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April 23, 1982

Role of the Radiologist

JAMA. 1982;247(16):2233. doi:10.1001/jama.1982.03320410019014

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To the Editor.—  I was pleased to see that Marc J. Homer, MD, in the COMMENTARY "The Role of the Radiologist" (1981;246:2581), suggests that "the x-ray requisition should be viewed as a request for a consultation rather than an order."I have long questioned the practice of a radiologist interpreting all x-ray films that are taken in the hospital. I have long believed that I am capable of interpreting many x-ray films taken on my patients. I can recognize most fractures; I can interpret most chest films, including heart configurations; I can evaluate bone age; and I can even interpret a few computed tomographic scans. I have difficulty understanding the need for a radiologist to make a charge for interpreting an x-ray film of a fracture the morning after the fracture has occurred, when I have dealt with it in the emergency room the night before. His interpretation the next