[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-182484-105":3,"detail-sidebar-cat-0-en-105":80,"doc-detail-182484-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","radiologic-interpretation-by-family-physicians-in-an-office-practice-setting","Radiologic Interpretation by Family Physicians in an Office Practice Setting","","Radiology serves as a core component of office-based primary care, yet evidence has been limited on how accurately family physicians interpret radiographs they order in everyday practice. This cross-sectional study evaluated performance in a free-standing family practice office over a three-year period, comparing ordering physicians’ interpretations with overreading radiologists. Accuracy was analyzed across radiograph types and disease presence, showing high overall performance and notable variation by body part and prevalence.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/radiologic-interpretation-by-family-physicians-in-an-office-practice-setting/182484/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/radiologic-interpretation-by-family-physicians-in-an-office-practice-setting/182484.png","ImageObject",300,407,{"name":42,"@type":43},"Eden","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-19","2026-09-02",true,{"@type":52,"interactionType":53,"userInteractionCount":26},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What was the study designed to measure?","Question",{"text":62,"@type":63},"The study measured how accurately family physicians interpreted radiographs ordered in a free-standing family practice office, using overreading radiologists as the standard.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How did the researchers compare family physicians’ and radiologists’ interpretations?",{"text":67,"@type":63},"Each radiographic study was separately interpreted by the ordering family physician and an overreading radiologist, and agreement was treated as correct interpretation; disagreements were re-examined.",{"name":69,"@type":60,"acceptedAnswer":70},"What factors influenced interpretation accuracy in the results?",{"text":71,"@type":63},"Accuracy varied with the body part imaged and whether disease was identified on the radiographic study, with chest films being inherently more difficult than extremity films.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},182484,1788348827,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & 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Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":26,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":96,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":79,"read_time":143},1374391974468,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Radiology is an integral part of the office practice ofmanyfamily physicians.A survey of family physicians in Minne-sota found that 87%used radiography in their offices.lThe same survey noted that most family physicians feltthat radiographic interpretation was a fundamental skill ofthis primary care specialty.Nevertheless,data are sparseon the accuracy of family physicians in this endeavor.Most previous studies investigating the interpretativeskills of nonradiologists have focused on primary care  \nRadiologic Interpretation by Family Physicians in an OfficePractice Setting  \nGeorge R.Bergus,MD;E.A.Franken,Jr,MD;T.Jean Koch,RN;Wilbur L.Smith,MD;Eric R.Evans,MD;and Kevin S.Berbaum,PhD  \nIowa City,Iowa  \nBackground.Radiology is an integral part of the officepractice of many family physicians.Nevertheless,dataare sparse on the performance of family physicians inthis endeavor.This study investigated the performanceof family physicians at interpreting radiographs orderedin a free-standing family practice office.  \nto 93.6).Their accuracy with extremity films(96.0%was significantly higher than their accuracy with chexfilms(89.3%,P\u003C.001).Family physicians were morlikely to correctly interpret normal films(95.2%)thaabnormal ones(85.9%,P\u003C.001).Thirty-five percnt ofthe cases in which there were differences between familphysician and radiologist interpretations were correctyinterpreted by family physicians.  \nMethods.A consecutive series of radiographic studiesperformed at a family practice office during a 3-year pe-riod was surveyed.All radiographic studies included inthis analysis(N=1674)were separately interpreted bythe family physician ordering the study and an overread-ing radiologist.If the interpretations agreed,the studieswere accepted as having been correctly interpreted.Cases in which the interpretations disagreed were reex-amined.  \nConclusions.Family physicians showed a high degree ofaccuracy in radiologic interpretation in an ofice sctingChest films were inherently more difficult to interprthan extremity films.Because correct interpretation dc-pends on body part examined and the prevalence of disease,the performance of family physicians will probabvary in different practice settings.  \nResults.Family physicians correctly interpreted 92.4%ofthe radiographic studies(95%confidence interval,91.0  \nKey words.Radiography,primary care,test performance(JFam Pract 1995;41:352-356)  \nphysicians in emergency departments.2-12 These havegenerally found interpretative accuracy related to preva-lence of disease,range of abnormalities,and body patimaged,all of which are factors that differ between anemergency department and a primary care office.  \nA study performed in an office setting evaluated theperformance of family physicians by concurrently collect-ing data on the interpretation of 100 consecutive studicsin multiple offices.13 The physicians'performance was cal-culated by using the overreading radiologists'interpreta-tions as the standard.While this standard is a commonone,previous research has documented substantial errorsin radiographic interpretation made by experienced radi-ologists.Disagreement rates have been reported to bebetween 10%and 40%.14,15  \nThe present study analyzed the performance offamily physicians at interpreting the radiographs obtained in  \none fre-standing family practice ofice using a rigorousmuth standard.Accuracy ofinterpretation was analyzed inrelation to the body part imaged and whether disease wasidentified on the radiographic study.  \n# Methods\n\nThe Department of Family Practice at The University oflowa maintains a free-standing outpatient office whereapproximately 20,000 patients are seen annually.Onlyboard-certified family physicians and their directly super-rised residents practice at this location.This office pro-rides primary care to patients from both the universitycommunity and the surrounding rural areas.Within thisofice there is a basic radiographic unit,consisting of a125-kVp generator,radiograp","cbCaiantN8LJL0iW","https://ap.wps.com/l/cbCaiantN8LJL0iW","pdf",3288330,"English","# Methods\n## Study setting\n## Interpretation and overreading\n## Participants and overreaders\n## Case review and analysis","[{\"question\":\"What was the study designed to measure?\",\"answer\":\"The study measured how accurately family physicians interpreted radiographs ordered in a free-standing family practice office, using overreading radiologists as the standard.\"},{\"question\":\"How did the researchers compare family physicians’ and radiologists’ interpretations?\",\"answer\":\"Each radiographic study was separately interpreted by the ordering family physician and an overreading radiologist, and agreement was treated as correct interpretation; disagreements were re-examined.\"},{\"question\":\"What factors influenced interpretation accuracy in the results?\",\"answer\":\"Accuracy varied with the body part imaged and whether disease was identified on the radiographic study, with chest films being inherently more difficult than extremity films.\"}]","Radiologic Interpretation by Family Physicians in an Office Practice Setting | PDF",13]