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If anyone is guilty of sidestepping the issue, I fear it is Dr Green. In my article, I asked clinicians to view the roentgenogram requisition as a consultation and provide pertinent clinical information to the radiologist to ensure optimal patient care. Dr Green must agree with my thesis, since he does not address this issue at all in his letter.It is obvious from Dr Green's last paragraph that the word consultant disturbs him because it conjures up issues of ego and turf rather than the issue of optimal patient care. To paraphase Dr Green, if the peculiar claim of the generalist gives him the expertise to manage the clinical workup, then I propose there is a similar peculiar claim of the imaging generalist (radiologist), which gives him the expertise to participate in the management of the imaging workup, since this is precisely his training.It is difficult
Homer MJ. The Radiologist as a Consultant-Reply. JAMA. 1982;248(15):1831. doi:10.1001/jama.1982.03330150025006