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Based on the social media success of my series of articles around 'The Rules of Radiology' this follows on from the first volume ('The Rules of Radiology'), published in 2021. 'More Rules of Radiology' is the second and final volume that contains Rules 51-100. The Rules provide a guide to what radiology is and what radiologists do. Or rather what radiology should be and what radiologists should do.
This book and its prior sister volume looks hard not just at radiology but also provides a distinctly wry look at the curious and occasionally alien world of hospital-based medical practice. I ask questions and poke fun but it is serious intent. My motto is 'first make you laugh, then make you think'. Or, as George Bernard Shaw wrote, "My method is to take the utmost trouble to find the right thing to say, and then to say it with the utmost levity".
Each of the Rules addresses an important part of professional practice. I analyse the underpinning concepts of modern radiology, critically reflect on underlying assumptions, pose thoughtful questions and provide measured debate. All sprinkled with a mixture of weak jokes, puns and gratuitous word play.
As a relatively young but rapidly expanding specialty, there has been no guide for radiologists, no moral compass. Until now. I provide opinions and guidance on key matters; sometimes controversial but always reasoned. The hope is to provide the reader with much food for thought. Not only that but this volume and its predecessor aim to provide a manifesto for radiologists across the globe to raise their game and serve their patients better.
Paul describes himself as a proud Yorkshireman, knowing that the word 'proud' here is a tautology. He qualified from St George's Hospital Medical School, trained in radiology in Sheffield then Bristol and has been a Consultant Radiologist at Southmead Hospital since 2004. He is an unrepentant Medical Educator (MEd Uni of Sheffield 2004), was an Anatomy Examiner (2008-2011) then Lead Anatomy Examiner for the Royal College of Radiologists (2011-15), RCR Human Factors Advisor (2016-18), Head of the Severn School of Radiology (2016-20) and is currently External Examiner for the Faculty of Radiology, Royal College of Surgeons of Ireland (2020-). His professional interests are largely summarised as being a 'giblet radiologist' and his hobbies include advanced procrastination and pretending to be an adult.
Rule 51 Savour mistakes.- Rule 52 Don't rush a report.- Rule 53 Never wake a patient up.- Rule 54 Know about esoterica.- Rule 55 Doctors aren't porters.- Rule 56 Don't shoot the messenger.- Rule 57 Question 'protocols'.- Rule 58 Don't be a hairdresser.- Rule 59 Prognostication is not an indication.- Rule 60 Beware of Mr Twitchy.- Rule 61 Always look at the scout image or localisers.- Rule 62 Dictate considerately.- Rule 63 Don't scan instead of talking.- Rule 64 Never scan the dying.- Rule 65 Don't be a smart arse.- Rule 66 False positives are errors too.- Rule 67 Vetting requests is worthwhile.- Rule 68 Be a holistic radiologist.- Rule 69 Radiology is extrapolating from a screen grab.- Rule 70 Coffee should be taken black.- Rule 71 Radiology reporting is like playing golf in the dark.- Rule 72 // Never report 'no change'.- Rule 73 Always report in date order.- Rule 74 Beware the radiologist with a zero % error rate.- Rule 75 Interventional radiologists don't need to care.- Rule 76 Radiology should be fun.- Rule 77 There is no such thing as a 'naturally gifted' radiologist.- Rule 78 Introduce yourself.- Rule 79 Trust in chronometry.- Rule 80 Ignore 3D recons.- Rule 81 AI is overhyped.- Rule 82 Do the simple things well & often.- Rule 83 Show yourself.- Rule 84 Don't criticise colleagues.- Rule 85 You can only eat one breakfast.- Rule 86 You Will Learn to Hate VR.- Rule 87 Dress smartly.- Rule 88 Focus on the gaps.- Rule 89 Eminence doesn't equal sense.- Rule 90 Sloppiness is infectious.- Rule 91 Never assume relationships.- Rule 92 'Order Comms' must be loathed.- Rule 93 Don't blame the 'badapple'.- Rule 94 Structured reporting is overblown.- Rule 95 Beware pixel-squeezers.- Rule 96 Embrace Productivity.- Rule 97 Be a kind boss.- Rule 98 Embrace Diversity.- Rule 99 Look After Yourself.- Rule 100 It's all about the patient.
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