Journal of the American College of Radiology : JACR
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Most hospital-based radiology practices have enjoyed stable long-term relationships with the institutions they serve. Recently, however, an increasing number of hospitals have replaced established radiologists. ⋯ Such technology, along with changing market forces, places many practices at risk. A number of strategies to maintain and foster long-term service relationships were discussed by the ACR Council and are reviewed herein.
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Acute chest pain suggestive of acute coronary syndrome is a frequent complaint in the emergency department. Acute coronary syndromes include myocardial infarction and unstable angina. Being able to establish the diagnosis rapidly and accurately may be lifesaving. ⋯ Noncardiac etiologies of chest pain include aortic dissection, aortic aneurysm, pulmonary embolism, pericardial disease, and lung parenchymal disease. Noninvasive cardiac imaging in patients who are at low and intermediate risk for coronary artery disease may improve confidence regarding the safety of discharge from the emergency department. In addition to risk stratification, noncoronary etiologies for chest pain can be established with imaging.
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Comparative Study
Comparison of two methods for ranking applicants for residency.
Ranking radiology residency applicants is a complex process. Multiple factors, such as the variability in evaluation of candidates and the sometimes excessive subjectivity experienced, may influence the final outcome. To address inconsistencies, Yale University's selection committee integrated a mathematical model of ranking. ⋯ In some but not all cases, the discrepancies were remedied. Reasons for discrepancies are discussed. The mathematical method used in parallel with the subjective method has proved useful in identifying misplaced applicants and provided assurance that the final rank list reflects the committee's evaluation of each applicant.