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Our recruitment division recruits certified radiologists, pathologists and micro biologists for part time and full time positions. In our 15 year history we successfully recruited and placed medical specialists in over 60 hospitals and clinics across the globe

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From its worldwide network of Board Certified medical specialists, TeleConsult creates subspecialty teams for specific screening and clinical trial assignments. In 2012 TeleConsult’s dedicated breast radiologists were selected by the Dutch Breast Cancer Screening program to interpret its screening mammography studies.

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We recruit, select and place sub-specialty, EU educated and certified radiologists, pathologists and microbiologists for short and long term positions. Our reputation has been built on a foundation of providing highly skilled doctors and the following core values: Professionalism, Value for money, Quality, Reliability and Integrity. Interested in joining our team? Register now!

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Whether you are a hospital  department, diagnostic center or laboratory, Teleconsult doctors and IT experts bring optimal efficiency to your  workflow. A thorough analysis of your current situation, needs and requirements results in a balanced work flow management plan.

Teleconsult does not have any volume requirement and you are in full control to decide when to outsource studies to a Teleconsult doctor. To find out how your clinic or department will benefit from working with Teleconsult Europe, please contact us.


  • Balance on- and off site tasks




About Teleconsult

Founded in 2007 by Dutch radiologists, TeleConsult Europe (TCE) offers radiology services to hospitals, clinics, diagnostic centers, laboratories, medical services companies and the Dutch Government.

TCE’s mission is to provide its customers with tailored telemedicine solutions. Since its inception, TCE carefully listened to wishes and needs of its clients. This resulted in an array of interchangeable services providing radiology and pathology departments with high quality, cost efficient, flexible on- and off-site solutions.

Today TCE’s solutions consist of a combination of an on-site physician workforce, teleradiology, telepathology, and IT services. Our Western Board certified radiologists and pathologists perform reading services for a broad array of institutions varying from a 24/7 emergency reading service for hospitals and clinics, to screening services for the famous Dutch Breast Cancer Screening Program.

The primary objective of our highly trained physicians and staff is to enable our clients to provide optimal patient care and diagnostic services by placing quality and value first. Our synergetic modules provide tailored services to hospitals, clinics and imaging centers at any location on the globe. Whether you need an on-site physician, reports through telemedicine or a combination of both, we help you to realize an optimal and cost efficient workflow.

Emergency department CT scans can change physicians' diagnoses and management decisions

Physicians' diagnoses, diagnostic confidence, and admission decisions changed substantially after CT scans

A study from the Massachusetts General Hospital (MGH) Institute for Technology assessment finds that, after viewing CT scan results, physicians in the emergency departments of four major academic medical centers made key changes in clinical decision-making for patients with symptoms frequently seen in emergency rooms. The study that has been published online in the journal Radiology adds important information to health policy debates regarding the appropriate use of CT scanning.

"Emergency department physicians who face increasing pressure to make clinical decisions quickly are sometimes criticized for ordering too many CT scans that may not be clinically justified," says Pari Pandharipande, MD, MPH, director of the MGH Institute of Technology Assessment, who led the study. "We found that - for patients with abdominal pain, chest pain or shortness of breath, or with headache - physicians' leading diagnoses and management decisions frequently changed after CT and that diagnostic uncertainty felt by physicians was alleviated."

The authors note that the utilization of CT scanning in emergency departments (EDs) has more than tripled in the past 20 years but the benefits of increasing those procedures have not been clear. A 2011 MGH study found that ED CT scans changed the diagnosis and management plans of more than 40 percent of nearly 600 patients who had come to the hospital's ED with abdominal pain. Since that study focused on treatment of a single symptom at one institution, the current study was designed to take a broader look at the question.

The study was conducted at four academic medical centers around the U.S. and covered periods of 15 months between July 2012 and January 2014. Participating emergency department physicians - both staff physicians and residents - evaluating patients with abdominal pain, chest pain/shortness of breath, or headache were asked to complete brief surveys after their initial evaluation of the patients and again after receiving CT scan results. Pre-CT surveys asked for their initial diagnosis, their confidence in that diagnosis, any alternative diagnoses that should be ruled out and their current management decisions. Post-CT surveys asked whether the initial diagnosis had changed, whether the CT scan had helped to confirm or rule out alternative diagnoses, and whether management decisions had changed.

In total, 245 physicians completed both pre- and post-CT surveys for 1,280 patients who comprised the study group. In more than 80 percent of instances, the post-CT survey was completed the same day as the pre-CT survey. Whether participating physicians were attendings or residents did not affect the study results.

After CT, physicians' leading diagnoses changed for 51 percent of patients with abdominal pain, 42 percent of patients with chest pain/shortness of breath and 24 percent of patients with headache. The CT scan helped to confirm or rule out alternative diagnoses 95 to 97 percent of the time, across all symptom groups; and decisions about admitting patients to the hospital were changed 19 to 25 percent of the time.

"Our evaluation of physicians' diagnostic confidence revealed compelling results," says Pandharipande, who is an assistant professor of Radiology at Harvard Medical School. "While there was a wide spectrum of diagnostic confidence before CT, the greater a physician's initial confidence in a diagnosis, the less likely that diagnosis was to change after CT, indicating that physicians were sound judges of their own diagnostic certainty. But even in instances where physicians' pre-CT confidence in their initial diagnosis was greater than 90 percent, there were still changes in from 4 to 21 percent of cases."

She and her co-authors note that their study focuses on the benefits of emergency department CT scanning and does not address the costs and risks, such as radiation exposures, factors that must be included in a full risk/benefit evaluation. But the size and consistency of the benefits observed in this study indicate that policies solely designed to reduce the use of ED CT scans could compromise patient care. Future research should focus on better methods of identifying patients less likely to benefit from CT scanning - such as the three-quarters of headache patients whose diagnoses did not change - without reducing CT use in patients who would benefit.

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Chest CT scans often can be avoided in blunt trauma ER cases, study finds

Use of computed tomography (CT) scans of the chest for hospital emergency-room patients with blunt trauma could be reduced by more than one-third without compromising detection of major injury, concludes a new study led by a UC San Francisco physician.

The study team developed and evaluated decision-making tools based on clinical criteria that can be used to avoid unnecessary diagnostic imaging and thereby reduce medical costs, shorten patient stays in hospital emergency departments, and reduce patients' exposure to potentially harmful amounts of radiation.

Using two sets of criteria, the researchers demonstrated that nearly all major and minor injuries resulting from blunt trauma can be detected with fewer chest CT scans, each of which exposes the patient to levels of radiation several hundred times greater than a chest x-ray.

"CT scans deliver radiation dosages to the body that elevate cancer risk, especially in the young, and they are expensive, so we want to be sure to use them only when they are likely to provide a diagnostic benefit," said study leader Robert Rodriguez, MD, professor of emergency medicine at UCSF.

"Except for the chest x-ray, the clinical criteria we incorporated into the decision-making tools are simple, straightforward components of the routine trauma history and physical exam. Healthcare providers will not need to spend more time, money or effort to implement them."

The study, which included more than 11,000 patients ages 15 and over who were treated at one of eight different major trauma centers, was published online on October 6, 2015 in the journal PLOS Medicine.

Blunt trauma injuries, as distinct from penetrating knife and gunshot wound injuries, often result from automobile accidents and falls, and account for the bulk of ER trauma cases. Currently most blunt trauma victims admitted to the ER receive some type of CT imaging.

As part of the study, a panel of expert emergency medicine physicians and trauma surgeons defined major and minor blunt trauma injuries detectable with chest CT.

Major injuries included injury to the aorta, ruptured diaphragm, collapsed lung, blood in the pleural chest cavity, fractures of the thoracic spine, shoulder blade, or sternum, multiple fractured ribs that required surgery or epidural nerve block, bruised lungs that required mechanical ventilation, or injuries to the esophagus, trachea or the bronchi of the lungs that required surgery. Minor injuries included other injuries that did not require surgical intervention or mechanical ventilation, such as broken ribs or minor bruising of the lung.

Based on data collected from the first part of the study, which included 6,002 patients, the investigators developed two sets of criteria that would identify patients with injuries that can be seen with CT imaging and enable physicians to safely forego CT scans for patients meeting none of the injury criteria. The first set of seven criteria were abnormal chest x-ray; tenderness in the chest-wall, breast bone, shoulder blade or thoracic spine; "rapid deceleration mechanism," defined as a fall from 20 feet or more or a motor vehicle accident while traveling 40 miles per hour or faster; and the presence of other distracting, painful injuries, such as a broken thigh bone, which can make patients less aware of pain from injuries within the torso. The second set of criteria was the same except that rapid deceleration mechanism was excluded from consideration.

The validation phase of the study included an additional 5,475 patients. The researchers determined that use of either set of criteria would have resulted in identification of more than 99 percent of the major injuries in the study group. Use of the more comprehensive criteria would have identified about 95 percent of all injuries, in comparison to about 90 percent identified with the smaller set, but would have reduced use of chest CT scans by about one-quarter, instead of by more than one-third.

The study was observational rather than interventional; trauma care providers in the emergency room were not aware of the decision-making tools in deciding whether to order CT exams.

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Simulation training saves precious minutes in speeding the treatment of trauma patients

New trauma care training gets patients to imaging tests quicker and also involves former trauma patients and families who provide feedback to caregivers

When a trauma patient enters the emergency room, the medical team has what is known as the "golden hour," a window of time to evaluate and stabilize the patient to prevent death. To help trauma teams optimize that limited time frame, trauma surgeons have developed a simulation training program that cuts precious minutes off evaluation times and gets trauma patients to medical imaging tests faster, investigators reported at the 2015 Clinical Congress of the American College of Surgeons.

"Identifying injuries and getting patients to treatment within the first hour after trauma can be the difference between life and death," said lead study author Andrea M. Long, MD, a clinical instructor and acute care surgery fellow at Wake Forest School of Medicine in Winston-Salem, N.C. "With simulation training, we were able to reduce the time for assessment of real trauma patients and get them to the CT scan quicker to evaluate for serious injuries."

Emergency room doctors and trauma surgeons developed the simulation sessions and conducted them along with other members of the emergency and trauma teams, including nurses, radiology technicians, respiratory therapists, and paramedics/emergency medical technicians. Simulation specialists helped design the scenarios and ran the patient simulator.

"This study actually started as a performance improvement project to reduce times to get patients to CT scan," Dr. Long said. "We then developed this project into a research study to evaluate exactly how our training impacted real patients in real trauma emergencies."

One unique feature of the Wake Forest simulation model was the involvement of members of the Trauma Survivors Network (TSN), an advocacy organization for trauma survivors and their families, who observed the simulation sessions and gave feedback at debriefings. "As care providers, we can sometimes get focused on identifying and treating injuries, especially in a patient who is very unstable," Dr. Long said. "The TSN reminded us that many of our trauma patients are scared, confused, and in pain, and can't always see or understand what is going on as we try to take care of them. They stressed the importance of talking to the patients, making them understand what we are doing as we are doing it, and doing what we can to ease their anxiety as we treat all their other problems. We immediately saw a positive change in our interaction with patients after the first scenario and debriefing."

To evaluate the impact of the simulation training, the study's authors compared time to completion in minutes of three different aspects of the initial assessment of trauma patients--primary survey, or the "ABCs" (airway, breathing, and circulation), secondary survey (full head-to-toe assessment), and the time from patient arrival to transport to a computer tomography (CT) scan--before and after the simulation training.

While the time to ABCs did not change, the time to complete the head-to-toe assessment dropped from 14 minutes before the simulation to six minutes after, and the time to CT scan fell from 23 minutes before to 16 minutes post-simulation.

The Wake Forest researchers are already doing more simulation scenarios and plan to do more throughout the year to see if they can continue to increase their efficiency and decrease the time it takes to get patients to CT scan, Dr. Long explained.

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