title: Extension of academic pediatric radiology to the community setting: experience in two sites.
abstract: BACKGROUND
  Children are better served by radiologists and technical personnel trained in the care of pediatric patients. However, a variety of obstacles may limit the access of children to dedicated pediatric imaging facilities.
  
  
  OBJECTIVE
  We designed and implemented two models for providing community-based imaging by academic pediatric radiologists.
  
  
  METHODS
  and methods. The first site was an outpatient clinic staffed by physicians from the university-affiliated children's hospital. Imaging services included radiography, fluoroscopy, and ultrasound. The second site was a full-service community hospital radiology department staffed by a group practice, with pediatric imaging covered by the children's hospital radiologists. Facility, equipment, and protocol modifications were required to maintain quality standards. Success of these models was determined by volume statistics, referring physician/patient satisfaction surveys, and quality-assurance (QA) programs.
  
  
  RESULTS
  The outpatient satellite had a 48 % increase in total examinations from the first year to the second year and 87 % the third year. Pediatric examinations in the community hospital increased over 1000 % the first 7 months. Referring physicians reported increased diagnostic information and patient satisfaction compared to previous service. QA efforts revealed improved image quality when pediatric radiologists were present, but some continuing difficulties off-hours.
  
  
  CONCLUSIONS
  We successfully implemented pediatric imaging programs in previously underserved communities. This resulted in increased pediatric radiologist supervision and interpretation of examinations performed on children and improved referring physician and patient satisfaction.
authors.affiliation: Department of Radiology, Children's Hospital and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
authors.forename: K
authors.initials: K
authors.lastname: Ecklund
authors.forename: J C
authors.initials: JC
authors.lastname: Share
mesh_terms: D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data; D006764:Hospitals, Community; D006801:Humans; D008511:Medicine; D010044:Outpatient Clinics, Hospital; D010372:Pediatrics / Q000706:statistics & numerical data; D011871:Radiology / Q000706:statistics & numerical data; D011872:Radiology Department, Hospital; D013038:Specialization