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8

Inside News

Introduction

our patients, government interest will

likely persist in new models such as

bundled payments and attempts to

transition reimbursement from a fee-for-

service structure to payments that are

increasingly guided by quality related

and patient experience metrics. Effective

advocacy that demonstrates the role

and value of clinical radiologists will be

essential in this environment.

A strong position in the interest of

patient care and College members

has been taken in other areas such

as sonographer performance of

musculoskeletal injections in Australia

and physiotherapist performance of

injections in New Zealand. Another

important role of the College is to

support the practice and expertise of

College members by providing guidance

and clinically useful information. The

recently released Iodinated Contrast

Media Guidelines are invaluable and I

would like to express gratitude for the

outstanding work of all those involved

during their development. The College

has also been proactive in the Choosing

Wisely initiative as an inaugural member

in Australia and more recently as an early

participant in New Zealand. In view of

the significant progress we have made

relative to other colleges, we were again

invited to participate in the Australian

Choosing Wisely second wave media

launch to discuss implementation of

educational modules and a mobile

application that provides free access to

evidence-based clinical decision rules at

the point of care.

Furthermore, as an entity that sets

standards of practice, provides guidance

for training, accredits training sites

and leads assessment of trainees,

the College is well positioned for

challenges in the future as we enter

the implementation phase following a

review of our education and assessment

processes.

Conclusion

We face many challenges and only a

few of these have been outlined above.

These threats may vary in degree but

are relevant to all radiologists in New

Zealand and Australia, in public and

private sectors and in the rural and

metropolitan context. How we respond

and the guiding principles we apply

when facing these challenges will vary

depending on the context in which

we find ourselves. While judicious use

of technology, being willing to accept

change and a responsive approach

will be important, I believe that focus

upon the quality of care we provide our

patients and the value we add to care in

the eyes of our referrers will be the most

significant determinants of our long-term

future as clinical radiologists.

In concluding, I believe there are good

reasons to feel optimistic about the

future. The quality of our training and

skills as Australian and New Zealand

clinical radiologists are the envy of many,

we have strong and dedicated College

staff, office bearers, President, CEO and

Councillors, and are fortunate to benefit

from the efforts of many members who

volunteer to participate in College

activities. I look forward to supporting

College members as we address various

challenges during my term as Dean.

If you have any feedback or comments

on any of the above please contact the

College on

fcr@ranzcr.edu.au

Prof John Slavotinek

Dean, Faculty of Clinical Radiology