0:00

So we made it to the end of Dave's top 10 hints

0:04

for mitigating risk of being sued.

0:07

They include, read fewer cases if you can

0:10

through different strategies.

0:12

Strategize against your misses.

0:15

Good use of templates is important.

0:17

For example, do not miss the big ones.

0:20

Go ahead and miss the mucosal thickening

0:22

and the lens implant that you didn't mention

0:24

and the nasal septal deviation.

0:26

But make sure that you find the stroke, the bleed,

0:29

the aneurysm, the cancer, the dissection.

0:34

Do not read when tired.

0:37

If you are tired, either take your little micro nap

0:41

or caffeinate

0:42

or do what it takes to regain that sense

0:46

of observation.

0:50

Read prior studies and the prior reports.

0:54

See what your colleagues have said.

0:56

Do not just trust your ability to read two cases at once

1:00

accurately, both the prior one and the new one.

1:04

Um, do not trust others, um, or trust them,

1:08

but also read the case independently

1:11

and then look at the preliminary report that was sent to you

1:15

by a colleague or by a trainee.

1:19

Be curious. Explore the electronic medical record.

1:22

I can't tell you how many times I have found a lot of use

1:27

in looking at the laboratory results.

1:29

For example, a patient who I'm scratching my head,

1:32

is this just DJD, Nplate?

1:34

Modic type one, or could this patient have

1:37

discitis on osteomyelitis?

1:39

And then you look in the labs

1:40

and the SED rate sky high, the C-reactive protein sky high,

1:44

and the white blood counts elevated.

1:46

I'm more likely to call that potentially disguise

1:49

osteomyelitis than I am DJD.

1:51

So use the electronic MAC record to its maximum.

1:55

Get smarter, right? Improve your fund of knowledge.

1:58

Lots of ways of doing that.

1:59

When you do peer review, I say do it prospectively

2:03

so you find mistakes early rather than months later

2:08

when the jig is up

2:10

and that mistake has bloomed into a major ordeal.

2:13

If you can prospective peer review

2:16

and number 10, know the standards

2:18

and know the standards both locally as well as nationally,

2:22

that will help you when you come to defend your

2:26

actions on a particular case.

2:28

If you follow these top 10 rules,

2:33

I guarantee you're gonna have a very productive

2:36

and happy radiology career.

2:39

Thank you very much for your attention. I.