0:00

One of the things that we always tell our trainees

0:04

that have a checklist at looking at the scans right from day

0:09

one, right from the day they start to

0:11

look at their first scan, have a checklist

0:15

and a systematic way of approaching a scan,

0:19

be it a head ct, chest ct, abdominal ct,

0:22

and then consistently follow that checklist

0:27

or that approach that you have devised, uh, and,

0:31

and throughout your career,

0:32

you really cannot deviate from that checklist.

0:34

So that's, that's very, very important.

0:36

First point I wanna make here.

0:39

Then the other thing is

0:41

that once you have picked up a primary, uh,

0:45

diagnosis, don't deviate from your checklist

0:49

because we think that we have made the diagnosis

0:52

and then we want to go fast through that case

0:54

and go to impression.

0:56

And that's, that's an area that I think problems arise

0:59

because we have not satisfied our,

1:04

the satisfaction of search is not completed

1:07

and hence, uh, a secondary finding,

1:10

which can be equally important

1:13

or perhaps even more important than the primary finding

1:16

that you have picked up and,

1:18

and can lead to problems in the medical-legal arena.

1:22

So, so, so, so do not deviate from that systematic approach,

1:27

even though you have seen a finding, you have

1:29

to complete the whole process.

1:31

Uh, these days, uh, we use the standardized reports.

1:35

Uh, so if you are a person who, who is in favor

1:39

of standardized reports, use them.

1:41

They can be very helpful.

1:42

One of the things that I, honestly, I also sometimes,

1:46

and most of the times I'm, I'm,

1:47

I admit I do not look at my scout images.

1:50

So to prevent something like that,

1:52

the case I showed you about that lipo sarcoma,

1:55

maybe we should have scout image also in the standardized

2:00

template so that, that forces us.

2:02

But the other thing that I have realized with our trainees,

2:04

that even though sometimes we have over standardized

2:06

reports, but we don't follow the standardized report,

2:10

how many times have, have we seen that Perinasal sinuses,

2:13

they're all filled up with junk, but our report says normal

2:16

because that's how the macro has been put in.

2:19

So be very careful if you're using them, use them fully,

2:23

just not for the sake of just having

2:25

that line in the report,

2:27

because that'll make you feel even worse.

2:30

If God forward forbid, that case goes to a medical, uh,

2:33

legal lawsuit that you mentioned it

2:37

and you wrongfully mentioned it, uh, with a, and,

2:40

and you didn't mention the finding

2:41

that was associated with that heading.

2:43

You had in your, uh, uh, macro, uh,

2:48

many hospitals, many practices have these random peer

2:51

reviews, and that's also very good way of, uh, picking up,

2:55

uh, findings that have been missed by

2:58

Your colleagues or your findings that you have missed.

3:01

So that's a good process to have in place at, as a added,

3:05

uh, check, a check and measure.

3:07

I know some of the large prior practices now have started

3:11

the use of computer rated, uh, AI detections,

3:14

and that really serves as a technological second opinion,

3:18

but be very, very careful.

3:20

There are many, many systems out there,

3:23

and some of them are not standardized yet.

3:26

So be sure that if you are using a system

3:28

that is standardized, uh, we are not really up there

3:32

with the, with this AI generated, uh, detection systems yet.

3:36

But that's definitely something to think of

3:39

in your practices, uh, in future.