Re: self referral was intragroup switching

From: ainsron@msn.com
Sun Feb 11 09:34:15 2001


I've had one group of radiologists go one step further, referring the patient back to themselves for a core needle biopsy, before I've even seen the report or had a chance to discuss the findings with the patient.

>Something that puts a burr under my blanket it when you get a breast US (or
>mammogram) and the nest to last line reads "suggest mammogram (or US) for
>further delineation" Then the last line reads "clinical correlation is
>necessary"
>
>So, what happens at one of the hospitals where I practice, is the
>radiologist proceeds with scheduling additional imaging without the
>clinician's input or knowledge. What ends up happening is I get the report,
>and after reviewing my chart concerning the exam which lead to ordering the
>initial test, decide whether or not to order the additional imaging. In the
>meantime, the radiologist has written the patient a letter telling them that
>they MUST have this additional imaging. Imagine the confusion/angst caused
>when my office contacts the patient and tells them one thing when the
>radiologist has told them something completely different.
>
>Kevin Dew, MD
>OB/GYN
>Bardstown, KY

--
Ronald E. Ainsworth, MD




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