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In five years here and 20 years in rads I have only rarely been asked for leg length films. Any exam done only once a year isn’t routine in my book. If you are doing these routinely, I would argue that you are doing to many. Most orthopods I know don’t even believe that they are of any use.
As for bone age, I would say that if you have no pediatricians in your town then cases should go to where you have at least that. I believe FP has it’s place, but it isn’t to replace all the specialists. I have seen to many times that they tried to care for patients out of their league and screwed things up. If you think that 3 years of FP is the same as 3 of peds,3 of IM, 4 of OB/Gyn combined then I think you are sadly mistaken.
