Especially for Radiologists, Telemedicine offers many interesting possibilities that were unthinkable until a few years ago. Thanks to digitalization and progress in information technology developments, you as a radiologist can now work from anywhere. The advantages of teleradiology in two parts:

 

Work from any location

If you are a radiologist looking for work, you often do not have the opportunity to work where you would like to work. In many cases, a new job involves moving to another city. Teleradiology offers the possibility to work completely independent of location. We at ERS – Emergency Radiology Schueller as teleradiology provider in Switzerland, Austria and Germany support you in setting up your home office. It goes without saying that we only use certified medical products of the highest quality. These include certified diagnostic monitors, which are constantly checked for constancy, as well as the connection to our own proprietary, highly secure network. This means that you have a complete telemedical workplace on site and can live where you feel comfortable.

 

Flexible work assignments

In teleradiology you can flexibly arrange your work assignments with us as a radiologist. Teleradiology is increasingly being used by clinics and practices to relieve the burden on their own radiology department or to outsource it completely. The night shift in radiology, in particular, is increasingly being shifted to teleradiology. However, teleradiology is also being used more and more frequently in cases of general shortage of doctors, overcapacity or holiday and illness replacement. And even if you work as a radiologist in a clinic, you can earn an additional salary in teleradiology, for example by working the night shift.

 

Independent work

Especially for younger people, flexibility and independence are becoming increasingly important. In addition to working in a clinic, many radiologists dream of becoming self-employed with their own practice. However, this requires a great deal of financial and organizational effort, which is not always easy to manage. On the other hand, at Emergency Radiology Schueller you also benefit from many advantages that self-employment offers, such as performance-related remuneration for your qualified specialist work. You can read more about this here in part 2 shortly.

 

Teleradiology is at the same time one of the most important branches of telemedicine and yet a comparatively young specialization. As with every new method, a lot of myths and misunderstandings are spread about teleradiology. We at ERS – Emergency Radiology Schueller have noticed time and again, for example during our visits to congresses and in our communication with stakeholders, that some of these myths persist. We attach particular importance to describing what the reality about our teleradiology services actually looks like. Teleradiology at ERS – Emergency Radiology Schueller: This means highly specialized service provision in the first and thus already decisive phase of patient care for several patients in several clinics at the same time. This means: better diagnoses for patients and better conditions for radiologists to provide adequate medical assistance to very many people in many places. And yet, myths and prejudices still exist with regard to this new medical service.

 

Myth 5: “Teleradiology threatens radiologists’ jobs”

 

One myth we are occasionally confronted with is that teleradiology would endanger radiologists’ jobs. This myth is dangerous because exactly the opposite is true. It is not only in Europe that we have a shortage of well-trained, specialised radiologists. As a result, the population outside the major centres does not have rapid access to pioneering, modern radiological diagnostics. In teleradiology we help to close this gap. We also offer radiologists an extremely attractive workplace. In every respect, we face up to the modern age with its demands for excellent working conditions on the one hand and a harmonious work-life balance on the other. A further asset that we at ERS – Emergency Radiology Schueller offer our customers through our teleradiological service around the clock, every day of the year, is that the workplace at our customers’ premises becomes much more attractive than before the start of our teleradiological service. The permanent staff of our customers no longer have to work every night, every weekend and every holiday in the hospital, but can – with a good portion of rest from the already stressful radiologist’s everyday life – devote themselves to their core competencies during normal working hours.

 

Myth 6: “Radiological training is lost”

 

This myth is as old as telemedicine itself. But it is false. We at ERS – Emergency Radiology Schueller constantly provide the best counterexample. Our customers include many clinics that train a number of assistant doctors to become radiology specialists year after year. And of course, this training also continues during our teleradiological commitment. Because teleradiology does not mean zero or one, not completely or not at all. On the contrary: many customers take on several night shifts per month themselves, in which they let their assistant doctors work, as required by the training regulations.

 

Myth 7: “Price dumping by teleradiology” or alternately “Too expensive reports”

 

The myth confuses the efficient cost structure in teleradiology with unclear pricing. Price dumping cannot take place, if only because of the very high production costs in teleradiology: Quality has its price. The fact that our service would be expensive is, however, not at all true. We were the ones who established the pay per use model in teleradiology: our customers only pay for the reports requested and nothing else. We even provide our customers with the connection to our teleradiology network from ERS – Emergency Radiology Schueller free of charge.

 

Teleradiology is at the same time one of the most important branches of telemedicine and yet a comparatively young specialization. As with every new method, a lot of myths and misunderstandings are spread about teleradiology. We at ERS – Emergency Radiology Schueller have noticed time and again, for example during our visits to congresses and in our communication with stakeholders, that some of these myths persist. We attach particular importance to describing what the reality about our teleradiology services actually looks like. Teleradiology at ERS – Emergency Radiology Schueller: This means highly specialized service provision in the first and thus already decisive phase of patient care for several patients in several clinics at the same time. This means: better diagnoses for patients and better conditions for radiologists to provide adequate medical assistance to very many people in many places. And yet, myths and prejudices still exist with regard to this new medical service.

 

Myth 1: “Cheap reports from far away countries”

 

We at ERS – Emergency Radiology Schueller rely exclusively on the reports of all examinations by our radiology specialists, who all have a high degree of experience in accident and emergency radiology. All of our radiologists are entitled to practice in the European Union in accordance with §2 of the European Union Medical EU Qualification Ordinance 2014 and are also licensed in Switzerland by the Medical Professions Commission of the Federal Office of Public Health. Before our radiologists are admitted to our team, they have to pass a hard but fair entrance test – our Assessment Center – over several days. Only the very best are taken under contract by us. During our On Call Service, every report is promptly reviewed by a second radiology specialist around the clock, every day of the year. We call this service – free of charge for our customers – Second Read. With all these complex procedures, we at ERS – Emergency Radiology Schueller ensure that we deliver top quality to our customers around the clock, every day of the year.

 

Myth 2: “Too little patient information”

 

It is only a myth that our radiologists have too little information about our patients and cannot get an idea of their condition. Rather, it is true that we at ERS – Emergency Radiology Schueller communicate with the referring office by telephone at least three times for each individual patient in our On Call Service. Our radiology specialists personally accept each referral around the clock, every day of the year, and work with the referring physicians to establish the justifiable indication for the examination. We discuss each individual patient with the responsible MTRA team of our customers and discuss each report with the referring physicians until agreement is reached. Only in this way is it possible to make precise diagnoses to help each patient receive an individualized therapy.

 

Myth 3: “Insufficient communication with referring physicians”.

 

Radiologists arrive at very important results that must be communicated quickly to the referring physicians. The myth says that teleradiology could not do this.

In reality, our examination results for each individual patient are discussed in detail between our radiologists and the referring physicians. This is done within half an hour after the examination is sent to our teleradiology network. To ensure perfect communication, all our radiologists at ERS – Emergency Radiology Schueller are native speakers of German and/or are Swiss, Austrian or German citizens.

 

Myth 4: “No contact between radiologists and the MTRA team”

 

In radiology, the contact between the radiologists and the MTRA team is very important. The myth says that this would not be possible in teleradiology.  Just the opposite is true: our radiologists work together with the MTRA team of each of our partner clinics for each individual patient and have established a very good relationship and constant exchange over many years. The same applies to our personal relationship with the outpatient, intensive care and shock room teams of our customers. Over the years, an excellent climate of discussion has been created here, of which we are very proud.

 

We at ERS – Emergency Radiology Schueller have been working for years to help people by giving them access to the latest radiological cutting edge diagnostics. This also includes the application of excellent technology. Our technology with the core of our proprietary development Diagnostic Gate offers many advantages, is technically mature, safe and proven in everyday practice. For us, the enabler of our daily medical work. In the middle of the 2010s, we were still operating in a growing niche – interest was great from all sides, and the conversion and implementation into current workflows was successive. However, there was still scepticism, which is probably the first thing that all new technologies initially encounter.

 

Since the outbreak of the Corona pandemic, a lot has changed here. Telemedicine in general and also teleradiology have suddenly become the focus of public attention and the focus of those responsible in clinics and hospitals. While models were tried out all over Europe to enable patients to be treated, advised and sent on sick leave even without contact, the demand for teleradiology also rose sharply. We explain the possibilities of teleradiology on a daily basis: a doctor can look after several hospitals and institutes and thus work much more productively than if he were tied to a single workplace. Because long journeys to work are eliminated, our CO2 footprint improves considerably. Our way of working enables our specialists to achieve a great work-life balance. In times of the pandemic, many people only became aware of another advantage: because the diagnosing doctor is not with the patient, he or she is of course not exposed to the risk of infection. For many, the corona pandemic acted like a wake-up call, which will sustainably strengthen and further establish teleradiology even after the crisis.

 

The pandemic shows that teleradiology is the future. The technology is reliable and the way it works is not only good for doctors and the climate, but above all good for all patients. We at ERS – Emergency Radiology Schueller have the know-how and the experience to help you too on your way into the future!

Climate protection and teleradiology? Significant developments hand in hand!

With our teleradiology department at ERS – Emergency Radiology Schueller, we enable many people to have access to the latest radiological cutting edge diagnostics. In this way we help society to diagnose diseases earlier and better. At the same time, we ensure that every patient has a chance to receive the best possible therapy based on our assistance. As a teleradiological service provider, we make nationwide care possible through the efficient deployment of our specialist staff.

However, our teleradiology at ERS – Emergency Radiology Schueller offers advantages far beyond this: A very important aspect for us is climate protection. Nowadays there is a lot of discussion about how to save emissions and thus slow down climate change. Apart from industry, the transport sector accounts for a large proportion of emissions. Teleradiology can make a considerable contribution here. Even with our current products, the On Call Service for acute radiological use and the Elelective Service of our Academic Health Division, patients who are examined at our radiological partner institutes close to their homes only have to travel very short distances to their treatment. This is because the radiological examinations that are essential for therapy are assessed online by our specialist physicians in remote locations. The elimination of long journeys saves considerable cumulative CO2 emissions. Accordingly, we generate even greater effects, since our teleradiology is already used across national borders: Even long-distance and air travel by patients can be completely eliminated. Our technology makes no difference whether doctors and patients are in neighboring towns or several thousand kilometers apart. In addition, our medical personnel no longer have to travel to and from work: It is a specific feature of radiology in our neighboring country of Austria, for example, that radiologists report radiological examinations as independent substitute physicians after work as an employed physician in a hospital in the afternoon and evening or on days off in radiological institutes. This means that it is at least to some extent possible to provide the population with comprehensive care. But with the use of teleradiology, these medical official channels are no longer necessary, and the lower CO2 emissions also help to relieve the climate.

We are aware that the teleradiological services of ERS – Emergency Radiology Schueller are part of the trend towards the general digitalisation of processes and services. Not only do we protect the climate, but with our first-class radiological reports we also provide substantial support for society – the starting signal for the individualized therapy of every single person. And we are helping to make tomorrow’s world a much better place.

Esteemed radiologists, medical directors, hospital directors and board members:

Let’s talk seriously about teleradiology, an increasingly important component of patient care.

Why would you have such an important, highly qualified medical service provided by one of the many start-ups with unclear staffing levels and questionable IT concepts, when you can win over the market leader in Switzerland and Austria?

We at ERS – Emergency Radiology Schueller have built up a large and consistent team of radiology specialists with long professional experience.

And we have created our patent pending IT concept with the highest quality and availability. Because we take security and data protection very seriously.

Our customers are aware:

ERS has been a reliable partner for years, around the clock, every day of the year:

With our acute on-call service, we are always personally available for you via our telephone hotlines.

And our Academic Health Division reports your elective X-ray, CT and MR examinations in all major subspecialties with the highest quality.

On top of that, we are cost-efficient. Because we were the ones who established the pay-per-use model.

You only pay for our diagnostic services. And nothing else.

So it doesn’t help if people try to copy us.

Because we are the original. We are always there for you when it comes to providing you with the best in teleradiology.

 

 

 

How does artificial intelligence (AI) work in the healthcare sector and how can we help in the corona pandemic?

Before an AI software can be used on patients, i.e. people are supported by machines, machines have to learn from people.

 

For example, if an AI has to detect pneumonia in radiological computed tomography (CT) studies, radiologists must first annotate images in order to precisely teach the machine everything about radiological signs of infection. Only then can the new software learn from live data.

 

At ERS and MEDDANE AG, we are providing a medical artificial intelligence software through our platform that will alert when it detects pneumonia in a radiological computed tomography exam. It can do this with an extremely high accuracy of more than 98%.

The software was written by a Chinese medical artificial intelligence provider and was applied to many thousands of patients in the badly affected area in which the pandemic was detected first.

 

The software can also substantially contribute to the surveillance of the disease during the hospital stay, and therapy can also be monitored with extreme detail. The software can assist the radiologists in our healthcare systems, which are likely to have a heavy workload when the pandemic continues to spread in our own countries.

 

This means: early detection and, above all, the chance of controlling and defeating this disease.

 

When can we deliver?

Our society is suffering from the pandemic. Time is running out. Our platform is ready and we can deliver now. We can roll out this AI software immediately throughout the nation, wherever a CT device is in operation.

When are the AI ​​results available?

The results of the AI ​​software are ready a few minutes after the end of the CT examination and are available to the radiologist visually as well as in written form.

 

Our partners

Together with our partner MEDDANE AG and our technology supplier XCOORP, we have years of expertise in offering medical AI services. We currently have over 80 different AI algorithms in operation worldwide and with the manufacturer of the AI ​​software described, InferVISION, we have a strong and reliable partner for our customers for years.

 

Gerd Schueller

With the go live of our platform Medical Artificial Intelligence Diagnosis MAIDx www.maidx.cloud users and interested parties ask us for single terms that are audible in the medical and technological world. Read a short explanation of the terms here.

Artificial Intelligence (AI) is the umbrella term for the extremely rapidly growing field of medical AI. It ultimately breaks down to the evaluation of images using static and learning methods, also known as Radiomics.

Deep Learning (DL) is the main chapter of medical AI. It is based on learning systems that are based on a so-called neural network. This leads to the next term: Deep Neural Networks (DNN) are DL-Systems with many learning levels. Convolutional Neural Networks (CNN) are used in the learning processes of sectional imaging techniques (e.g. computer tomography and magnetic resonance imaging). The results can be described simply as segmentation and classification work.

These programs are the basic framework of the AI applications, which you can find at www.maidx.cloud and test on your own data sets.

Do you have any questions? Please contact us: https://www.maidx.cloud/start/contact-us/

ERS launched into the German-speaking market four years ago. Since then, both the medical and the technical processes have undergone constant further development. Customers name radiological quality, top friendliness, the immediate assessment of all findings by a second radiology specialist and the technical solutions as outstanding features of the teleradiological service offered.

Anita R., a specialist for surgery at a state hospital with an extensive catchment area, describes a typical service situation: “We got a polytraumatised motorcyclist in by helicopter, drove directly to CT, and on the way there we informed ERS. The ERS team had a brief and concise discussion with our MTRA team. While the examination was still running, ERS had a look at the first relevant images and I got the decisive call while the patient was being taken out of the CT room. That’s speed, that’s the quality we need here to make accurate decisions and take action”.

Gerd Schueller, founder of the company ERS, takes such words with great pleasure and at the same time refers to ever new ideas for the further development of teleradiological procedures. “We never stop, never stop questioning ourselves. Especially in the field of technical developments we always come up with new ideas”. ERS is far ahead of all comparable facilities not only in terms of the professional specialization, top friendliness and measurable diagnostic quality of its radiologists, but also in the technical field thanks to its partnership with XCOORP: diagnostic findings are delivered GDPR-compliant to the RIS, HIS and PACS systems of the customers. This saves valuable working time: “We get to the hospital in the morning and all findings are in all systems, exactly as we ordered. This saves a lot of work for our secretariat and a lot of stress for us before the morning meetings with the clinicians,” says Christian L., head physician of a hospital with a rural care mandate.

Matthias M, senior physician at a Swiss regional private hospital adds: “We appreciate the fact that we can also use the teleradiological services of ERS infrequently. This gives us considerably more leeway in terms of management planning and duty rostering than before”.

Gerd Schueller: “After all the experiences of recent years, one thing is clear: we do not react, we act. Together with our customers we shape the market. At the end of the day, we want to have served and give back to society what is in our power: perfect quality, for all patients, around the clock”.

Even if your IT goes on strike – we will not let you down!

We have developed a web application for our customers, which is available 24/7 in case of technical problems:
You can access our portal via the Internet using secure access and can transfer the study data to be evaluated from any source (modality, PACS…) simply by “drag & drop”. All communication can only be initiated from known IP addresses and is SSL and password protected. This way we achieve the highest security of our data communication.
Telerad serves us and you as a safety net. It is completely separated from our existing, daily proven teleradiology solution and is designed to be equally highly available (99.xx%).

Good to know that Telerad exists!

Fortunately, it has rarely been used so far: between 2014 and 2017, the system was only needed twice. Whereby the underlying problems at the customer’s site were solved so quickly that even the transfer via the standard system could have been carried out within the time limits.