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> The medical industry is internally highly dysfunctional and trying to work with practicing doctors can be extremely politically difficult. The hospital bureaucracy often actively tries to prevent practicing doctors from working directly with technologists, preferring instead to silo them and direct all communication via senior management - who are often neither technology nor medical experts. Consequently it seems more likely that major changes will come from outside.

This is one of the areas where working with radiologists actually makes things easier. Radiology groups are normally independent practices that contract with multiple hospitals- they link in with hospital systems but mostly run their own thing. They also tend to have really solid IT departments and enough funding to make things work. Working with hospitals is a nightmare though, as you say.




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