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Hosseini SM, Talebi Boroujeni P, Dalil D, Hosseini Siyanaki MR, Golestanha SA, Gity M. Worldwide Knowledge About Interventional Radiology Among Medical Students: Findings of a Comprehensive Review. Cardiovasc Intervent Radiol 2023; 46:1641-1654. [PMID: 37798431 DOI: 10.1007/s00270-023-03558-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 09/05/2023] [Indexed: 10/07/2023]
Abstract
PURPOSE The objective of this comprehensive review is to investigate the studies assessing the interventional radiology knowledge among medical students worldwide and inspect the feasible solutions for improving their perspective on this specialty. METHODS A comprehensive literature search was accomplished on PubMed, Scopus, Web of science, and Embase databases. The quality of eligible articles was assessed with the QATSDD assessment tool. RESULTS After screening of articles, 29 studies were included. All the included articles were published between 2009 and 2021, with 20 studies performed in 2017 and thereafter. Interventional radiologists' duties, procedures, and training pathways were the main subjects investigated in surveys. The interest and exposure to interventional radiology were also assessed. All the studies indicated that the knowledge about interventional radiology compared with other specialties is weak. In 14 studies, over 50% of participants reported their interventional radiology knowledge as either poor or none. The most reason for not considering interventional radiology residency was lack of awareness during medical schools. Studies which held a tutorial course reported the students' awareness and interest improved significantly after the course. CONCLUSION The present evidence indicates that although the current awareness of interventional radiology is low, timely didactic courses in medical schools can improve this condition significantly, lead to graduation of more oriented referring physicians, and also attract more fit applicants to interventional radiology residency programs.
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Affiliation(s)
| | - Parham Talebi Boroujeni
- Advanced Diagnostic Interventional Radiology Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Davood Dalil
- Student Research Committee, Faculty of Medicine, Shahed University, Tehran, Iran.
- Mostafa Khomeini Hospital, Italy Street, Tehran, Iran.
| | | | | | - Masoumeh Gity
- Advanced Diagnostic Interventional Radiology Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Osman FH, Koe JSE, Lau ESW, Nagaraj D, Ng HHL, Ong LA, McGuire L, Ng A, Asif A, Uberoi R, Chan VWS, Lakshminarayan R, Wah TM. Evaluation of learning and exposure in the undergraduate interventional radiology curriculum (ELIXIR). Clin Radiol 2023; 78:e773-e781. [PMID: 37550131 DOI: 10.1016/j.crad.2023.07.001] [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: 11/01/2022] [Revised: 04/19/2023] [Accepted: 07/02/2023] [Indexed: 08/09/2023]
Abstract
AIM To gauge current final year medical students' exposure to interventional radiology (IR)and assess their perceptions of IR as a prospective career option. MATERIALS AND METHODS An online questionnaire comprising of questions that gauge final-year medical students' understanding of and exposure to IR based on the recommendations set out by the British Society of Interventional Radiology (BSIR), was sent out to final-year students across 34 UK medical schools. RESULTS Five hundred and ten responses were collected from 33 out of 34 eligible medical schools. Sixty-four per cent of respondents rated their own IR knowledge as inadequate. On average, only 50% of all subtopics proposed in the BSIR undergraduate curriculum was covered during medical school and 32.7% of respondents were not exposed to any fundamental IR principles and techniques recommended by the BSIR during medical school. Regarding careers, 2.7% of respondents reported a definite interest in pursuing a career in IR. Most respondents (89.8%) felt that there was insufficient undergraduate teaching on IR and that they lacked information to consider pursuing a career in IR (87.5%). CONCLUSION Insufficient exposure and teaching on IR throughout medical schools have led to a lack of awareness and consideration of IR as a future career choice amongst UK medical students. The re-evaluation of IR teaching in the medical school curricula is needed. In the long-term, such recommendations could provide the much-needed solution to the workforce shortages seen in IR.
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Affiliation(s)
- F H Osman
- School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK
| | - J S E Koe
- School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK
| | - E S W Lau
- School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK
| | - D Nagaraj
- School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK
| | - H H-L Ng
- School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK
| | - L A Ong
- University of Nottingham Medical School, University of Nottingham, Nottingham NG7 2UH, UK
| | - L McGuire
- Undergraduate School of Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK
| | - A Ng
- UCL Medical School, University College London, London WC1E 6DE, UK; British Urology Researchers in Surgical Training (BURST), London W1W 7TS, UK
| | - A Asif
- British Urology Researchers in Surgical Training (BURST), London W1W 7TS, UK; Leicester Medical School, University of Leicester, Leicester LE1 7HA, UK
| | - R Uberoi
- Department of Radiology, John Radcliffe Hospital, Oxford OX3 9BQ, UK
| | - V W-S Chan
- School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK; British Urology Researchers in Surgical Training (BURST), London W1W 7TS, UK
| | - R Lakshminarayan
- Department of Vascular Radiology, Hull University Teaching Hospitals NHS Trust, Hull HU3 2JZ, UK
| | - T M Wah
- Division of Diagnostic and Interventional Radiology, Institute of Oncology, St. James's University Hospital, Leeds LS9 7TF, UK; Leeds Institute of Medical Research, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK.
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Alexander HC, McLaughlin SJ, Thomas RH, Merry AF. Checklists for image-guided interventions: a systematic review. Br J Radiol 2021; 94:20200980. [PMID: 33684307 DOI: 10.1259/bjr.20200980] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES Safety checklists have improved safety in patients undergoing surgery. Checklists have been designed specifically for use in image-guided interventions. This systematic review aimed to identify checklists designed for use in radiological interventions and to evaluate their efficacy for improving patient safety. Secondary aims were to evaluate attitudes toward checklists and barriers to their use. METHODS OVID, MEDLINE, CENTRAL and CINAHL were searched using terms for "interventional radiology" and "checklist". Studies were included if they described pre-procedural checklist use in vascular/body interventional radiology (IR), paediatric IR or interventional neuro-radiology (INR). Data on checklist design, implementation and outcomes were extracted. RESULTS Sixteen studies were included. Most studies (n = 14, 87.5%) focused on body IR. Two studies (12.5%) measured perioperative outcome after checklist implementation, but both had important limitations. Checklist use varied between 54 and 100% and completion of items on the checklists varied between 28 and 100%. Several barriers to checklist use were identified, including a lack of leadership and education and cultural challenges unique to radiology. CONCLUSIONS We found few reports of the use of checklists in image-guided interventions. Approaches to checklist implementation varied, and several barriers to their use were identified. Evaluation has been limited. There seems to be considerable potential to improve the effective use of checklists in radiological procedures. ADVANCES IN KNOWLEDGE There are few reports of the use of checklists in radiological interventions, those identified reported significant barriers to the effective use of checklists.
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Affiliation(s)
- Harry C Alexander
- Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
| | - Scott Jp McLaughlin
- Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
| | - Robert H Thomas
- Department of Interventional Radiology, Saint Mary's Hospital, London, UK
| | - Alan F Merry
- Department of Anaesthesiology, University of Auckland, Auckland, New Zealand.,Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
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Duc NM, Huy HQ, Keserci B, Thong PM. A Preliminary Vietnamese Comparative Study of Postgraduate Radiological Thesis Characteristics. Med Arch 2021; 74:42-46. [PMID: 32317834 PMCID: PMC7164733 DOI: 10.5455/medarh.2020.74.42-46] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Introduction: Each country has its system of the training program, but to be concordant with the world in the radiology field, the process needs to have common points or common criteria. On maintaining the integrity of intersociety collaboration in the field of radiology, it is necessary to understand each country’s training program for each specialty. Aim: This retrospective study aims to compare the postgraduate thesis characteristics from various sources in the field of radiology. Methods: This was a retrospective study evaluating data that is publicly available online and at libraries and institutional review board approval, as such, was not demanded. We selected 40 published theses from the library of Pham Ngoc Thach University of Medicine and University of Medicine and Pharmacy at Ho Chi Minh City and Hanoi Medical University in Vietnam which graduated from 2008 to 2018. Of these, there were 10 PhD, 10 specialists II, 10 master’s, and 10 residency theses selected. Results: A total of 40 theses were analyzed from participants with a median age of 36.5. The male/female ratio was 23/17. Most of the theses were subspecialty in diagnostic radiology (87.5%) and focused on pathological radiology (95%). Adult patients were the major objectives of the theses accounted for 87.5% with predominant materials of magnetic resonance imaging counted for 47.5%. Theses in PhD group were the largest items regarding the total number of pages as well as the number of figures, and the number of references. Nonetheless, both domestic and international publications related to all theses were truly low. Conclusion: The postgraduate thesis of radiology in Vietnam has many different forms but mainly focuses on diagnostic and pathological radiology with materials of magnetic resonance imaging in adults. The number of international publications regarding the thesis was very small.
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Affiliation(s)
- Nguyen Minh Duc
- Doctoral Program, Department of Radiology, Hanoi Medical University, Ha Noi, Vietnam.,Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.,Department of Radiology, Children's Hospital 02, Ho Chi Minh City, Vietnam
| | - Huynh Quang Huy
- Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.,Department of Radiology, Ho Chi Minh Oncology Hospital, Ho Chi Minh City, Vietnam
| | - Bilgin Keserci
- Department of Radiology, School of Medical Sciences, University Sains Malaysia, Kelantan, Malaysia.,Department of Radiology, Hospital University Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Pham Minh Thong
- Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
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Chung AJ, Mendis M. Re: what are the perceptions of interventional radiology amongst foundation doctors and how can awareness be improved? Clin Radiol 2020; 76:152. [PMID: 33261828 DOI: 10.1016/j.crad.2020.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Accepted: 10/30/2020] [Indexed: 10/22/2022]
Affiliation(s)
- A J Chung
- Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, Woolwich, UK.
| | - M Mendis
- Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, Woolwich, UK
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Agrawal D, Renfrew MA, Singhal S, Bhansali Y. Awareness and knowledge of interventional radiology among medical students at an Indian institution. CVIR Endovasc 2019; 2:45. [PMID: 32026159 PMCID: PMC6966400 DOI: 10.1186/s42155-019-0093-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 12/13/2019] [Indexed: 12/30/2022] Open
Abstract
Purpose Interventional radiology (IR) is a novel and evolving sub-specialty that encompasses image guided diagnostic and therapeutic procedures. With the advent of new imaging techniques and an increasing demand of minimally invasive procedures, IR continues to grow as a core component in medical and surgical therapeutics. Radiology teaching is a part of medical undergraduate curriculum; however, the medical undergraduate cohort lacks exposure to IR principles, methods and techniques. The purpose of this study is to determine the knowledge and awareness of IR among medical students in a single university in India. Materials and methods Electronic anonymous surveys were sent to 350 medical students of Pt. JNM Medical College, Raipur, India. Each survey comprised of questions assessing knowledge and exposure to IR. A total of 70 students (20%) responded. Results 85.7% of respondents positively reported that radiologists have a role in diagnostic as well as therapeutic interventions, however, 60% of students cited a very poor/poor knowledge of IR. A larger part, 91.5%, stated that they would be interested in IR based teaching delivered as a part of their undergraduate teaching program. Those who knew at least one interventional radiology technique were 1.51 (95% CI: 1.02–2.22; p < 0.05) times more likely to be considering it as a career. Conclusion Medical Students demonstrate a poor knowledge of IR. This corresponds to a limited and inconsistent exposure to IR in medical schools. The study suggests that there is a need to deliver an IR based curriculum in medical undergraduate teaching in India. Our proposition includes introducing a regulated IR teaching in undergraduate medical education using new module designs and presenting medical students an opportunity to attend IR education days, symposiums and conferences to incite early participation.
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Affiliation(s)
- Deepsha Agrawal
- County Durham and Darlington NHS Foundation Trust, Darlington, UK.
| | | | - Sulove Singhal
- Pt Jawaharlal Nehru Memorial Medical College, Raipur, India
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Muzumdar S, Dayal S, Mohamed M, Sandhu S, Singh S, Walker P. Understanding the Awareness, Knowledge and Perceptions of Interventional Radiology Amongst Undergraduates in the UK. Cardiovasc Intervent Radiol 2019; 42:1459-1465. [PMID: 31069466 DOI: 10.1007/s00270-019-02234-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Accepted: 04/23/2019] [Indexed: 01/16/2023]
Abstract
INTRODUCTION The role of interventional radiology (IR) in health care is rapidly expanding in the United Kingdom (UK). However, the presence of IR in the current undergraduate curriculum is lacking. PURPOSE This study investigates the awareness, knowledge and perceptions of IR in undergraduates through the clinical years of medical school to suggest future interventions. METHODS A total of 360 questionnaires, designed to test undergraduates' knowledge of, and exposure to, IR were distributed over a 14-day period in a UK medical institution. RESULTS Of the 312 respondents (86.7%), the majority had never formally shadowed a radiologist (65.4%) or encountered teaching from an interventional radiologist (54.5%). Most students (88.5%) felt their knowledge of IR was lower than other specialties. Students' knowledge of IR procedures did not statistically increase through the clinical years. Students were most cognisant of vascular procedures and least aware of IR's role in oncology. Only 10.9% would consider a career in IR, with 39.7% citing the lack of knowledge and 18.6% citing patient contact as the top reasons for this. CONCLUSION Current students have poor exposure to IR through the undergraduate curriculum. Consequently, there is no increase in knowledge of IR clinical practice through the clinical years. Multi-level interventions, incorporating universities and radiological societies are required to increase undergraduate awareness and promote IR as a career. LEVEL OF EVIDENCE Level 3, Local non-random sample.
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Affiliation(s)
- Siddhant Muzumdar
- Leeds Teaching Hospitals NHS Trust, 10 Mansion Gate, Chapel Allerton, Leeds, LS7 4SX, UK.
| | - Siya Dayal
- University of Birmingham, Birmingham, UK
| | | | | | - Saisha Singh
- London School of Economics and Political Science, London, UK
| | - Paul Walker
- Leeds Teaching Hospitals NHS Trust, 10 Mansion Gate, Chapel Allerton, Leeds, LS7 4SX, UK
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Nichani S, Menon V. Should there be greater exposure to interventional radiology in the undergraduate curriculum? Medical students' perspectives. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2018; 9:285-286. [PMID: 29749972 PMCID: PMC5933466 DOI: 10.2147/amep.s162217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Sahil Nichani
- Barts and the London School of Medicine and Dentistry, London, UK
| | - Vishnu Menon
- Bristol Medical School, University of Bristol, Bristol, UK
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Kulkarni S, Farooq Z. Introducing interventional radiology through a longitudinal clinical clerkship. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2018; 9:215-216. [PMID: 29664472 PMCID: PMC5892966 DOI: 10.2147/amep.s161073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Sagar Kulkarni
- Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Zia Farooq
- Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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