You practice in Québec ? If so I am quite surprised, because my wife had a lot of scans and we never met a radiologists who wasn't a radio-oncologist. And her oncologist never talked with the radiologists either. The communication between them was always through written demands and reports. And the situation is similar between her neurologist and the radiologists.

By the way, even if I sound dismissive I have great respect for the skills required by your profession. Reading an IRM is really hard when you have the radiologist report in hand and to my untrained eyes it's impossible without it!

And since you talk to patients frequently, I have an even greater respect of you as a radiologist.