Publications by authors named "Johnson B Lightfoote"

Health care workforce diversity is vital in combating health disparities. Despite much recent attention to downstream strategies to improve diversity in radiology, such as increased recruitment efforts and holistic application review, workforce diversity has not tangibly improved in recent decades. Yet, little discussion has been devoted to defining the obstacles that might delay, complicate, or altogether prevent persons from groups that have been traditionally marginalized and minoritized from a career in radiology.

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Introduction: Black radiologists remain significantly underrepresented in the radiology workforce, despite a 1973 plea by Black radiologists of the National Medical Association to increase training programs for minority radiologists.

Objective: The authors provide a qualitative narrative that highlights the radiology residency programs of three historically Black schools of medicine (HBSOM) in the U.S.

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The integration of personal protective equipment (PPE) and procedures into breast imaging and intervention practices will mitigate the risk of transmission of COVID-19 during the pandemic. Although supply chain shortages have improved, understanding the proper use of PPE and protocols to mitigate overconsumption are important to ensure efficacious utilization of PPE. Protocols and best practices are reviewed, and guidelines and resource materials are referenced in order to support breast imaging healthcare professionals.

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Many practice groups are considering adopting new practice models, primarily to secure their practices by adapting to new payment models, government compliance and regulation, and increasing IT and infrastructure costs. As we move toward value-based care and capitation, the value equation (value = quality/cost) will lead us to also compete on cost to improve value. No matter what payment models ultimately dominate, we need to be prepared to lead in a value-based care environment.

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Although the available pool of qualified underrepresented minority and women medical school graduates has expanded in recent decades, their representation in the radiological professions has improved only marginally. Recognizing this deficit in diversity, many professional medical societies, including the ACR, have incorporated these values as core elements of their missions and instituted programs that address previously identified barriers to a more diverse workforce. These barriers include insufficient exposure of underrepresented minorities and women to radiology and radiation oncology; misperception of these specialties as non-patient care and not community service; unconscious bias; and delayed preparation of candidates to compete successfully for residency positions.

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The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to overcome these barriers. Part 2 of a 2-part position article from the commission addresses issues regarding diversity and inclusion in the context of career choices and professional advancement. Barriers to improving diversity and representation in RRO are reviewed.

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The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to overcome these barriers. In Part 1 of a 2-part position article from the commission, diversity as a concept and its dimensions of personality, character, ethnicity, biology, biography, and organization are introduced. Terms commonly used to describe diverse individuals and groups are reviewed.

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Article Synopsis
  • This study aimed to evaluate how important it is for subspecialty experts to reinterpret brain CT scans for stroke patients, focusing on the accuracy of general radiologist interpretations in primary stroke centers.
  • The analysis involved reviewing medical records from 2009-2010 at four hospitals, where general radiologists initially assessed stroke-related brain CT scans, which were later reinterpreted by neuroradiologists to check for discrepancies.
  • Out of 560 scans reviewed, only 14 (2.5%) were found to have interpretation differences, with four serious cases that required a change in patient management and ten minor discrepancies that did not affect treatment.
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Purpose: To evaluate the economic impact and diagnostic utility of computed tomography (CT) in the management of emergency department (ED) patients presenting with headache and nonfocal physical examinations.

Methods And Materials: Computerized medical records from 2 major community hospitals were retrospectively reviewed of patients presenting with headache over a 2.5-year period (2003-2006).

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Purpose: To determine the clinical importance and relative value of reinterpreting brain CT imaging studies by subspecialty experts regarding changes in clinical management.

Methods: Computerized records were queried at two institutions during the years 2002-2003 for both primary interpretation by board-certified nonneuroradiologists and secondary interpretation by three neuroradiologists. A total of 1,081 cases were reviewed.

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Synopsis of recent research by authors named "Johnson B Lightfoote"

  • - Johnson B Lightfoote's research focuses on enhancing diversity and inclusion within the field of radiology, emphasizing the importance of an upstream reparative justice framework to tackle systemic barriers faced by marginalized groups in pursuing careers in radiology.
  • - His work highlights the need for inclusive practices in resident selection processes, with ongoing efforts to boost representation and address the historical underrepresentation of Black radiologists in medical training programs.
  • - The author also explores the intersection of health disparities and workforce diversity, advocating for proactive strategies that address systemic challenges, including the implementation of personal protective equipment protocols designed to safeguard healthcare professionals during the COVID-19 pandemic.