This nuclear medicine case involves a male medical professional in Kentucky who alleged wrongful termination, claiming his company should have maintained better employee retention policies. He had vast experience working in the field of radiology technology, and was a licensed radiology technician. The man was an exemplary employee for his entire, 5+ year tenure at the hospital, and took an active role in claiming less-desirable shifts as well as training new employees. Prior to the employee’s termination, the hospital adopted a new method for providing external beam radiation therapy to patients. However, the plaintiff advocated for a different, more advanced system that would apparently reduce incidents of over radiation of patients. The plaintiff repeatedly advocated for a revision to the procedure in the name of patient safety, especially after patients were over-irradiated, however he was ignored. Eventually, the plaintiff was fired for failure to follow the hospital’s chosen protocol.
Question(s) For Expert Witness
- 1. Do you have teaching privileges or experience teaching radiology?
- 2. Do you have digital radiology experience? Please explain.
- 3. Have you ever had a radiology tech revise a patients imaging regimen - and is this generally allowed?
Expert Witness Response E-007790
I do have teaching privileges and am currently Section Chief of Abdominal Imaging and Director of Computed Tomography. I am familiar with picture archiving and communication systems- these are ubiquitous in most departments and simply represent the system in which we file and access our digital imaging data. We are completely digital as far as our radiography equipment. It is fairly uncommon for a technologist to significantly revise an imaging protocol; we are meticulous in setting up these protocols to ensure optimal image quality while minimizing radiation exposure. The technologists have a small amount of leeway to compensate for individual patient factors, but fundamentally changing the protocols is typically left to the supervising physicians. It really depends on what factors of the ‘regimen’ are being changed.
Expert Witness Response E-007788
I am a teacher by nature of working at an academic institution, and I work with residents and medical students extensively every day, with daily teaching responsibilities. I am an Associate Professor of Radiology and I was awarded the Teacher of the Year in 2008 by the graduating radiology residency class. Yes, we use picture archiving and communication systems to view all abdominal imaging studies and dictate their reports. We also use it to get information from the technologists regarding any issues related to any imaging study. All of our studies are acquired digitally and I have been working exclusively with digital studies since my training began. Radiology technologists may revise an imaging regimen upon consulting a radiologist and within reason, depending on the situation.