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Radiologic Professionalism in
Modern Health Care
Autores: Anastasia L. Hryhorczuk, MD; Kate Hanneman, MD; Ronald L. Eisenberg, MD, JD; Elaine C. Meyer, RN, PhD; Stephen D. Brown, MD
Se analiza una serie de 6 pacientes en forma retrospectiva portadores de masas pulmonares con contacto parietal, que fueron pasibles de ser puncionados bajo método ecográfico por vía percutánea, con el objetivo de arribar a un diagnóstico anatomo-patológico.
Se enfatiza el rol de ésta técnica de imagen en pacientes seleccionados, analizando los resultados obtenidos, destacando de la misma su accesibilidad y la no utilización de radiaciones ionizantes.
El rendimiento diagnóstico obtenido fue excelente, lográndose en todos los casos arribar a una muestra de tejido suficiente para su análisis, sin un incremento de las complicaciones del procedimiento.
Palabras clave Tórax, Biopsia, Ultrasonido, Diagnóstico.
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Modern radiology is at the forefront of technological progress in
medicine, a position that often places unique challenges on its professional character. This article uses “Medical Professionalism in
the New Millennium: A Physician Charter,” a document published
in 2002 and endorsed by several major radiology organizations, as a
lens for exploring professional challenges in modern radiology. The
three main tenets of the Charter emphasize patient welfare, patient
autonomy, and the reduction of disparities in health care distribution. This article reviews the ways in which modern technology and
financial structures potentially create stressors on professionalism
in radiology, while highlighting the opportunities they provide for
radiologists seeking to fulfill the professional goals articulated in
the Charter. Picture archiving and communication systems (PACS)
and voice recognition systems have transformed the speed of radiology and enhanced the ability of radiologists to improve patient
care but also have brought new tensions to the workplace. Although
teleradiology may improve global access to radiologists, it may also
promote the commoditization of radiology, which diminishes the
professional stature of radiologists. Social media and patient portals provide radiologists with new forums for interacting with the
public and patients, potentially promoting patient welfare. However, patient privacy and autonomy are important considerations.
Finally, modern financial structures provide radiologists with both
entrepreneurial opportunities as well as the temptation for unprofessional conduct. Each of these advances carries the potential for
professional growth while testing the professional stature of radiology. By considering the risks and benefits of emerging technologies
in the modern radiology world, radiologists can chart an ethical and
professional future path.
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