[DYSPHAGIA] Radiologist @ MBS

[kgoertz@pahd.sk.ca (Clarke-Goertz, Kim (PAHD))]

well then, I'll just have to try that angle.  at this point I'll try
anything!

:  )

Kim

Kim Clarke-Goertz CCC-SLP (C)


-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley@yahoo.com]
Sent: Wednesday December 12, 2001 19:43
To: Connors, William A; 'Clarke-Goertz, Kim (PAHD)'; 'Dysphagia
listserv'
Subject: RE: [DYSPHAGIA] Radiologist @ MBS



--- "Connors, William A" <connorswa@ph.upmc.edu>
wrote:
> Tell them it's easy $$$ for them.
> And, in Canada, if they also look at the esophagus,
they can bill for an extra special procedure. Varies
from province to province but there's usually a way to
do it.
Irene.
> -----Original Message-----
> From: Clarke-Goertz, Kim (PAHD)
> [mailto:kgoertz@pahd.sk.ca]
> Sent: Wednesday, December 12, 2001 4:44 PM
> To: 'Dysphagia listserv'
> Subject: RE: [DYSPHAGIA] Radiologist @ MBS
> 
> 
> I'm experiencing something similar here with an even
> larger obstacle being,
> I am trying to set up VFSS at my hospital.  Even the
> rad tech's are brushing
> me off b/c it means adding to their workload.  The
> radiologists are far from
> interested in pursuing this as a service in our
> district.
> 
> Kim
> 
> Kim Clarke-Goertz CCC-SLP (C)
> 
> 
> -----Original Message-----
> From: Lindsey McLean [mailto:LMCLEAN@sbgh.mb.ca]
> Sent: Wednesday December 12, 2001 14:29
> To: Shindi44@aol.com; dysphagia@medonline.com;
> eripley@yahoo.com
> Subject: Re: [DYSPHAGIA] Radiologist @ MBS
> 
> 
> 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_upp
> er_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.
> >
>
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