Prenatal Imaging .

"Bad news" is defined as "any news that alters a patient's view of the future for the worst". Sadly few pediatric radiologists are trained with communication skills that are seriously necessary to provide optimal care to the expecting parents. Pediatric radiologists are the people who interpret ultrasounds and are ultimately the person who will have to tell patients and their partners the outcome of the ultrasound. Communication process is extremely difficult when telling patients a fetal abnormality has been diagnosed. Key clinical and ethical features are most important when making conversations with pregnant patients in the challenging setting of fetal abnormalities. The emotional toll on the radiologist in these types of prenatal health-care conversations are very uniquely challenging. Normally radiologist tell the doctor the "bad news" and it's the doctor to tell it but recently radiologists are the ones to deliver unsettling news and yet they don't have good training to deal with what to say or what the patient will say or do. This problem needs to be addressed and is a big reason why I myself do not want to be a pediatric radiologist and deal with ultrasounds and the emotional baggage one can keep after working in that field for so long.