title: Radiologic Professionalism in Modern Health Care.
abstract: Modern radiology is at the forefront of technological progress in medicine, a position that often places unique challenges on its professional character. This article uses "Medical Professionalism in the New Millennium: A Physician Charter," a document published in 2002 and endorsed by several major radiology organizations, as a lens for exploring professional challenges in modern radiology. The three main tenets of the Charter emphasize patient welfare, patient autonomy, and the reduction of disparities in health care distribution. This article reviews the ways in which modern technology and financial structures potentially create stressors on professionalism in radiology, while highlighting the opportunities they provide for radiologists seeking to fulfill the professional goals articulated in the Charter. Picture archiving and communication systems (PACS) and voice recognition systems have transformed the speed of radiology and enhanced the ability of radiologists to improve patient care but also have brought new tensions to the workplace. Although teleradiology may improve global access to radiologists, it may also promote the commoditization of radiology, which diminishes the professional stature of radiologists. Social media and patient portals provide radiologists with new forums for interacting with the public and patients, potentially promoting patient welfare. However, patient privacy and autonomy are important considerations. Finally, modern financial structures provide radiologists with both entrepreneurial opportunities as well as the temptation for unprofessional conduct. Each of these advances carries the potential for professional growth while testing the professional stature of radiology. By considering the risks and benefits of emerging technologies in the modern radiology world, radiologists can chart an ethical and professional future path.
authors.affiliation: From the Department of Radiology, Tufts Medical Center, 800 Washington St, Boston, MA 02111 (A.L.H.); Department of Radiology, Stanford University Medical Center, Palo Alto, Calif (K.H.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (R.L.E.); Institute for Professionalism and Ethical Practice (E.C.M., S.D.B.) and Department of Radiology (S.D.B.), Boston Children's Hospital, Boston, Mass.
authors.forename: Anastasia L
authors.initials: AL
authors.lastname: Hryhorczuk
authors.affiliation: From the Department of Radiology, Tufts Medical Center, 800 Washington St, Boston, MA 02111 (A.L.H.); Department of Radiology, Stanford University Medical Center, Palo Alto, Calif (K.H.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (R.L.E.); Institute for Professionalism and Ethical Practice (E.C.M., S.D.B.) and Department of Radiology (S.D.B.), Boston Children's Hospital, Boston, Mass.
authors.forename: Kate
authors.initials: K
authors.lastname: Hanneman
authors.affiliation: From the Department of Radiology, Tufts Medical Center, 800 Washington St, Boston, MA 02111 (A.L.H.); Department of Radiology, Stanford University Medical Center, Palo Alto, Calif (K.H.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (R.L.E.); Institute for Professionalism and Ethical Practice (E.C.M., S.D.B.) and Department of Radiology (S.D.B.), Boston Children's Hospital, Boston, Mass.
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Eisenberg
authors.affiliation: From the Department of Radiology, Tufts Medical Center, 800 Washington St, Boston, MA 02111 (A.L.H.); Department of Radiology, Stanford University Medical Center, Palo Alto, Calif (K.H.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (R.L.E.); Institute for Professionalism and Ethical Practice (E.C.M., S.D.B.) and Department of Radiology (S.D.B.), Boston Children's Hospital, Boston, Mass.
authors.forename: Elaine C
authors.initials: EC
authors.lastname: Meyer
authors.affiliation: From the Department of Radiology, Tufts Medical Center, 800 Washington St, Boston, MA 02111 (A.L.H.); Department of Radiology, Stanford University Medical Center, Palo Alto, Calif (K.H.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (R.L.E.); Institute for Professionalism and Ethical Practice (E.C.M., S.D.B.) and Department of Radiology (S.D.B.), Boston Children's Hospital, Boston, Mass.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Brown
mesh_terms: D003363:Cost Control; D003695:Delivery of Health Care / Q000639:trends; D054625:Healthcare Disparities; D006801:Humans; D007400:Interprofessional Relations; D000069342:Medical Overuse / Q000191:economics / Q000517:prevention & control; D016347:Medical Records Systems, Computerized; D028701:Patient Rights; D061214:Patient Safety; D026684:Personal Autonomy; D011364:Professional Practice / Q000191:economics / Q000941:ethics / Q000639:trends; D011369:Professional-Patient Relations; D011871:Radiology / Q000191:economics / Q000941:ethics / Q000379:methods / Q000639:trends; D011872:Radiology Department, Hospital / Q000458:organization & administration; D011873:Radiology Information Systems; D019112:Teleradiology