burnout and fulfillment of private practice radiologists within the largest coalition of independent wholly physician owned diagnostic radiology practices within the United States. METHODS: The study cohort were practicing radiologists within the largest coalition of wholly radiologist owned, independently practicing diagnostic radiology groups within the United States. Practicing radiologists within all 31 radiology private practices within the organization were electronically mailed a weblink to a confidential IRB-approved survey in August-September 2021...

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OBJECTIVE: Determine the rate of documented notification, via an alert, for intra-institutional discrepant radiologist opinions and addended reports, and resulting clinical management changes. METHODS: This Institutional Review Board-exempt, retrospective study was performed at a large academic medical center. We defined an intra-institutional discrepant opinion as when a consultant radiologist provides a different interpretation from that formally rendered by a colleague at our institution...

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