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Well, welcome back everybody.

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I hope you enjoyed part one

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of the medicolegal primer for radiologists.

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Let's do a quick wrap up.

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Our goals and objectives were

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to understand why we make mistakes

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and accept that fact provide strategies

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for minimizing our mistakes.

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And we had an elementary take on malpractice insurance.

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Serve what you need to know the basics.

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Okay, so what did we learn?

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So we learned from Michael Bruno about detection

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and interpretation errors

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that these errors are often multifactorial.

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The very hard to eliminate given the number of cases

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that we read and the typical amount

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of fatigue we have at the end of a shift.

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For example, interpretation errors, by

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and large, are more common in younger radiologists and

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therefore there are more room for improvement

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with regard to fund of knowledge.

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And we ask the question, is perfection really expected of us

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to read 60 cases a day,

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20 days a month?

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You know, over the course of many weeks,

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210 days in a year

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and over many years, Michael had a three

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part error model.

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There are the errors of how we work,

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which are systemic errors and quality

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and safety errors that can be mitigated

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through strategies and management.

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There are errors of how we think

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and those are are cognitive errors

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and particularly those things that we bring in with biases.

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And finally, we, there are errors of how we are made

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and that is just our limitations as humans

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and our limitations of our brains to maintain adequate

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concentration and perception over the course of a long day.

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You learned about Dave's top 10 ways to mitigate litigation.

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They include reading fewer cases.

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If we could strategize against specific misses

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that you've made, do not miss the big ones.

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You know, so be cognizant that stroke, aneurysm, cancers,

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et cetera, those are the biggies that we really have

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to pay most attention for.

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Do not read When you're tired, take that break, take a nap,

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caffeinate, whatever it takes.

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Make sure you read prior studies and the prior reports

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and also look at the electronic medical record.

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So that's number seven. Be curious.

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Look at the medical record

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and see what the clinicians are saying.

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See what the labs are saying.

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Number six is do not trust others just

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because someone else has called the lesion of schwannoma.

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Be circumspect about that

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and question that you know, is it correct?

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Get smarter, read a lot, improve your fund of knowledge.

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Read neuroradiology,

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the requisites if you're on neuroradiology,

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peer review helpfully. So we talked about

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Prospective peer review where we try

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to catch the errors within the first 24

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to 48 hours rather than when you're looking at a prior study

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from six months ago

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and the cancer has grown in the interval.

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So think, rethink, peer review in a prospective fashion.

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And number 10, know the stances.

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You really, you really wanna know the A SCR

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practice parameters or what used to be standards

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or guidelines, but are now practice parameters, particularly

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for communication though, that's the key one.

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We also learned about malpractice insurance

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and the fact that claims made insurance is the most common

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that is offered and taken versus occurrence

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and very rarely claims paid.

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Make sure your coverage will include any gaps in your

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employment or as you change from one job to another,

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you need a tail for your prior events

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and a nose for your future events as you retire.

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For example, typical malpractice insurance coverage is one

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to $2 million per case

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and three to $6 million for the year.

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And that will vary depending upon whether you're a

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diagnostic or interventional radiologist.

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Check your state for pain and suffering limits.

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If there's unlimited pain

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and suffering, you may wanna gravitate

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to the $2 million per occurrence as opposed to states

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that have a limit on pain

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and suffering of 300,000, 150,000 for example,

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where you don't need as much coverage.

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Expect to pay on average a a premium of

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around $20,000 per year for one year

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of malpractice insurance.

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And understand that there are ways

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that you can reduce your cost of insurance,

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particularly if you're a new practitioner,

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if you're only working part-time, if you're now retired,

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if you take risk management seminars, sort

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of like this course, for example,

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and an added expense if you have control over whether

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or not to settle the case

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or where that's left in the hands

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of the malpractice insurer.

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So with that, I thank you for your attention in part one

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of the medical-legal primer for radiologists.

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I hope you enjoyed it and onward to part two. Thank you.