Institutional Affiliation  
Saint Vincent Hospital 

Learning Objectives  
1. Review concepts of American College of Radiology (ACR) Imaging 3.0  
2. Describe current department strategies to break down and reverse commoditization of Radiology  
3. Summarize rounding resident pilot study at community-based residency program  
4. Introduce future initiates 

Background  
Modern trends in the practice of radiology strive for high quality patient-centered care. Rapid technological advances over recent decades dramatically increased imaging volume and clinical reliance on radiology for diagnosis and management. Concomitantly, innovations in productivity including Picture Archive and Communication Systems (PACS) and Electronic Health Records (EHR) made images and Radiology reports more readily available to both patients and physicians. An unintended consequence of this shifted focus away from quality, safety, and appropriateness in favor of producing reports at high volume under a predominantly fee-for-service environment. 

Conclusion 
Involving senior residents as integral members of medicine rounding teams, participation in multidisciplinary team conferences, embedding workstations in close proximity to sub-specialists, and consulting patients in a clinic setting to review image findings are examples of successful steps that departments can take to practice with a service-oriented mentality. Rather than reading high volume often unnecessary studies, Radiologists should take advantage of their unique position and expertise to play a central role in patient care and advocate for appropriate imaging and management. This is a shift from the monitor to the patient behind the screen and is central to high value patient-centered care.

Imaging 3.0: Resident Strategies and Implementation