RESUMO
The American College of Radiology (ACR) passed a historic paid family/medical leave (PFML) resolution at its April 2022 meeting, resolving that "diagnostic radiology, interventional radiology, radiation oncology, medical physics, and nuclear medicine practices, departments and training programs strive to provide 12 weeks of paid family/medical leave in a 12-month period for its attending physicians, medical physicists, and members in training as needed." The purpose of this article is to share this policy beyond radiology so that it may serve as a call to action for other medical specialties. Such a PFML policy (1) supports physician well-being, which in turn supports patient care; (2) is widely needed across American medical specialties; and (3) should not take nearly a decade to achieve, as it did in radiology, especially given increasing physician burnout and the ongoing COVID-19 pandemic. Supported by information on the step-by-step approach used to achieve radiology-specific leave policies and considering current and normative policies at the national level, this article concludes by reviewing specific strategies that could be applied toward achieving a 12-week PFML policy for all medical specialties.
Assuntos
COVID-19 , Radiologia , Humanos , Estados Unidos , Pandemias , Salários e Benefícios , PolíticasAssuntos
Licença para Cuidar de Pessoa da Família/legislação & jurisprudência , Internato e Residência/legislação & jurisprudência , Políticas , Radiologia/legislação & jurisprudência , Licença Médica/legislação & jurisprudência , Humanos , Radioterapia (Especialidade)/legislação & jurisprudência , Radiologia Intervencionista/legislação & jurisprudência , Estados UnidosAssuntos
Capacitação em Serviço , Aplicativos Móveis , Radiologia/educação , Tomografia Computadorizada por Raios X/estatística & dados numéricos , Doenças Urológicas/diagnóstico por imagem , Assistência Ambulatorial , Feminino , Fidelidade a Diretrizes , Humanos , Masculino , Projetos Piloto , Estudos Prospectivos , Tennessee , Procedimentos Desnecessários/estatística & dados numéricosRESUMO
Local regional recurrence of renal cell cancer post-nephrectomy most often occurs within three years after surgery. Post-nephrectomy, many processes may mimic RCC recurrence. We present the case of a 75 year-old Caucasian male patient with a mass in his renal fossa post-nephrectomy for renal cell cancer, suggesting local recurrence. Use of the technetium-99m sulfur colloid scan showed that the mass was his spleen which had been displaced into the renal fossa. With high index of suspicion, characterization of these processes as splenic in origin would prevent subjecting patients to risks of biopsy or even surgery.