[DYSPHAGIA] Radiologist @ MBS

[eripley@yahoo.com (Irene Campbell-Taylor)]

The person in charge of rewriting the CAR standards
told me that the major problem is the lack of trained
radiologists in Canada.
Irene.
--- Lindsey McLean <LMCLEAN@sbgh.mb.ca> wrote:
> I've read through the CARJ standards (current) and
> they seem clear to me that a radiologist needs to be
> present or at least is held responsible.  However,
> what happens when you come up against a city of
> radiologists who say that as a region they are not
> interested in fluorography?  Only select
> radiologists even feel like participating anymore.
> Lindsey
> 
> Lindsey McLean, MS, CCC-SLP
> Speech-Language Pathologist/Orthophoniste
> l'hôpital général St Boniface General Hospital
> 
> >>> Irene Campbell-Taylor <eripley@yahoo.com>
> 12/12/01 11:37am >>>
> The standards for the American College of Radiology
> seems pretty clear on this point.
> They can be found at:
>
http://www.acr.org/cgi-bin/fr?tmpl:standards00,pdf:pdf/adult_esophograms_upper_gi.pdf
> 
> 
> ACR (American College of Radiology) Standard for the
> performance of esophagrams and upper
> gastrointestinal
> examination in adults.
> 
> Some extracts:
> "Examination must be performed by or under the
> direct
> supervision of a licensed physician at the site and
> interpreted by a physician with the following
> qualifications*"
> 
> "The ACR approves the practice of certified and/or
> licensed technologists performing fluoroscopy only
> as
> a positioning or localizing procedure and then, only
> if monitored by a supervising physician who is
> personally and immediately available and the
> positioning*must have prior written approval by the
> medical director of the radiology
> department/service*."
> 
> "If the patient has symptoms suggesting problems
> with
> the pharynx or cervical esophagus, the examination
> should be modified to include rapid-sequence
> radiographs or video recording of the pharynx and
> cervical esophagus, if available".
> It would seem clear that the guidelines,(and
> standards
> are only that, but are to be taken seriously) do not
> imply that a physician need not be present nor that
> a
> technician alone can perform examinations.
> The Canadian Association of Radiology is in the
> process of updating its standards that have not been
> changed since 1991 but are very similar.
> I can't imagine why anyone would want to perform
> such
> studies without a radiologist. Who carries the
> responsibility for, say, a missed cancer or
> misinterpretation of a sideropenic web etc. etc.?
> I certainly don't and I have trained radiologists in
> VFSS.
> Irene.
> 
> 
> --- Shindi44@aol.com wrote:
> > Does anyone know for certain whether it is
> > absolutely necessary for a radiologist to be
> present
> > at an MBS? Would it be legal/ethical for the study
> > to be "read" at a later time like some other
> > radiologic procedures? Perhaps like many of you,
> > staffing issues with the radiologists limit
> > scheduling of MBS(s).  Thank you for your replies.
> >
>
---------------------------------------------------------------------
> > To UNSUBSCRIBE from this list, please send an
> e-mail
> > message to
> > majordomo@medonline.com with the following text as
> a
> > message:
> > unsubscribe dysphagia
> >
>
---------------------------------------------------------------------
> 
> 
> =====
> www.dricampbell-taylor.com 
> 
> __________________________________________________
> Do You Yahoo!?
> Check out Yahoo! Shopping and Yahoo! Auctions for
> all of
> your unique holiday gifts! Buy at
> http://shopping.yahoo.com 
> or bid at http://auctions.yahoo.com 
>
---------------------------------------------------------------------
> To UNSUBSCRIBE from this list, please send an e-mail
> message to
> majordomo@medonline.com with the following text as a
> message:
> unsubscribe dysphagia
>
---------------------------------------------------------------------
> 


=====
www.dricampbell-taylor.com

__________________________________________________
Do You Yahoo!?
Check out Yahoo! Shopping and Yahoo! Auctions for all of
your unique holiday gifts! Buy at http://shopping.yahoo.com
or bid at http://auctions.yahoo.com
---------------------------------------------------------------------
To UNSUBSCRIBE from this list, please send an e-mail message to
majordomo@medonline.com with the following text as a message:
unsubscribe dysphagia
---------------------------------------------------------------------