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放射科中非医师提供者的成长之痛。

Growing Pains of Nonphysician Providers in Radiology.

机构信息

Rowan University School of Osteopathic Medicine, 30 Cherry Circle, Blackwood, NJ, 08012.

出版信息

Curr Probl Diagn Radiol. 2023 May-Jun;52(3):149-152. doi: 10.1067/j.cpradiol.2023.01.001. Epub 2023 Jan 24.

DOI:10.1067/j.cpradiol.2023.01.001
PMID:36804418
Abstract

Nonphysician providers (NPPs) place in medicine continues to evolve regardless of controversy. NPPs presence in academic and private practices continues to grow in all fields. Despite their growth, there remains Contention and debate about the capability, safety, efficiency, and aptitude of NPP's abilities for proper image ordering, image interpretation, and performing radiology-related tasks. NNPs role in healthcare across the United States continues to grow in all facets of healthcare, including radiology and radiologist related procedures. The claims submitted by NPPs involving radiology have significantly increased. However, current research suggests that the current scope of practice maintains the levels of capability, safety, efficiency and aptitude of a physician. It is imperative to note that there remains no evidence comparing diagnostic accuracy/errors between NPPs and radiologists. Despite the increased radiology services rendered by NPPs, the output of NPPs is still fractional compared to radiologists but it is mostly fluoroscopy and radiography. As with medical student education, the education for NPPs has continued to grow to encompass more aspects of medicine, including radiology. Evidence-based programs for NPP radiology training offers potential to encourage proper radiology service rendering. 10,15 NPPs are skilled in their ability to provide care for specific common conditions and potential greater ability to follow protocol. All of these factors promote the opportunity to take tedious tasks and/or cases from overworked radiologists to pursue greater generation of profit and work-life balance.

摘要

非医师提供者(NPPs)在医学中的地位不断演变,尽管存在争议。NPPs 在学术和私人实践中的存在在各个领域都在不断增长。尽管他们有所增长,但对于 NPP 进行适当的图像排序、图像解释和执行与放射学相关任务的能力、安全性、效率和能力仍然存在争议和争论。NPP 在包括放射学在内的美国医疗保健的各个方面的角色都在不断发展。NPP 提交的涉及放射学的索赔大幅增加。然而,目前的研究表明,当前的实践范围保持了医生的能力、安全性、效率和能力水平。必须指出的是,目前仍然没有证据比较 NPP 和放射科医生之间的诊断准确性/错误。尽管 NPP 提供的放射学服务有所增加,但与放射科医生相比,NPP 的产出仍然微不足道,但主要是荧光透视和放射摄影。与医学生教育一样,NPP 的教育也在继续发展,涵盖了更多的医学领域,包括放射学。基于证据的 NPP 放射学培训计划有可能鼓励提供适当的放射学服务。10、15 NPP 熟练掌握为特定常见疾病提供护理的能力,并有可能更好地遵循协议。所有这些因素都为从忙碌的放射科医生那里接手繁琐的任务和/或病例提供了机会,以追求更高的利润和工作生活平衡。

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