Jeffery P. Hogg, M.D.
Board Certification: American Board of Radiology, Diagnostic Radiology, Lifetime Certification granted 1987. Certificate of Added Qualifications in Neuroradiology granted in 1996 and renewed in 2006.
Medical School:West Virginia University
Residency:University of Pittsburgh School of Medicine, Department of Radiology 1983-1987
Fellowship:University of Pittsburgh School of Medicine, Department of Radiology, Division of Neuroradiology 1987-1989
Faculty Rank:Professor of Radiology, Neurology, and Neurosurgery
Special Clinical/Research Interests:Neuroradiology, Medical Education, Appropriate Utilization
Is there a particular population of students (e.g., ethnicity, spiritual, sexual orientation) that you would particularly like to advise?
I welcome LGBT, ethnically, and spiritually diverse students. Basically, any student who wants to learn what I can share.
What does a typical day in the life of a radiologist include?
A radiologist in an academic teaching hospital wears several hats in their day-to-day work.
We teach medical students, residents and fellows, and engage them in planning, triage, and performance of imaging and interventional procedures for patients of all ages, genders, and diagnoses. This variety would seem daunting, but is actually part of what makes this specialty so attractive. It makes us use ALL of what we learned in medical school and residency. NEVER have I suffered boredom. We engage also in research and publications of various types. This helps us stay up to date, and this commitment to lifelong learning is a very satisfying aspect of our work.
We focus on bringing the clinicians on the care team to a helpful diagnosis as efficiently, safely, and cost-effectively as we can, and this depends very much on proper Professional Communication of Concise Summary Statements of illness between the clinicians consulting for imaging and the radiologists who then provide those services. Radiologists are most effective when they are able to assist in appropriate selection of imaging BEFORE the study is performed. This is an important facet of the consultative role. Once the images are obtained, the radiologist uses his/her interpretive skills integrated with the all-important clinical context (the concise summary statement) to reason to the differential diagnosis, specific diagnosis, and sometimes to recommend/perform additional diagnostic or therapeutic measures to complete needed care. These are facets of the interpretive, interventive, and consultative roles.
So, radiologists have big roles in consultation, image interpretation, and intervention with image-guided invasive procedures for diagnosis and definitive treatments.
What is the biggest challenge of being a radiologist?
Cultivating good Professional Communication practices between clinical colleagues and radiologists.
Radiologists struggle to provide good care for patients with often insufficient clinical context from the physicians who consult them for help with the care of their patients. Less than excellent Professional Communication results in performance of studies that are not appropriate, adding substantial cost, delay in diagnosis, and morbidity in patient care. Also, lack of excellence in the required Professional Communication reduces reimbursement to healthcare organizations by payers (Medicare, commercial insurance), which impacts the financial viability of hospitals and reduces employment security for all physicians and healthcare workers.
How do you foresee radiology changing over the next 20 years?
Increased teaching of imaging principles, economy, and risks in medical school and residency curricula.
Implementation of integrated clinical decision support guidelines (ACR Appropriateness Criteria and related products like ACR Select) in the electronic medical record systems at Physician Order Entry interface.
Continued progress at X-ray and CT dose reduction.
Continued development of MR based technologies.
What advice would you give a student who is considering an radiology residency?
Approach ALL your opportunities to learn medicine, surgery, preventive care, anatomy, physiology, public health, physical diagnosis and all your medical school topics as HIGH Priority. You will be surprised how all these regularly come to bear on your careers later as a radiologist in either private or academic practice. Radiology has traditionally been one of the more (but not the very most) competitive specialty fields. Candidates with best opportunities are those who have above average board scores, narrative evaluations, and strong letters of recommendation that attest to consistent excellence in character, fund of knowledge, attitude, curiosity, and work ethic. Residency program directors particularly value candidates for residency who work hard, are easy to teach eager to learn, and highly personable. Radiologists have to work with a lot of different personalities, and have to navigate successfully to good outcomes in situations that may be stressful (think acute life and death decisions with serious illness and injuries).