UCSD Musculoskeletal Radiology
YOU MUST SIGN YOUR REPORTS EVERY DAY. REPORTS CAN BE SIGNED FROM THE HOSPITAL OR FROM HOME.
You can not sign other peoplesí reports
From UCSD Risk Management
"We also want to draw your attention to the recent national attention given to the potential malpractice liability inherent in proxy signature of radiology reports (Smith and Berlin, American Journal of Roentgenology, 2001, 176, 27-30). We endorse the policy of the Department of Radiology that prohibits the use of proxy signatures. Medicare Conditions of Participation specify that "The radiologist or other practitioner who performs radiology services must sign the reports of his or her interpretations."
Signing reports from home
You can sign IDXRAD reports for UCSD Medical Center and Thornton, and the VISTA reports from the VA Medical Center from your home computer via telnet access. We do not have access to home signing of reports for Scripps at this time. This information is specifically for signing UCSD reports for PC users, but it will work (with minor modifications) using a MAC.
#You need to have a 6 digit provider number and a password for IDXRAD. The number will be assigned to you when you start working at UCSD. You will get the number from Kim (head of transcription) at your meeting with her about using the IDXRAD system. You choose the password yourself.
Installing and Configuring IDXTERM
Once you have installed IDXTERM
For PC users with a cable modem, John Hesselink has one other "pearl". After you setup idxterm, put a "windows shortcut" on your desktop. "Right click" your mouse button on the shortcut icon. Select "properties" and then the "shortcut" tab. In the "Target" box, type "idxterm.exe /winsock=th-digit1.ucsd.edu" In the "Start in" box, type the directory where you put the idxterm program. Now when you double click the "shortcut icon" it will automatically log on to the host computer.
Signing reports on IDXRAD from the VA
It is possible to sign reports at the VA for both Thornton and Hillcrest. Both of the computers in the bone pit are linked up. If the computer icon with idxrad is not on the desktop, it can be quickly reinstalled:
1. Double click the vista icon.
2. On the top row of the drop down menus click on connections. Click disconnect. Repeat and hit connect.
3. The option th-digit1.ucsd.edu should be highlighted. Click OK
4. login: idxrad
5. password: idxrad
6. login rad
Signing reports from out of town
You can do a similar thing with your laptop and sign off reports from anywhere on the planet. All you need is an internet connection. There are free internet services, such as Juno, or you can get a "dial-up account" at the University for $12/month (www.no.ucsd.edu or phone UCSD Network Operations at 858-534-1857).
When you are traveling without your laptop, most hotels have computer access or you can get online at a local Kiosk. On Windows based PCs, select "Run" from the "Start" menu and type "telnet". Within telnet, connect to "th-digit1.ucsd.edu" to get to the login prompt. The program is a little klugi; you may not be able to edit reports, but at least you sign off the other ones.
It is a good idea to expedite your reports if you are working the day before
leaving town. When you or the resident log on to RTAS and are asked for the "2
digit work type", enter "33" and transcription will prioritize your reports, so
hopefully reports would be available for review and signature the same day.
For MAC users, see below
To log on to IDXRAD with a MAC, you need a telnet program. "BetterTelnet" is a free software program for a MAC that can be obtained at "http://www.cstone.net/~rbraun/mac/telnet". Page down to "Download BetterTelnet" and follow the instructions.
When you have the program installed (which seems to happen automatically on a MAC when you download it), open the BetterTelnet program. Under the file menu, select "Open Connection". In the "Host Name" box, type "th-digit1.ucsd.edu" and connect. That should get you to the "SunOS 5.6" prompt. Type "idxrad" for both the login and password. That will get you to the IDXRAD system.
If you are having problems, please contact the UCSD Department of Radiology support person: