Ethical dilemmas in radiology: Survey of opinions and experiences

Aline Camargo, Kelly Yousem, Theodore Westling, Marco Carone, David M. Yousem

Research output: Contribution to journalArticle

Abstract

Objective. The aim of this study was to assess trainees' and practicing radiologists' perceptions and experiences in handling ethical situations. We sought to identify frequently encountered ethical dilemmas and how they are addressed in daily practice. Materials and Methods. A questionnaire on ethics was sent by email invitation to 1569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17, 2016, and October 31, 2016. The link to the survey was also posted on social media sites via the authors' and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie as well as on American College of Radiology and Radiological Society of North America web blogs. Results. A total of 424 radiologists and trainees responded to the survey, for a response rate of 27% (424/1569). Of them, 363 responded to a question asking whether they had witnessed an ethical dilemma; 203 (56%) had. The wording of reports when a miss was discovered was not handled in a consistent fashion. Regarding disclosure, trainees were more likely than practicing radiologists to report theirs and others' errors to the patient. Of the 362 respondents who responded to a question about whether they would report a negligent act by a colleague to the group director, 292 (81%) stated that they would, but trainees were less likely than practicing radiologists to do so. Conclusion. This study found many common ethical dilemmas in radiology practices remain without an appropriate, objective, and unified approach to effectively guide the radiologist's actions. These results highlight a need to provide more uniform recommendations to assist radiologists in addressing ethical issues in an appropriate manner.

Original languageEnglish (US)
Pages (from-to)1274-1283
Number of pages10
JournalAmerican Journal of Roentgenology
Volume213
Issue number6
DOIs
StatePublished - Jan 1 2019

Fingerprint

Radiology
Ethics
Blogging
Social Media
Continuing Medical Education
Disclosure
Surveys and Questionnaires
Radiologists
Databases

Keywords

  • Dilemmas
  • Education
  • Ethics
  • Radiology

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Ethical dilemmas in radiology : Survey of opinions and experiences. / Camargo, Aline; Yousem, Kelly; Westling, Theodore; Carone, Marco; Yousem, David M.

In: American Journal of Roentgenology, Vol. 213, No. 6, 01.01.2019, p. 1274-1283.

Research output: Contribution to journalArticle

Camargo, Aline ; Yousem, Kelly ; Westling, Theodore ; Carone, Marco ; Yousem, David M. / Ethical dilemmas in radiology : Survey of opinions and experiences. In: American Journal of Roentgenology. 2019 ; Vol. 213, No. 6. pp. 1274-1283.
@article{40db02fb236a4fc5a9a3d1e5afc0f987,
title = "Ethical dilemmas in radiology: Survey of opinions and experiences",
abstract = "Objective. The aim of this study was to assess trainees' and practicing radiologists' perceptions and experiences in handling ethical situations. We sought to identify frequently encountered ethical dilemmas and how they are addressed in daily practice. Materials and Methods. A questionnaire on ethics was sent by email invitation to 1569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17, 2016, and October 31, 2016. The link to the survey was also posted on social media sites via the authors' and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie as well as on American College of Radiology and Radiological Society of North America web blogs. Results. A total of 424 radiologists and trainees responded to the survey, for a response rate of 27{\%} (424/1569). Of them, 363 responded to a question asking whether they had witnessed an ethical dilemma; 203 (56{\%}) had. The wording of reports when a miss was discovered was not handled in a consistent fashion. Regarding disclosure, trainees were more likely than practicing radiologists to report theirs and others' errors to the patient. Of the 362 respondents who responded to a question about whether they would report a negligent act by a colleague to the group director, 292 (81{\%}) stated that they would, but trainees were less likely than practicing radiologists to do so. Conclusion. This study found many common ethical dilemmas in radiology practices remain without an appropriate, objective, and unified approach to effectively guide the radiologist's actions. These results highlight a need to provide more uniform recommendations to assist radiologists in addressing ethical issues in an appropriate manner.",
keywords = "Dilemmas, Education, Ethics, Radiology",
author = "Aline Camargo and Kelly Yousem and Theodore Westling and Marco Carone and Yousem, {David M.}",
year = "2019",
month = "1",
day = "1",
doi = "10.2214/AJR.19.21121",
language = "English (US)",
volume = "213",
pages = "1274--1283",
journal = "American Journal of Roentgenology",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "6",

}

TY - JOUR

T1 - Ethical dilemmas in radiology

T2 - Survey of opinions and experiences

AU - Camargo, Aline

AU - Yousem, Kelly

AU - Westling, Theodore

AU - Carone, Marco

AU - Yousem, David M.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective. The aim of this study was to assess trainees' and practicing radiologists' perceptions and experiences in handling ethical situations. We sought to identify frequently encountered ethical dilemmas and how they are addressed in daily practice. Materials and Methods. A questionnaire on ethics was sent by email invitation to 1569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17, 2016, and October 31, 2016. The link to the survey was also posted on social media sites via the authors' and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie as well as on American College of Radiology and Radiological Society of North America web blogs. Results. A total of 424 radiologists and trainees responded to the survey, for a response rate of 27% (424/1569). Of them, 363 responded to a question asking whether they had witnessed an ethical dilemma; 203 (56%) had. The wording of reports when a miss was discovered was not handled in a consistent fashion. Regarding disclosure, trainees were more likely than practicing radiologists to report theirs and others' errors to the patient. Of the 362 respondents who responded to a question about whether they would report a negligent act by a colleague to the group director, 292 (81%) stated that they would, but trainees were less likely than practicing radiologists to do so. Conclusion. This study found many common ethical dilemmas in radiology practices remain without an appropriate, objective, and unified approach to effectively guide the radiologist's actions. These results highlight a need to provide more uniform recommendations to assist radiologists in addressing ethical issues in an appropriate manner.

AB - Objective. The aim of this study was to assess trainees' and practicing radiologists' perceptions and experiences in handling ethical situations. We sought to identify frequently encountered ethical dilemmas and how they are addressed in daily practice. Materials and Methods. A questionnaire on ethics was sent by email invitation to 1569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17, 2016, and October 31, 2016. The link to the survey was also posted on social media sites via the authors' and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie as well as on American College of Radiology and Radiological Society of North America web blogs. Results. A total of 424 radiologists and trainees responded to the survey, for a response rate of 27% (424/1569). Of them, 363 responded to a question asking whether they had witnessed an ethical dilemma; 203 (56%) had. The wording of reports when a miss was discovered was not handled in a consistent fashion. Regarding disclosure, trainees were more likely than practicing radiologists to report theirs and others' errors to the patient. Of the 362 respondents who responded to a question about whether they would report a negligent act by a colleague to the group director, 292 (81%) stated that they would, but trainees were less likely than practicing radiologists to do so. Conclusion. This study found many common ethical dilemmas in radiology practices remain without an appropriate, objective, and unified approach to effectively guide the radiologist's actions. These results highlight a need to provide more uniform recommendations to assist radiologists in addressing ethical issues in an appropriate manner.

KW - Dilemmas

KW - Education

KW - Ethics

KW - Radiology

UR - http://www.scopus.com/inward/record.url?scp=85075812633&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85075812633&partnerID=8YFLogxK

U2 - 10.2214/AJR.19.21121

DO - 10.2214/AJR.19.21121

M3 - Article

C2 - 31557053

AN - SCOPUS:85075812633

VL - 213

SP - 1274

EP - 1283

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

SN - 0361-803X

IS - 6

ER -