Ran into a radiology colleague today. He will retire soon, and was happy to discuss the stress on radiology. I have observed more interpretation errors (or at least I think I have) over the past five years. We now strongly stress that the learners review all films and question radiology reads.
My friend opined that volume expectations have become unsustainable. We order too many imaging studies. When you ask physicians to ramp up the volume, they make errors. As he described volume expectations and the impact on his field, I immediately categorized his laments as the same laments we hear in primary care and hospital medicine.
An underlying principle that insurers and policy experts do not understand frames the issue. You hurt patients when physicians cut corners. The predictable implication of excess volume is that physicians must cut corners.
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