At CMH, the radiologist will be primarily engaged in reading a variety of imaging exams and performing minor interventional procedures across two locations. The division of clinical responsibilities is detailed as follows:
Health and Wellness Pavilion: A dedicated site for breast and bone imaging, the Pavilion operates six days a week and provides diagnostic services to meet the community’s significant demand for mammography and breast imaging. Daily tasks include:
Diagnostic Breast Imaging: Typically, 15-18 mammography and ultrasound cases are scheduled per day, supplemented with 6-8 bone density exams. If no diagnostics are scheduled, the radiologist performs up to 20 screening mammograms. Screening is exclusive to Saturdays, allowing these exams to be read in the following week to maintain operational efficiency.
Procedural Capacity: There is potential for up to three breast procedures per day, including stereotactic breast biopsies, ultrasound-guided vacuum-assisted biopsies, and RFID placements using mammography or ultrasound guidance.
Support Structure: Support includes technologists trained in breast imaging and administrative staff to streamline workflow. Saturday coverage does not require radiologists to be on-site, providing a predictable weekend schedule that enhances work-life balance.
Hospital Location: This site is designed to handle higher patient volumes and a broader range of diagnostic and minor interventional services, covering:
Biopsies and Injections: The average procedural load includes 2 thyroid FNA biopsies per week, 2-3 paracentesis or thoracentesis procedures across designated days, and 4-8 fluoroscopy cases daily. These fluoroscopy exams may include upper and lower GI series, joint injections, and arthrograms.
CT-Guided Interventions: The hospital performs 2-3 CT-guided procedures weekly, including SI joint, facet joint, and epidural steroid injections.
Emergency and STAT Coverage: When not actively performing procedures, the radiologist may cover STAT and ED exams, especially if other radiologists are occupied. The radiologist is also expected to handle routine exams as workload fluctuates, based on ED patient flow and consultation demands from other departments.
Technology and EMR: All imaging data is managed through Cerner, supporting a seamless workflow across departments. Familiarity with Cerner and experience in reading a wide array of imaging modalities is beneficial, as the hospital offers comprehensive diagnostic and interventional services for the region.
Staff: The radiology department at CMH comprises five radiologists who share responsibilities across modalities and locations. The team emphasizes collaboration, adaptability, and direct patient care, contributing to CMH’s patient-centered philosophy.
Team Composition and Coverage Model: Radiologists rotate through a structured schedule where they alternate between the Pavilion, Hospital, and remote reading to optimize cross-coverage and maintain a robust practice model. This approach reduces burnout and supports strong team dynamics, with each radiologist participating in a shared work list and following a universal reading protocol.
On-Call Rotation: There is no expectation for weekend or overnight call due to the comprehensive scheduling model that ensures on-site coverage during peak hours. The radiologists work closely with OHSU partners to cover any complex cases, fostering a collegial atmosphere that leverages broader expertise when necessary.
Professional Development: CMH supports growth through collaboration with OHSU, offering a pathway for radiologists to consult on specialized cases, which enhances learning and fosters a supportive environment for ongoing clinical improvement.