title: Radiology services in emergency medicine residency programs: a national survey.
abstract: OBJECTIVE
  To determine who reads plain film radiographs, how quickly radiologists' interpretations are available, how many initial readings require correction, and how satisfied emergency physicians (EPs) are with radiology in emergency departments (EDs) with emergency medicine (EM) residency programs.
  
  
  METHODS
  A questionnaire was sent to the chairs of all U.S. EM residencies, asking about EM radiology services.
  
  
  RESULTS
  Of 120 sites surveyed, 97 (81%) responded. Respondents reported that, on weekday days, EM attendings or residents performed the radiograph interpretation used for clinical decision making at 66% of sites; on nights and weekends, EPs performed the clinically relevant readings at 79% of sites. Twenty-one percent of sites reported that no radiologist reviewed images before patients left the ED on nights and weekends. Only 39% of sites reported that all images were read within four hours on weekday days, and only 19% of sites reported readings within this time frame on nights and weekends. Median misinterpretation rates were reported as 1% on weekday days and 1.5% at other times. Overall, EPs were satisfied with their interactions with radiology at 63% of EDs.
  
  
  CONCLUSIONS
  This study summarizes the perceptions of EPs regarding radiology services; the findings must be interpreted with caution, given the lack of external validation. Nevertheless, EPs report that many EM residency programs depend on EPs' interpretations of radiographs. Emergency physicians report that attending radiologists rarely read images on nights and weekends and that images are misread more frequently at these times. Although EPs were satisfied with many aspects of radiology, EPs expressed the most dissatisfaction with turnaround times and misreads.
authors.affiliation: Department of Emergency Medicine, Oregon Health & Science University, Portland, OR 97201-3098, USA. lowero@ohsu.edu
authors.forename: Robert A
authors.initials: RA
authors.lastname: Lowe
authors.forename: Stephanie B
authors.initials: SB
authors.lastname: Abbuhl
authors.forename: Agnieshka
authors.initials: A
authors.lastname: Baumritter
authors.forename: Colleen
authors.initials: C
authors.lastname: Brensinger
authors.forename: Kathleen
authors.initials: K
authors.lastname: Propert
authors.forename: Steven
authors.initials: S
authors.lastname: Horii
authors.forename: Harold
authors.initials: H
authors.lastname: Kundel
mesh_terms: D003951:Diagnostic Errors / Q000706:statistics & numerical data; D004635:Emergency Medicine / Q000193:education*; D006747:Hospital Communication Systems / Q000706:statistics & numerical data; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D007400:Interprofessional Relations; D007588:Job Satisfaction; D011872:Radiology Department, Hospital / Q000706:statistics & numerical data*; D011873:Radiology Information Systems / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D000078329:Workforce