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Challenges of after-hours pediatric imaging.
Michael R Aquino1,2, Jignesh Shah3,4, Summer L Kaplan5,6
1Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, United States. aquinom3@ccf.org.
Pediatric Radiology
|November 28, 2025
Summary
After-hours pediatric radiology faces challenges from emergent cases and staffing limits. This impacts radiologist health and performance due to circadian rhythm disruption.
Area of Science:
- Pediatric Radiology
- Medical Imaging
- Radiology Workflow
Background:
- The after-hours period presents unique challenges for pediatric radiologists.
- These challenges include a higher percentage of high acuity/emergent studies and limited staffing.
- Non-traditional work hours can adversely affect radiologists' health and performance.
Purpose of the Study:
- To describe the current landscape of after-hours pediatric radiology coverage.
- To outline workflow and staffing challenges in pediatric radiology during off-hours.
- To review the impact of circadian rhythm disruptions on radiologist health and performance.
Main Methods:
- Literature review of after-hours pediatric radiology practices.
- Analysis of workflow and staffing models.
- Review of studies on circadian rhythm disruption and its effects.
Main Results:
- After-hours pediatric radiology is characterized by high acuity cases and staffing shortages.
- Workflow inefficiencies can be exacerbated during non-traditional hours.
- Circadian rhythm disruption negatively impacts radiologist performance and well-being.
Conclusions:
- Addressing after-hours challenges is crucial for maintaining quality pediatric radiology services.
- Optimizing workflow and staffing can mitigate risks associated with off-hours work.
- Understanding the impact of circadian rhythm disruption is essential for radiologist support and patient safety.
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