Moss J G, Murchison J T
Department of Radiology, Royal Infirmary of Edinburgh.
Clin Radiol. 1992 Aug;46(2):124-7. doi: 10.1016/s0009-9260(05)80317-4.
The role of the radiologist in 'out of hours' radiology was prospectively studied in a single Scottish Health Board for a continuous 6 month period. Six hundred and sixty seven procedures were performed by radiologists. Computed tomography (CT) (274, 41%), ultrasound scans (190, 28.5%) and vascular/interventional procedures (60, 9%) were the most frequently performed procedures. Trauma accounted for 139 (24%) of all 'out of hours' work and overall 365 (54.7%) procedures yielded an abnormality. The workload varied widely between hospitals from two procedures per 100 beds to 137 procedures per 100 beds. Similarly the input from individual radiologists was very variable. A registrar was present for 227 (34%) procedures, a senior registrar for 360 (54%) and a consultant for 138 (20%) (there being two radiologists present for 8.7% of procedures). 'Consultant only' radiology departments offering a full radiological service may expect a substantial 'out of hours' commitment.
在一个苏格兰卫生局内,对放射科医生在“非工作时间”进行放射检查的情况进行了为期6个月的前瞻性研究。放射科医生共进行了667例检查。计算机断层扫描(CT)(274例,占41%)、超声扫描(190例,占28.5%)和血管/介入性检查(60例,占9%)是最常进行的检查项目。创伤检查占所有“非工作时间”工作量的139例(24%),总体上365例(54.7%)检查发现了异常情况。各医院之间的工作量差异很大,从每100张病床进行2例检查到每100张病床进行137例检查不等。同样,各个放射科医生的工作量也差异很大。有住院医师参与的检查有227例(34%),高级住院医师参与的有360例(54%),顾问医生参与的有138例(20%)(8.7%的检查有两名放射科医生在场)。提供全面放射服务的“仅由顾问医生负责”的放射科可能预计会有大量的“非工作时间”工作任务。