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Kadom N, Lasiecka ZM, Nemeth AJ, Rykken JB, Lui YW, Seidenwurm D. Patient Engagement in Neuroradiology: A Narrative Review and Case Studies. AJNR Am J Neuroradiol 2024; 45:250-255. [PMID: 38216301 DOI: 10.3174/ajnr.a8077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 09/20/2023] [Indexed: 01/14/2024]
Abstract
The field of patient engagement in radiology is evolving and offers ample opportunities for neuroradiologists to become involved. The patient journey can serve as a model that inspires patient engagement initiatives. The patient journey in radiology may be viewed in 5 stages: 1) awareness that an imaging test is needed, 2) considering having a specific imaging test, 3) access to imaging, 4) imaging service delivery, and 5) ongoing care. Here, we describe patient engagement opportunities based on literature review and paired with case studies by practicing neuroradiologists.
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Affiliation(s)
- Nadja Kadom
- From the Emory University School of Medicine (N.K.), Children's Healthcare of Atlanta, Atlanta, Georgia
| | | | - Alexander J Nemeth
- Northwestern University, Feinberg School of Medicine, Northwestern Memorial Hospital (A.J.N.), Chicago, Illinois
| | | | - Yvonne W Lui
- New York University, Grossman School of Medicine (Y.W.L.), New York, New York
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Rikard BK, French RJ, Martin JG. Novel radiology PRIMER course enhances medical student perception of radiology and key concept comprehension. Curr Probl Diagn Radiol 2024:S0363-0188(24)00024-0. [PMID: 38245427 DOI: 10.1067/j.cpradiol.2024.01.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 01/16/2024] [Indexed: 01/22/2024]
Abstract
RATIONALE AND OBJECTIVES A novel three-day radiology course, PRIMER, directly preceding medical students' clinical year, was created and assessed. The required course consisted of large group lecture sessions, small group breakout sessions, and individual assignments. Though early exposure to radiology has been described in preclinical anatomy curricula, few schools offer immersive experiences to radiology as a direct predecessor to the wards. MATERIALS AND METHODS An identical survey was distributed prior to and at the completion of the PRIMER course. Students' perceptions of radiology were assessed through Likert-style questions. Students' knowledge of radiological concepts was assessed through multiple choice questions (MCQs) related to key concepts, MCQs in which students selected the most likely diagnosis, and hotspot questions in which learners had to select the area of greatest clinical importance. Mean pre- and post-course student perception scores were compared using a T-test. For knowledge-based questions, each student received an exam score, and mean pre- and post-exam scores were compared using a T-test. RESULTS Students' opinions of radiology changed significantly in a favorable direction across all tested questions between inception and conclusion of PRIMER (p < 0.01). Students demonstrated superior knowledge of radiological concepts after course completion (posttest mean 52% vs pretest mean 26.3%, p < 0.01). CONCLUSION The novel radiology PRIMER course promoted a positive impression of radiology and increased medical students' knowledge of key concepts. These results suggest that a condensed introductory radiology curriculum delivered at a key moment in the overarching curriculum can have a significant impact on medical students' perceptions and knowledge.
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Affiliation(s)
- Blaire K Rikard
- Duke University School of Medicine, Durham, North Carolina, United States; Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, United States
| | - Robert J French
- Duke University School of Medicine, Durham, North Carolina, United States; Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, United States
| | - Jonathan G Martin
- Duke University School of Medicine, Durham, North Carolina, United States; Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, United States.
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Hassankhani A, Amoukhteh M, Valizadeh P, Jannatdoust P, Sabeghi P, Gholamrezanezhad A. Radiology as a Specialty in the Era of Artificial Intelligence: A Systematic Review and Meta-analysis on Medical Students, Radiology Trainees, and Radiologists. Acad Radiol 2024; 31:306-321. [PMID: 37349157 DOI: 10.1016/j.acra.2023.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/20/2023] [Accepted: 05/21/2023] [Indexed: 06/24/2023]
Abstract
RATIONALE AND OBJECTIVES Artificial intelligence (AI) is changing radiology by automating tasks and assisting in abnormality detection and understanding perceptions of medical students, radiology trainees, and radiologists is vital for preparing them for AI integration in radiology. MATERIALS AND METHODS A systematic review and meta-analysis were conducted following established guidelines. PubMed, Scopus, and Web of Science were searched up to March 5, 2023. Eligible studies reporting outcomes of interest were included, and relevant data were extracted and analyzed using STATA software version 17.0. RESULTS A meta-analysis of 21 studies revealed that 22.36% of individuals were less likely to choose radiology as a career due to concerns about advances in AI. Medical students showed higher rates of concern (31.94%) compared to radiology trainees and radiologists (9.16%) (P < .01). Radiology trainees and radiologists also demonstrated higher basic AI knowledge (71.84% vs 35.38%). Medical students had higher rates of belief that AI poses a threat to the radiology job market (42.66% vs 6.25%, P < .02). The pooled rate of respondents who believed that "AI will revolutionize radiology in the future" was 79.48%, with no significant differences based on participants' positions. The pooled rate of responders who believed in the integration of AI in medical curricula was 81.75% among radiology trainees and radiologists and 70.23% among medical students. CONCLUSION The study revealed growing concerns regarding the impact of AI in radiology, particularly among medical students, which can be addressed by revamping education, providing direct AI experience, addressing limitations, and emphasizing medico-legal issues to prepare for AI integration in radiology.
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Affiliation(s)
- Amir Hassankhani
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Avenue Ste 2315, Los Angeles, CA 90089 (A.H., M.A., P.V., P.J., P.S., A.G.); Department of Radiology, Mayo Clinic, Rochester, Minnesota (A.H., M.A.).
| | - Melika Amoukhteh
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Avenue Ste 2315, Los Angeles, CA 90089 (A.H., M.A., P.V., P.J., P.S., A.G.); Department of Radiology, Mayo Clinic, Rochester, Minnesota (A.H., M.A.)
| | - Parya Valizadeh
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Avenue Ste 2315, Los Angeles, CA 90089 (A.H., M.A., P.V., P.J., P.S., A.G.)
| | - Payam Jannatdoust
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Avenue Ste 2315, Los Angeles, CA 90089 (A.H., M.A., P.V., P.J., P.S., A.G.)
| | - Paniz Sabeghi
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Avenue Ste 2315, Los Angeles, CA 90089 (A.H., M.A., P.V., P.J., P.S., A.G.)
| | - Ali Gholamrezanezhad
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Avenue Ste 2315, Los Angeles, CA 90089 (A.H., M.A., P.V., P.J., P.S., A.G.)
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Pirocca U, Vinchon F, Beregi JP, Jacques T, Delabrousse E, Gouy E, Rolland F, Truong LN, Frajerman A, Ohana M, Malakhia A, Hadouiri N. How do medical students, residents and graduated physicians really perceive radiologists? A cross-national study. Eur J Radiol 2023; 168:111115. [PMID: 37832193 DOI: 10.1016/j.ejrad.2023.111115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 09/08/2023] [Accepted: 09/25/2023] [Indexed: 10/15/2023]
Abstract
BACKGROUND Radiology has always been an attractive specialty for residents, but its attractiveness has recently decreased in France regarding the median choice rank after at the National Residency Board. AIM To study Radiologists' perceptions and social representations (SRs) among a group of medical students, residents and graduated physicians in France, to better understand the view of Radiologists to debunk stereotypes. METHODS The nationwide web-based survey was based on valid hierarchical evocation methods. We determined the corpus's central core and SRs' principal themes with prototypical and correspondence factor analysis (CFA), respectively. RESULTS Overall, 419 answers were analyzed. Radiologists' SRs were divided into 3 classes: negative stereotypes of Radiologists, negative stereotypes of the Radiologists' daily practice and Radiologists' skills. After multivariate analysis, variables that seemed to have a positive influence on Radiologists' SRs were considering radiology as a potential choice of specialty (p < 0.001) and the existence of practical experience in Radiology (p = 0.008). Women seemed to have a more negative SR of Radiologists than men (p = 0.035). DISCUSSION This was the largest qualitative study on the subject and the only one among medical students, residents and graduated physicians, allowing a global picture. SRs of Radiologists seemed to be negative, potentially caused by poor knowledge of the Radiologists' profession. CONCLUSION SRs of Radiologists among medical students and graduated physicians appears to be negative. Promoting the specialty among medical students and encouraging their immersion in a Radiology department could help to debunk many stereotypes about the daily life and missions of Radiologists.
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Affiliation(s)
- Ugo Pirocca
- Department of Radiology, Centre Hospitalier Universitaire de Besançon, 25030 Besançon, France; Department of Vascular & Interventional Radiology, University Hospital of Dijon, Dijon, France
| | - Florent Vinchon
- Université Paris Cité et Université Gustave Eiffel, LaPEA, F-92100 Boulogne-Billancourt, France
| | - Jean Paul Beregi
- Department of Radiology, Nîmes Carémeau University Hospital, 30900 Nimes, France
| | - Thibaut Jacques
- Service de radiologie et d'imagerie musculo-squelettique, centre de consultation et d'imagerie de l'appareil locomoteur, CHU de Lille, avenue du Professeur Emile-Laine, 59000 Lille, France; Faculté de médecine, université de Lille, Lille, France
| | - Eric Delabrousse
- Department of Radiology, Centre Hospitalier Universitaire de Besançon, 25030 Besançon, France
| | - Evan Gouy
- Genetics Department, University Hospital of Lyon, Bron, France; Genetics and Neurobiology of C. elegans, Mechanisms in Integrated Life Sciences (CNRS UMR 5284 - INSERM U1314 - Claude Bernard University Lyon 1), NeuroMyoGene Institute, Lyon, France
| | - Franck Rolland
- CESP-Inserm, U1018, Research in Ethics and Epistemology (R2E), Paris-Sud University, Paris-Saclay University, Inserm, Paris, France
| | - Linh Nam Truong
- Faculté de Médecine, Université de Bourgogne-Franche-Comté, 7 boulevard Jeanne D'Arc, Dijon, France
| | - Ariel Frajerman
- Université Paris-Saclay, AP-HP, Service Hospitalo-Universitaire de Psychiatrie, Hôpital de Bicêtre, Equipe MOODS, Inserm U1178, CESP (Centre de Recherche en Epidémiologie et Sante des Populations), Le Kremlin-Bicêtre, France
| | - Mickael Ohana
- Radiology Department, Nouvel Hôpital Civil, 1 Place de l'Hôpital, 67000 Strasbourg, France
| | - Alexandre Malakhia
- Department of Radiology, Centre Hospitalier Universitaire de Besançon, 25030 Besançon, France; Department of Vascular & Interventional Radiology, University Hospital of Dijon, Dijon, France
| | - Nawale Hadouiri
- Department of Physical Medicine and Rehabilitation, Center Hospitalier Universitaire de Dijon, 21000 Dijon, France.
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Eltawil FA, Atalla M, Boulos E, Amirabadi A, Tyrrell PN. Analyzing Barriers and Enablers for the Acceptance of Artificial Intelligence Innovations into Radiology Practice: A Scoping Review. Tomography 2023; 9:1443-1455. [PMID: 37624108 PMCID: PMC10459931 DOI: 10.3390/tomography9040115] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 07/23/2023] [Accepted: 07/26/2023] [Indexed: 08/26/2023] Open
Abstract
OBJECTIVES This scoping review was conducted to determine the barriers and enablers associated with the acceptance of artificial intelligence/machine learning (AI/ML)-enabled innovations into radiology practice from a physician's perspective. METHODS A systematic search was performed using Ovid Medline and Embase. Keywords were used to generate refined queries with the inclusion of computer-aided diagnosis, artificial intelligence, and barriers and enablers. Three reviewers assessed the articles, with a fourth reviewer used for disagreements. The risk of bias was mitigated by including both quantitative and qualitative studies. RESULTS An electronic search from January 2000 to 2023 identified 513 studies. Twelve articles were found to fulfill the inclusion criteria: qualitative studies (n = 4), survey studies (n = 7), and randomized controlled trials (RCT) (n = 1). Among the most common barriers to AI implementation into radiology practice were radiologists' lack of acceptance and trust in AI innovations; a lack of awareness, knowledge, and familiarity with the technology; and perceived threat to the professional autonomy of radiologists. The most important identified AI implementation enablers were high expectations of AI's potential added value; the potential to decrease errors in diagnosis; the potential to increase efficiency when reaching a diagnosis; and the potential to improve the quality of patient care. CONCLUSIONS This scoping review found that few studies have been designed specifically to identify barriers and enablers to the acceptance of AI in radiology practice. The majority of studies have assessed the perception of AI replacing radiologists, rather than other barriers or enablers in the adoption of AI. To comprehensively evaluate the potential advantages and disadvantages of integrating AI innovations into radiology practice, gathering more robust research evidence on stakeholder perspectives and attitudes is essential.
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Affiliation(s)
- Fatma A. Eltawil
- Department of Medical Imaging, University of Toronto, Toronto, ON M5S 1A1, Canada; (F.A.E.); (M.A.); (E.B.)
| | - Michael Atalla
- Department of Medical Imaging, University of Toronto, Toronto, ON M5S 1A1, Canada; (F.A.E.); (M.A.); (E.B.)
| | - Emily Boulos
- Department of Medical Imaging, University of Toronto, Toronto, ON M5S 1A1, Canada; (F.A.E.); (M.A.); (E.B.)
| | - Afsaneh Amirabadi
- Diagnostic Imaging Department, The Hospital for Sick Children, Toronto, ON M5G 1E8, Canada;
| | - Pascal N. Tyrrell
- Department of Medical Imaging, University of Toronto, Toronto, ON M5S 1A1, Canada; (F.A.E.); (M.A.); (E.B.)
- Department of Statistical Sciences, University of Toronto, Toronto, ON M5G 1Z5, Canada
- Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada
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Grimm LJ. Response to "It is All About Perspective: Students' Opinion About Radiology". Acad Radiol 2023; 30:1227. [PMID: 37045649 DOI: 10.1016/j.acra.2023.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 03/14/2023] [Indexed: 04/14/2023]
Affiliation(s)
- Lars J Grimm
- Department of Radiology, Duke University Medical Center, DUMC Box 3808, 40 Duke Medicine Circle, Durham, NC 27710; Duke Cancer Institute, DUMC Box 3917, Durham, NC 27710.
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Steinhardt NP, Wise RL, Overcast WB, Agarwal A, Gunderman RB. Trainee as mentor: a case study. Pediatr Radiol 2023; 53:5-7. [PMID: 36151221 PMCID: PMC9510447 DOI: 10.1007/s00247-022-05514-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 07/31/2022] [Accepted: 09/02/2022] [Indexed: 01/24/2023]
Affiliation(s)
- Nicole P. Steinhardt
- grid.414923.90000 0000 9682 4709Department of Radiology, Riley Hospital for Children, Indiana University School of Medicine, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202 USA
| | - Rachel L. Wise
- grid.414923.90000 0000 9682 4709Department of Radiology, Riley Hospital for Children, Indiana University School of Medicine, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202 USA
| | - Wynton B. Overcast
- grid.414923.90000 0000 9682 4709Department of Radiology, Riley Hospital for Children, Indiana University School of Medicine, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202 USA
| | - Atul Agarwal
- grid.414923.90000 0000 9682 4709Department of Radiology, Riley Hospital for Children, Indiana University School of Medicine, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202 USA
| | - Richard B. Gunderman
- grid.414923.90000 0000 9682 4709Department of Radiology, Riley Hospital for Children, Indiana University School of Medicine, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202 USA
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Vayani OR, Lassner JW, Shehata C, Straus CM, Gadde JA. Using a Nationwide Virtual Radiology Student Interest Group to Expand Medical Students' General Awareness, Drive Greater Interest, and Achieve Uniform National Messaging in the Field of Radiology. Acad Radiol 2022; 30:1210-1219. [PMID: 35933283 DOI: 10.1016/j.acra.2022.06.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 06/15/2022] [Accepted: 06/24/2022] [Indexed: 11/01/2022]
Abstract
RATIONALE AND OBJECTIVES Many medical schools offer minimal exposure to radiology, leading to a decreased understanding of the field and negative perceptions among medical students. The purpose of this study was to examine the effects of a radiology intensive series piloted by a novel virtual radiology interest group. Specifically, we were interested in how radiologists and medical educators can expand students' general awareness, drive greater interest in the field, and achieve more uniform national messaging across all trainees. MATERIALS AND METHODS We launched a national/international interest group called Radiology Student Interest Group (RadSIG) and piloted the RadSIG Intensive, a series of five events aimed at increasing awareness and dispelling misconceptions among preclinical medical students. Validated pre-intensive and post-intensive surveys were used to ascertain the students' baseline and changed perspectives, respectively. A separate faculty survey was also distributed to understand how they perceived our events. Statistical analysis was carried out on the collected data to identify trends and assess the utility of our programming. RESULTS 205 students completed the pre-intensive survey, and 61 students completed the post-intensive survey. Of the pre-intensive survey respondents, 51.7% (106/205) indicated that they had a limited understanding of what a career in radiology entails. Of those who completed the entire RadSIG Intensive, average 5-point Likert scale scores for understanding of a radiology career rose from 3.30 to 4.38 respectively pre- to post-completion. A Wilcoxon signed-rank test revealed that this difference was statistically significant (Z=-5.95, p<0.001), and that the RadSIG Intensive significantly improved perceptions of radiologists across every single question measured, except for perception of long hours worked (Z=-0.20, p=0.841). The results also showed increased student comfort in reaching out to radiology attendings (Z=-4.30, p<0.001) and residents (Z=-5.12, p<0.001). Faculty survey results indicated positive perceptions of the series. CONCLUSION Our results show that the RadSIG Intensive was effective in increasing students' understanding of radiology as a field and a potential career. Online outreach can also lower the resistance and improve student comfort in reaching out for mentorship, which may provide a new pathway to reach underserved students with a unifying message. By furthering a platform based on voluntary and supplemental resources, we see a far greater potential of impacting the perception and known role of the imager in patient care among our next generation of physicians.
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Affiliation(s)
- Omar R Vayani
- The University of Chicago Pritzker School of Medicine, Chicago, Illinois.
| | - Jared W Lassner
- The University of Chicago Pritzker School of Medicine, Chicago, Illinois
| | - Christina Shehata
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | | | - Judith A Gadde
- Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Division of Pediatric Radiology and Neuroradiology, Chicago, Illinois
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Nguyen MT, Bhatt AA, Henrichsen T. Exploring your Interest in Radiology: A First-Year Medical Student's Perspective. Curr Probl Diagn Radiol 2022; 51:813-814. [DOI: 10.1067/j.cpradiol.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 07/27/2022] [Indexed: 11/22/2022]
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