The Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
J Am Coll Radiol. 2011 Jul;8(7):477-82. doi: 10.1016/j.jacr.2010.12.003.
The ACGME recognizes radiology's neuroradiology fellowship programs as the pathway to neuroradiology expertise. Members of the American Society of Neuroimaging have called for the expansion of neuroradiology fellowships for neurologists with informal accreditation through the United Council for Neurologic Subspecialties. The aim of this study was to investigate the number of neuroradiologic studies read by neurologists to assess their capacity to support fellowship positions at ACGME training criteria.
The numbers of neuroradiologic studies interpreted by radiologists and neurologists in the inpatient and hospital outpatient settings were determined from the CMS Physician/Supplier Procedure Summary Master Files for 1996 to 2008. The ACGME requirements of 1,500 neuroradiologic CT and 1,500 neuroradiologic MR scans per fellow per year were used to calculate the number of fellowship positions that could be supported by each specialty.
In 2008, in the inpatient and hospital outpatient setting, radiologists interpreted 9,287,768 (98.3% of the total) and neurologists interpreted 43,107 (0.5% of the total) neuroradiologic examinations on Medicare patients. Per ACGME requirements, on the basis of CT volumes, radiologists could potentially train 4,256 neuroradiology fellows, compared with neurologists' 12 fellows, assuming a single fellow was exposed to every Medicare case. On the basis of MR volumes, radiologists and neurologists could train 1,935 and 16 fellows, respectively.
Radiologists are responsible for interpreting the vast majority (98.3%) of neuroradiologic studies. Neurologists have a limited exposure to neuroradiologic CT and MR and could support only 12 fellowship positions by ACGME criteria on the basis of reading available 1996 to 2008 Medicare cases.
ACGME 将放射科的神经放射学奖学金项目视为神经放射学专业知识的途径。美国神经影像学协会的成员呼吁为神经科医生扩大神经放射学奖学金，通过联合神经科专业委员会进行非正式认证。这项研究的目的是调查神经科医生阅读的神经放射学研究数量，以评估他们根据 ACGME 培训标准支持奖学金职位的能力。
从 1996 年至 2008 年 CMS 医师/供应商程序摘要主文件中确定放射科医生和神经科医生在住院和医院门诊环境中解释的神经放射学研究数量。使用 ACGME 要求的每位研究员每年 1500 项神经放射学 CT 和 1500 项神经放射学磁共振扫描来计算每个专业可以支持的奖学金职位数量。
2008 年，在住院和医院门诊环境中，放射科医生解释了 9287768 项（占总数的 98.3%），神经科医生解释了 43107 项（占总数的 0.5%） Medicare 患者的神经放射学检查。根据 ACGME 的要求，基于 CT 量，放射科医生可以潜在地培训 4256 名神经放射学研究员，而神经科医生只有 12 名研究员，假设每个 Medicare 病例都有一名研究员参与。基于 MR 量，放射科医生和神经科医生可以分别培训 1935 名和 16 名研究员。
放射科医生负责解释绝大多数（98.3%）的神经放射学研究。神经科医生对神经放射学 CT 和 MR 的接触有限，根据 1996 年至 2008 年 Medicare 病例的可用数据，仅根据 ACGME 标准可支持 12 个奖学金职位。
