title: Improving Care and Education Through a Radiology Resident-driven Clinical Consultation Service.
abstract: As health care moves toward bundled payment systems and merit-based incentive models, increasing awareness of the value of the radiologist is essential. A resident-driven clinical imaging rounds (CIR) program initiated at our institution allows radiologists to actively and directly participate in the team-based medical model. A retrospective review of survey data evaluated the qualitative and quantitative effects of CIR on clinical management, communication, and education of referring providers and radiology residents.
  
  
  
  The initial 10 months of a resident-organized CIR were evaluated in a retrospective study. Twenty radiology residents and 150 internal medicine physicians and medical students participated in imaging rounds. An anonymous survey of participants was performed and results were analyzed.
  
  
  
  Eighty-five percent of radiology resident participants completed the survey (N = 17). Approximately 30% of internal medicine participants completed the survey (N = 45). There was an overwhelming positive review of imaging rounds, with a large majority of all groups agreeing that imaging rounds improve education, communication, and patient care.
  
  
  
  Resident-driven imaging rounds provide a valuable opportunity to improve communication, education, and patient care. We have created a CIR with a sustainable workflow that allows direct and regularly scheduled imaging-medicine consultation valued by both radiologists and internal medicine physicians, improving the quality of patient care and providing education to our radiology residents in value-based care.
authors.affiliation: Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065. Electronic address: gkr9002@nyp.org.
authors.forename: Gayle R
authors.initials: GR
authors.lastname: Salama
authors.affiliation: Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.
authors.forename: Courtney
authors.initials: C
authors.lastname: Sullivan
authors.affiliation: Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.
authors.forename: Daniel
authors.initials: D
authors.lastname: Holzwanger
authors.affiliation: Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Giambrone
authors.affiliation: Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Min
authors.affiliation: Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.
authors.forename: Keith D
authors.initials: KD
authors.lastname: Hentel
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D033183:Interdisciplinary Communication; D007388:Internal Medicine; D007396:Internship and Residency; D010348:Patient Care Team; D011871:Radiology / Q000193:education*; D012017:Referral and Consultation; D012189:Retrospective Studies; D013337:Students, Medical; D011795:Surveys and Questionnaires; D056164:Teaching Rounds
keywords: Education; Imaging 3.0; consultation; resident