Why Reading Rooms Should Copy Aircraft Cockpits, Not the Other Way Around | Les Folio

Dr. Les Folio has one of the most unusual resumes you'll hear on this show. Before he ever read a scan, he was a volunteer firefighter who got burned on his first field fire, a drummerwho hauled his gear around in a hearse, and an X-ray tech who got hooked watching a CT scanner run its first head scan back in 1977. He spent 20 years in the Air Force as a colonel, deploying to some of the busiest combat hospitals in Iraq and serving as a NASA liaison, before becoming a chest radiologist and imaging informatics section chief at the James A. Haley VA Hospital, a professor at USF Morsani College of Medicine, and a longtime board member of the Society for Imaging Informatics in Medicine. He's published more than 150 peer-reviewed papers and remains one of the most active mentors in theSIIM community. Les and Jason start with reading room ergonomics: research Les has led comparing radiologist workstation setups to aircraft cockpits and NASA mission control, and why four monitors, notthree, became the standard in so many reading rooms. From there they dig into a naming problem Les sees nearly every day, CT orders labeled “high resolution” that actually route patients to roughly six times the radiation of a standard low dose scan, and the SIIM hackathon team that tackled it when two competing groups, Rad Guide and Les's own VA team, merged instead of competing. They also cover PACS Man, the crowdsourced lesion-segmentation game that turned a SIIM showcase into aleaderboard-fueled frenzy, and what CIIP candidates consistently underestimate about the gap between passing the exam and being genuinely useful on the job. Les shares a story from a combat hospital in Iraq where point-of-care ultrasound caught a pneumothorax a chest X-ray would have missed, plus an update on SIIM's POCUS work group and the push to formalize POCUS manager roles. He closes with his radiology pre-processing course, which flips traditional shadowing on its head, and a preview of the space medicine work he's doing with NASA flight surgeon Jeff Jones. If PACS, DICOM, HL7, or enterprise imaging AI are part of your world, this one is worth the full listen. Jason also has an update from nagelsconsulting.com: the Imaging Informatics Primer course is a great startingpoint if you're new to the field, the CIIP Foundations material is built for anyone prepping for certification, and the hands-on DICOM Learning Lab gives you live, practical reps with the standard itself. Learn more at nagelsconsulting.com #ImagingInformatics #PACS #DICOM#HealthcareIT #RadiologyIT #CIIP #SIIM #POCUS #RadiologyAI #MedicalImaging#HealthIT #MedicalEducation #EnterpriseImaging #CombatRadiology 4. Hashtags