How many of us have sometimes felt to be on wrong side of a cheating colleague. In my last job there were say 3 odd radiologists all on a fixed payroll in a hospital and hospital management would keep a track on our work based on number of CT and MRIs that we reported. One of the colleagues had this odd habit of picking up the straight forward normal cases where all you had to write or dictate was “normal” and get his number for the day to 10 and push just one case of complicated case to me which would require some brain storming, googling, dictation and explaining to the referring physician but as per the hospital management i had done only 2 cases that day. Later on we started to randomly report alternate cases to eliminate such filtering of cases.
In our own consult service where we offer teleradiology services, some of the centres for which we report, there is a radiologist on site. Invariably, i see one of them just pushing one of the odd cases to us and managing most of the simpler cases and at the end we get paid for one case and they appear useful/efficient to the management.
Is this different in your settings? Does your management think only in terms of numbers not the kind of cases / opinion you are offering? What do you think? Does this happen where radiologists are reimbursed per case ? Is this a fixed pay package phenomenon?