1
|
Tso HH, White CY, Parikh JR. How breast radiologists can deal with the disruptive technologist. Clin Imaging 2023; 104:109994. [PMID: 37883829 DOI: 10.1016/j.clinimag.2023.109994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 05/11/2023] [Accepted: 10/05/2023] [Indexed: 10/28/2023]
Abstract
Physician burnout continues to be a challenge in addressing radiologist wellness. The stressors contributing to breast radiologist burnout are distinctive due to the unique work environments of a breast center. The intimate nature of a subspecialized team of radiologist(s) and technologists at an imaging center may result in interpersonal challenges such as a disruptive technologist. It is important to address the stressors to mitigate the increasing burnout affecting breast radiologists. This article raises awareness among radiologists and administrators and provides strategies to breast centers and breast radiologists for guidance on dealing with a disruptive technologist.
Collapse
Affiliation(s)
- Hilda H Tso
- Department of Breast Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| | - Candace Y White
- Human Resources Business Partner, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| | - Jay R Parikh
- Department of Breast Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| |
Collapse
|
2
|
Bluth EI. 127 Years of New Orleans Radiology: The Evolution of Practice and Those Who Led It. South Med J 2023; 116:225-230. [PMID: 36724540 DOI: 10.14423/smj.0000000000001504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The history of New Orleans radiology helps us understand how innovative medical ideas are transmitted and adopted and how the specialty evolved to incorporate these new ideas. As radiology became a required component of medical practice, additional expertise was needed. This resulted in the need for standardized specialized training and the necessity for some form of certification. New Orleans radiologists have always been involved in these American Board of Radiology efforts and also have held leadership positions in other national radiology organizations. The practice of radiology evolved from photographers being employees to physicians becoming members of a unique specialty with practice ownership interests. Radiologists united to form large practice groups and joined professional associations to share technological innovations as well as ensure a culture of professional collegiality. In New Orleans, organizations and events such as the New Orleans Radiology Society, the Spring Roentgen Conference, and the New Orleans Ultrasound Association were organized. Local radiologists who directed these efforts also participated on boards of many national radiologic organizations and helped advance the science of radiology. As the financial complexity and political stresses of radiology practice increased, groups merged, with a resultant decrease in individual autonomy and an increase in radiologist burnout. This has directly and indirectly resulted in many radiologists becoming employees as they were in the early days of New Orleans radiology.
Collapse
|
3
|
Le RT, Sifrig B, Chesire D, Hernandez M, Kee-Sampson J, Matteo J, Meyer TE. Comparative Analysis of Radiology Trainee Burnout Using the Maslach Burnout Inventory and Oldenburg Burnout Inventory. Acad Radiol 2022; 30:991-997. [PMID: 36167626 DOI: 10.1016/j.acra.2022.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 08/07/2022] [Accepted: 08/12/2022] [Indexed: 11/01/2022]
Abstract
BACKGROUND Burnout is an individualized response to imbalances between job demands and resources that has predominantly been evaluated with the Maslach Burnout Inventory (MBI). There are other instruments not validated among healthcare providers that may be comparable to the MBI. Utilizing alternative measurements can allow researchers to assess wellness with a larger array of questions. OBJECTIVE We explored differences between the MBI- Human Services Survey for Medical Personnel (MBI-HSS [MP]) and Oldenburg Burnout Inventory (OLBI) in evaluating emotional exhaustion (EE)/exhaustion and depersonalization (DP)/disengagement. METHODS We administered the MBI-HSS (MP) and OLBI to United States (US) radiology trainees during three,1-month intervals in April 2018, October 2018, and April 2019. Student's T-tests or ANOVA was used to evaluate differences between demographic groups and burnout scores in the MBI-HSS (MP) and OBLI. Non-inferiority analysis was completed to evaluate if the OBLI was not inferior to the MBI-HSS (MP) in how its subscales measure exhaustion and disengagement. The MBI-HSS (MP) subtotals for EE and DP were compared with the OLBI scores for exhaustion and disengagement using two-tailed paired T-tests for each trainee. RESULTS Of 2823 trainees emailed, 770 (27.3%) responded. The mean EE Maslach score was 21/54, and the mean DP Maslach score was 8/30. The average OBLI exhaustion and disengagement score was 2.38 and 2.22, respectively. Comparative analysis of completed MBI-HSS (MP) and OLBI subscales yielded no significant difference between the EE/exhaustion (t(496)=1.038; p=0.30) or DP/disengagement (t(498)=0.084; p=0.933) subscales. CONCLUSIONS Our national study of radiology trainees demonstrated that the OLBI was not inferior in assessing exhaustion and disengagement to the EE and DP subscales of the MBI-HSS (MP).
Collapse
Affiliation(s)
- Rebecca T Le
- Department of Radiology, UF Health Jacksonville, FL; Department of Radiology, Rochester General Hospital, 1425 Portland Avenue, Rochester, New York, 14621.
| | - Brian Sifrig
- Department of Radiology, UF Health Jacksonville, FL
| | | | | | | | - Jerry Matteo
- Department of Radiology, UF Health Jacksonville, FL
| | | |
Collapse
|
4
|
Jeong WK, Choi BI. [Burnout among Radiologists in Korea: Prevalence, Risk Factors, and Remedies]. JOURNAL OF THE KOREAN SOCIETY OF RADIOLOGY 2022; 83:776-782. [PMID: 36238907 PMCID: PMC9514575 DOI: 10.3348/jksr.2022.0087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 07/07/2022] [Accepted: 07/08/2022] [Indexed: 11/15/2022]
Abstract
Burnout among radiologists has recently emerged as an issue that poses a threat to patient safety. Burnout adversely effects the quality of patient care and may lead to health problems in physicians. Approximately 84% of board-certified radiologists working in large hospitals in Korea responded that they had experienced burnout at least once. To overcome this, the standardization of physicians' workloads, as well as improvements in the professional workflow are necessary to ensure a healthy lifestyle balance.
Collapse
|
5
|
The disruptive radiologist. Clin Imaging 2022; 87:5-10. [DOI: 10.1016/j.clinimag.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 11/23/2022]
|
6
|
Spieler B, Baum N. Burnout: A Mindful Framework for the Radiologist. Curr Probl Diagn Radiol 2021; 51:155-161. [PMID: 34876307 DOI: 10.1067/j.cpradiol.2021.08.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Revised: 08/11/2021] [Accepted: 08/25/2021] [Indexed: 12/11/2022]
Abstract
Burnout, the outcome of prolonged stress or frustration, manifests as both mental and physical fatigue affecting over half of healthcare workers. This article will discuss the etiologies, problems, and potential solutions to burnout related issues that are impacting radiologists. Factors placing radiologists at risk for burnout as well the impact of burnout upon the radiologist, the department, staff, and patients they serve will also be discussed. An emphasis will also be placed upon recognition, solutions, and a collective response to burnout. Readers should be able to perform a self-assessment of their own risk for burnout and understand what can be done to dissolve and prevent burnout amongst their colleagues. In doing so, our hope is that radiologists will develop greater insight, awareness, and ultimately empathy for the unique challenges that others in the radiology community may face.
Collapse
Affiliation(s)
- Bradley Spieler
- Department of Diagnostic Radiology, Louisiana State University Health Sciences Center, New Orleans, LA.
| | - Neil Baum
- Department of Urology, Tulane University School of Medicine, New Orleans, LA
| |
Collapse
|
7
|
Parikh JR, Bender CE. How Radiology Leaders Can Address Burnout. J Am Coll Radiol 2021; 18:679-684. [PMID: 33958083 DOI: 10.1016/j.jacr.2020.12.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 11/08/2020] [Accepted: 12/02/2020] [Indexed: 12/23/2022]
Abstract
The 2018 Annual Workforce Survey conducted by the ACR Commission on Human Resources demonstrated that, although the majority of radiology practice leaders acknowledge radiologist burnout as a significant problem, only about one in five leaders responded that their practices were either extremely or very effective at addressing physician burnout. Moving forward, leaders will be increasingly held accountable and expected to describe to their teams their reasons for not addressing burnout. In this article, common misperceptions that may contribute to radiology practice leaders not addressing burnout are described, followed by outlining practical skills that leaders should develop to effectively address burnout.
Collapse
Affiliation(s)
- Jay R Parikh
- Professor of Radiology, Division Wellness Lead, Division of Diagnostic Imaging, The University MD Anderson Cancer Center, Houston, Texas.
| | - Claire E Bender
- Professor, Department of Radiology, Mayo Clinic, Rochester, Minnesota
| |
Collapse
|
8
|
Buch KA, Daye D, Wood MJ, Alvarez C, del Carmen MG, Mehta DH, Bredella MA. Wellness Program Implementation in an Academic Radiology Department: Determination of Need, Organizational Buy-in, and Outcomes. J Am Coll Radiol 2021; 18:663-668. [DOI: 10.1016/j.jacr.2020.12.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 12/02/2020] [Indexed: 01/02/2023]
|
9
|
Parikh JR, Sun J, Mainiero MB. Prevalence of Burnout in Breast Imaging Radiologists. JOURNAL OF BREAST IMAGING 2020; 2:112-118. [PMID: 38424894 DOI: 10.1093/jbi/wbz091] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Indexed: 03/02/2024]
Abstract
OBJECTIVE Burnout is defined as a psychological syndrome arising as a response to chronic prolonged interpersonal job-related stress. Physician burnout has been increasingly recognized over the past decade as an epidemic within the United States. The goal of this study was to ascertain the prevalence of burnout amongst practicing breast imaging radiologists. METHODS A survey contained demographic questions based on workforce surveys carried out by the American College of Radiology and a validated condensed version of the Maslach Burnout Inventory (MBI) evaluating the three aspects of burnout. The radiologist members of the Society of Breast Imaging (SBI) received the survey internally from the SBI as a weekly e-mail with a web link to the survey from February 19, 2019, to March 13, 2019. The link allowed respondents to complete the survey anonymously. The authors were blinded to the SBI mailing list and the SBI was blinded to the responses. RESULTS A total of 370 breast imaging radiologists from the SBI responded to the survey. Overall, 290 out of 370 (78.4%) were highly burned out in at least 1 measured dimension of burnout; 197 out of 362 (54.4%) were highly burned out in at least 2 dimensions of burnout; and 27 out of 362 (7.5%) were highly burned out in all 3 dimensions of burnout. However, rates of personal accomplishment were high, with only 8.8% experiencing high burnout in the dimension of personal accomplishment. CONCLUSION Our study demonstrates a high prevalence of burnout amongst breast imaging radiologists. Burnout rates were highest in the youngest breast imaging radiologists.
Collapse
Affiliation(s)
- Jay R Parikh
- University of Texas MD Anderson Cancer Center, Department of Breast Imaging, Houston, TX
| | - Jia Sun
- University of Texas MD Anderson Cancer Center, Department of Biostatistics, Houston, TX
| | - Martha B Mainiero
- Alpert Medical School of Brown University, Department of Diagnostic Imaging, Providence, RI
| |
Collapse
|
10
|
Parikh JR, Kalambo M. Integration of the Community-Based Academic Radiologist With the Academic Radiology Department: A Strategic Imperative. J Am Coll Radiol 2020; 17:304-308. [DOI: 10.1016/j.jacr.2019.07.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 07/16/2019] [Accepted: 07/24/2019] [Indexed: 01/31/2023]
|
11
|
Kruskal JB, Norbash A. A Call to Action - Our Radiology Chairs Are Burning Out. Acad Radiol 2019; 26:1385-1389. [PMID: 31047792 DOI: 10.1016/j.acra.2019.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 03/08/2019] [Indexed: 10/26/2022]
|
12
|
Chetlen AL, Chan TL, Ballard DH, Frigini LA, Hildebrand A, Kim S, Brian JM, Krupinski EA, Ganeshan D. Addressing Burnout in Radiologists. Acad Radiol 2019; 26:526-533. [PMID: 30711406 DOI: 10.1016/j.acra.2018.07.001] [Citation(s) in RCA: 100] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 07/03/2018] [Accepted: 07/05/2018] [Indexed: 01/01/2023]
Abstract
Burnout is a global health problem affecting physicians across all medical specialties. Radiologists, in particular, experience high rates of burn out, and this trend has only continued to worsen. The "Promoting Health and Wellness for Radiologists Task Force of the Association of University Radiologists-Radiology Research Alliance" presents a review of the prevalence, causes, and impact of burnout among radiology faculty and trainees, and a discussion on strategies for overcoming burnout and promoting overall health and well-being among radiologists.
Collapse
Affiliation(s)
- Alison L Chetlen
- Penn State Health, Milton S. Hershey Medical Center, Department of Radiology, Division of Breast Imaging, 30 Hope Drive, Suite 1800 EC 008, Hershey, PA 17033.
| | - Tiffany L Chan
- Penn State Health, Milton S. Hershey Medical Center, Department of Radiology, Hershey, PA 17033
| | - David H Ballard
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
| | | | | | - Shannon Kim
- Eastern Virginia Medical School, Department of Radiology, Norfolk, VA 23501
| | - James M Brian
- Penn State Health, Milton S. Hershey Medical Center, Department of Radiology, Division of Pediatric Radiology, Hershey, PA 17033
| | | | - Dhakshinamoorthy Ganeshan
- University of Texas, Department of Diagnostic Radiology, MD Anderson Cancer Center, Houston, TX 77030-4009
| |
Collapse
|
13
|
Ayyala RS, Ahmed FS, Ruzal-Shapiro C, Taylor GA. Prevalence of Burnout Among Pediatric Radiologists. J Am Coll Radiol 2019; 16:518-522. [DOI: 10.1016/j.jacr.2018.08.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 08/10/2018] [Accepted: 08/17/2018] [Indexed: 10/28/2022]
|
14
|
Lalwani N, Shanbhogue KP, Jambhekar K, Jha S, Ram R, Itri JN, Tappouni R. New Job, New Challenges: Life After Radiology Training. AJR Am J Roentgenol 2019; 212:483-489. [DOI: 10.2214/ajr.18.20398] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Affiliation(s)
- Neeraj Lalwani
- Department of Radiology, Wake Forest University and Baptist Health, 1 Medical Center Blvd, Winston-Salem, NC 27157
| | | | - Kedar Jambhekar
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Saurabh Jha
- Department of Radiology, University of Pennsylvania, Philadelphia, PA
| | - Roopa Ram
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Jason Neil Itri
- Department of Radiology, Wake Forest University and Baptist Health, 1 Medical Center Blvd, Winston-Salem, NC 27157
| | - Rafel Tappouni
- Department of Radiology, Wake Forest University and Baptist Health, 1 Medical Center Blvd, Winston-Salem, NC 27157
| |
Collapse
|
15
|
Kruskal JB, Shanafelt T, Eby P, Meltzer CC, Rawson J, Essex LN, Canon C, West D, Bender C. A Road Map to Foster Wellness and Engagement in Our Workplace-A Report of the 2018 Summer Intersociety Meeting. J Am Coll Radiol 2018; 16:869-877. [PMID: 30559039 DOI: 10.1016/j.jacr.2018.10.025] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 10/26/2018] [Accepted: 10/26/2018] [Indexed: 11/18/2022]
Abstract
The 2018 radiology Intersociety Committee reviewed the current state of stress and burnout in our workplaces and identified approaches for fostering engagement, wellness, and job satisfaction. In addition to emphasizing the importance of personal wellness (the fourth aim of health care), the major focus of the meeting was to identify strategies and themes to mitigate the frequency, manifestations, and impact of stress. Strategies include reducing the stigma of burnout, minimizing isolation through community building and fostering connectivity, utilizing data and benchmarking to guide effectiveness of improvement efforts, resourcing and training "wellness" committees, acknowledging value contributions of team members, and improving efficiency in the workplace. Four themes were identified to prioritize organizational efforts: (1) collecting, analyzing, and benchmarking data; (2) developing effective leadership; (3) building high-functioning teams; and (4) amplifying our voice to increase our influence.
Collapse
Affiliation(s)
- Jonathan B Kruskal
- Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
| | - Tait Shanafelt
- Department of Medicine, Stanford University, Stanford, California
| | - Peter Eby
- Department of Radiology, Virginia Mason Medical Center, Seattle, Washington
| | - Carolyn C Meltzer
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - James Rawson
- Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | | | - Cheri Canon
- Department of Radiology, University of Alabama School of Medicine, Birmingham, Alabama
| | - Derek West
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Claire Bender
- Department of Radiology, Mayo Clinic, Rochester, Minnesota
| |
Collapse
|
16
|
Anzai Y, Minoshima S, Lee VS. Enhancing Value of MRI: A Call for Action. J Magn Reson Imaging 2018; 49:e40-e48. [PMID: 30431676 DOI: 10.1002/jmri.26239] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 06/06/2018] [Indexed: 12/19/2022] Open
Abstract
As national healthcare spending has spiraled out of control, payment reform that moves from volume to value-based payment has been introduced as a practical solution. Under alternative value-based payment models, physicians and clinical teams must deliver the best care possible at a lower cost. Medical imaging has changed the way we diagnose disease, evaluate severity, assess treatment effects, and provide biological insights for the pathophysiology of many diseases. Over the past 50 years, imaging techniques have become increasingly advanced-from X-ray to computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and multi-modal imaging. Advanced imaging such as MRI has given clinicians remarkable insights into medical conditions and saved innumerable lives. Under the value proposition, however, we must ask if each imaging study changes treatment decisions, improves patient outcomes, and is cost-effective. Imaging research has been focused on developing new technologies and clinical applications to assess diagnostic accuracy. What is needed is the higher-level technology assessment. In this article we review why we need to demonstrate the value of MRI, how we define value, what strategies can enhance MR value through partnership with various stakeholders, and how imaging scientists can contribute to healthcare delivery in the future. Level of Evidence: 5 Technical Efficacy: Stage 3 J. Magn. Reson. Imaging 2019;49:e40-e48.
Collapse
Affiliation(s)
- Yoshimi Anzai
- Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah, USA
| | - Satoshi Minoshima
- Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah, USA
| | - Vivian S Lee
- Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah, USA
| |
Collapse
|
17
|
Bluth EI, Goodman TR, Bender CE. The Late-Career Radiologist: Options and Opportunities. Radiographics 2018; 38:1617-1625. [DOI: 10.1148/rg.2018180015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- Edward I. Bluth
- From the Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; and University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, La (E.I.B.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (T.R.G.); and Department of Radiology, Mayo Clinic, Rochester, Minn (C.E.B.)
| | - T. Robin Goodman
- From the Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; and University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, La (E.I.B.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (T.R.G.); and Department of Radiology, Mayo Clinic, Rochester, Minn (C.E.B.)
| | - Claire E. Bender
- From the Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; and University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, La (E.I.B.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (T.R.G.); and Department of Radiology, Mayo Clinic, Rochester, Minn (C.E.B.)
| |
Collapse
|
18
|
Comparison of Utilization of the Family and Medical Leave Act in Radiology Practices Between 2015 and 2016. AJR Am J Roentgenol 2018; 211:239-243. [DOI: 10.2214/ajr.17.19308] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
|
19
|
Arleo EK, Parikh JR, Wolfman D, Gridley D, Bender C, Bluth E. Utilization of the Family and Medical Leave Act in Radiology Practices According to the 2016 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2016; 13:1440-1446. [DOI: 10.1016/j.jacr.2016.08.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 08/19/2016] [Accepted: 08/19/2016] [Indexed: 10/20/2022]
|