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Jacquet L, Paucsik M, Guy JB, Eve K, Ben-Taarit I, Lantheaume S. Self-compassion and psychological well-being of radiographers at work. Int J Qual Stud Health Well-being 2024; 19:2287621. [PMID: 38055785 DOI: 10.1080/17482631.2023.2287621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 11/21/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVES The aim of this study was to assess how self-compassion affects the psychological well-being of radiographers at work. METHODS An online survey was sent to radiology and radiotherapy departments in Rhône-Alpes, a region of France (from October 2021 to February 2022). The study is mixed: quantitative data, with closed questions and two validated scales, and qualitative data, with open questions aimed at assessing perceptions among radiologists as regards self-compassion. RESULTS A total of 253 radiographers (mean age 32.9 years), took part in this survey. Radiographers reported a poor level of well-being and a moderate level of self-compassion. We found a link between well-being at work and self-compassion. Gender, age, number of years of experience and the desire to receive training on well-being appear to have an impact on the level of self-compassion. The perception of self-compassion by radiologists is essentially positive. CONCLUSION Particular attention should be paid to radiologists who are female, young, and with only a few years of experience. Self-compassion is a protective factor for radiologists and may help them take care of themselves to continue caring for others. Training related to self-compassion should be promoted in medical imaging departments.
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Affiliation(s)
- Leïla Jacquet
- Institut Supérieur Technologique Montplaisir, Valence (Drôme), France
| | - Marine Paucsik
- Univ. Grenoble Alpes, Univ. Savoie Mont Blance, Grenoble (Isère), France
| | | | - Karine Eve
- Institut Supérieur Technologique Montplaisir, Valence (Drôme), France
| | - Isabelle Ben-Taarit
- Ramsay Santé Hôpital Privé Drôme Ardèche, Guilherand-Granges (Ardèche), France
| | - Sophie Lantheaume
- Institut Supérieur Technologique Montplaisir, Valence (Drôme), France
- Univ. Grenoble Alpes, Univ. Savoie Mont Blance, Grenoble (Isère), France
- Ramsay Santé Hôpital Privé Drôme Ardèche, Guilherand-Granges (Ardèche), France
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Kresse ME, Morris RW, Weaver JS, Chang CY. Current state of musculoskeletal fellowship program directors and future directions. Skeletal Radiol 2024; 53:1165-1172. [PMID: 38133671 DOI: 10.1007/s00256-023-04553-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 12/14/2023] [Accepted: 12/15/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE To better understand the current state of musculoskeletal fellowship program directors and identify opportunities for formal training that could increase job satisfaction, provide a broader knowledge base for mentoring/advising trainees and increase diversity in musculoskeletal radiology. MATERIALS AND METHODS Eighty-one fellowship program directors who signed the Fellowship Match Memorandum of Understanding with the Society of Skeletal Radiology were sent a survey with questions about demographics, career, background, and training both for musculoskeletal radiology and for the fellowship director role. RESULTS A 57/81 (70%) of program directors responded, representing 27 different states with a range of 1-9 fellowship positions. Nearly half are in their forties (48%) with most identifying as White (67%) followed by Asian (30%). The majority are male (72%) with over half (60%) remaining at the institution where they completed prior training. Over half plan to change roles within 5 years and do not feel adequately compensated. Top qualities/skills identified as important for the role include effective communication, being approachable, and clinical excellence. Other than clinical excellence, most do not report formal training in skills identified as important for the role. CONCLUSIONS Given the high amount of interaction with trainees, program directors play a key role in the future of our subspecialty. The low diversity among this group, the lack of formal training, and the fact that most do not feel adequately compensated could limit mentorship and recruitment. Program directors identified effective communication, organizational/planning skills, and conflict resolution as the top skills they would benefit from formal training.
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Affiliation(s)
- Maxine E Kresse
- Department of Radiology and Medical Imaging, University of Virginia, PO Box 800170, Charlottesville, VA, 22908, USA.
| | - Robert W Morris
- University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA
| | - Jennifer S Weaver
- University of Texas Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229, USA
| | - Connie Y Chang
- Massachusetts General Hospital, 55 Fruit Street Yawkey 6E, Boston, MA, 02114, USA
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Wasserman MS, Rozenshtein A, Bedi HS. Implementation of training level-specific self-study guides for diagnostic radiology residents. Curr Probl Diagn Radiol 2024; 53:395-398. [PMID: 38272752 DOI: 10.1067/j.cpradiol.2024.01.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 01/16/2024] [Indexed: 01/27/2024]
Abstract
INTRODUCTION Currently, there is no universally accepted diagnostic radiology curriculum for self-studying, so diagnostic radiology residents often have a challenging time knowing where to begin their independent studying away from work. In an effort to meet the needs of today's residents, we attempted to provide structured, comprehensive self-studying suggestions in a digestible and personalized format. MATERIALS AND METHODS Each radiology division attempted to create an optimal learning resource form for the residents to use for self-studying while on each rotation. Each self-study guide included hyperlinks to easily accessible online resources. RESULTS Training level-specific week-by-week recommendations were provided based on the expected types of cases a resident would typically encounter during that timeframe. All of the neuroradiology rotation forms and several of the other subspecialty forms were originally made available to the residents and faculty electronically on July 1, 2022. The forms are now distributed to newly rotating residents on a monthly basis. DISCUSSION There is a fine balance between providing residents with comprehensive review material and promoting realistic expectations. In addition, educators must keep in mind financial limitations of their residents and institutions. Learning resources must be affordable to be accessible to all residents. As radiology and technology continuously advance, there will undoubtedly be more and more excellent resources for trainees to learn from. To optimize self-studying, retention of information, and wellness, it is imperative to provide our residents with a structured, personalized, manageable curriculum including easily accessible high-yield resources.
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Affiliation(s)
- Michael S Wasserman
- Boston University Chobanian & Avedisian School of Medicine, Boston Medical Center, Department of Radiology, 820 Harrison Avenue, FGH Building, 4th Floor, Boston, MA 02118, USA.
| | - Anna Rozenshtein
- New York Medical College, Westchester Medical Center, 100 Woods Road, Valhalla, NY 10595, USA
| | - Harprit S Bedi
- Boston University Chobanian & Avedisian School of Medicine, Boston Medical Center, Department of Radiology, 820 Harrison Avenue, FGH Building, 4th Floor, Boston, MA 02118, USA
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Parekh A, Oeppen R. Expanding radiology training: lessons from establishing a new Dorset training programme. Clin Radiol 2024; 79:319-322. [PMID: 38383256 DOI: 10.1016/j.crad.2024.01.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 01/26/2024] [Accepted: 01/29/2024] [Indexed: 02/23/2024]
Affiliation(s)
- A Parekh
- NHSE Wessex School of Radiology, Southampton, UK; University Hospitals Dorset NHS Foundation Trust, Poole, Dorset, UK.
| | - R Oeppen
- NHSE Wessex School of Radiology, Southampton, UK; University Hospital Southampton NHS Foundation Trust, Southampton, UK
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Kadom N, Peterson RB. Streaming Success: Harnessing Social Media for Dynamic Radiology Education. Curr Probl Diagn Radiol 2024; 53:335-340. [PMID: 38508977 DOI: 10.1067/j.cpradiol.2024.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 03/07/2024] [Indexed: 03/22/2024]
Abstract
Social media are increasingly used as tools in radiologists education. This article describes features that aid with the selection of SM platforms, and how to emulate educator roles in the digital world. In addition, we summarize best practices regarding curating and delivering stellar content, building a SM brand, and rules of professionalism when using SM in radiology education.
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Affiliation(s)
- Nadja Kadom
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA; Department of Radiology, Children's Healthcare of Atlanta- Egleston Campus, Atlanta, GA, USA.
| | - Ryan B Peterson
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA
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Shahriari M, Hesami M, Bar-Or YD, Davoudmanesh Z, Franck B, Yousem DM. Radiology trainee retirement programs: Options and participation. Curr Probl Diagn Radiol 2024; 53:389-394. [PMID: 38272751 DOI: 10.1067/j.cpradiol.2024.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Accepted: 01/16/2024] [Indexed: 01/27/2024]
Abstract
BACKGROUND Financial security and retirement planning are essential for all medical professionals including radiology residents. Given the available discretionary income during residency it is crucial to have insights into investment. We aimed to assess the prevalence of retirement plans offered to radiology residents, the available choices, and their degree of participation. METHODS Two surveys were created using Qualtrics platform, one targeting program directors and another one oriented to radiology residents with items focused on demographic, financial status, offered plans, and participation. Analysis was performed using chi square whenever appropriate using Qualtrics platform. P values less than 0.05 were considered statistically significant. RESULTS 199 radiology residents (72.6% attending university-based programs) responded to the survey. 83.7% participated in retirement plans; university-based programs had the highest rate of offering plans; 82.8% vs 70% and 53.8% for university, community and hybrid programs respectively. The most frequently offered retirement plan was a 403(b). Most of the residents (94.3%) started investment in the retirement program as early as PGY1 and PGY2. A considerable proportion of programs lacked formal training on retirement plans; however, residents emphasized the significance of financial education during their residency. CONCLUSION Radiology residents are more likely to participate in a retirement plan if it is offered by their program. Providing proper guidance by incorporating financial education into radiology residency curricula can optimize residents' decision making and economical planning, leading to a more secure financial future.
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Affiliation(s)
- Mona Shahriari
- Neuroradiology Division, Department of Radiology, Johns Hopkins University School of Medicine, Phipps B100, 600 N. Wolfe Street, Baltimore, MD 21287, United States.
| | - Mina Hesami
- Section of Emergency Ultrasound, Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, United States
| | | | | | | | - David M Yousem
- Neuroradiology Division, Department of Radiology, Johns Hopkins University School of Medicine, Phipps B100, 600 N. Wolfe Street, Baltimore, MD 21287, United States
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Lian G, Xiao Y, Huang Y, Wang H, Huang L, Yang H, Zhu C, Mei W, Huang R. Attitudes toward communication skills with learner needs assessment within radiology residency programs in China: a cross-sectional survey. BMC Res Notes 2024; 17:114. [PMID: 38654288 PMCID: PMC11036608 DOI: 10.1186/s13104-024-06779-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 04/17/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Communication skills (CS) represent a core competency in radiology residency training. However, no structured curriculum exists to train radiology residents in CS in China. The aim of this study was to evaluate the status and prevalence of doctor-patient communication training among radiology residents in nine Chinese accredited radiology residency training programs and to determine whether there is a perceived need for a formalized curriculum in this field. METHODS We administered a cross-sectional online survey to radiology residents involved in CS training at nine standard residency training programs in China. The questionnaire developed for this study included CS training status, residents' demographics, attitudes toward CS training, communication needs, and barriers. Residents' attitudes toward CS training were measured with the Communication Skills Attitude Scale (CSAS) and its subscales, a positive attitude scale (PAS) and negative attitude scale (NAS). RESULTS A total of 133 (48.36%) residents participated in the survey. The mean total scores on the two dimensions of the CSAS were 47.61 ± 9.35 in the PAS and 36.34 ± 7.75 in the NAS. Factors found to be significantly associated with the PAS included receiving previous training in CS, medical ethics, or humanities and the doctor's attire. We found that first-year residents and poor personal CS were the most influential factors on the NAS. Only 58.65% of participants reported having previously received CS training during medical school, and 72.93% of respondents reported failure in at least one difficult communication during their residency rotation. Most of those surveyed agreed that CS can be learned through courses and were interested in CS training. Some of the most common barriers to implementing formal CS training were a lack of time, no standardized curriculum, and a lack of materials and faculty expertise. CONCLUSIONS Most residents had a very positive attitude toward CS training and would value further training, despite the limited formal CS training for radiology residents in China. Future efforts should be made to establish and promote a standard and targeted CS curriculum for Chinese radiology residents.
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Affiliation(s)
- GengPeng Lian
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Yubin Xiao
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Yingling Huang
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Huanpeng Wang
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Lipeng Huang
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Hongwu Yang
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Chunmin Zhu
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China
| | - Wei Mei
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China.
| | - Ruibin Huang
- Department of Radiology, First Affiliated Hospital, Shantou University Medical College, Shantou, 515041, Guangdong, China.
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Yamahata A, Imai S, Funahashi M, Onishi H. [Clinical Validation of Chest X-ray Educational Content for Radiography Students Using Gaze Information]. Nihon Hoshasen Gijutsu Gakkai Zasshi 2024; 80:354-364. [PMID: 38325850 DOI: 10.6009/jjrt.2024-1433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
PURPOSE Radiography training for students in colleges of radiology should be based on real clinical situations. The purpose of this study was to verify the clinical validity of our originally developed scenarios for chest X-ray training and the instructional contents using gaze information of experienced radiology technologists (RTs). METHODS We divided 8 RTs with different experiences into an evaluator group (3 RTs) and a subject group (5 RTs). The evaluator group created a validation model consisting of 31 items, a chest X-ray scenario, instructional contents, and gaze attention objects during the scenario. The subject group simulated chest X-ray wearing an eye tracker. The evaluator group evaluated fit rates of the validation model to subjects' procedures based on gaze information to verify the clinical validity of the validation model. RESULTS The subject group procedures did not deviate from the scenario. We obtained a fit rate of 91.6±6.70%. CONCLUSION Our validation model showed more than 90% fitting with the chest X-ray techniques of five RTs with different backgrounds. This result suggested that the scenario and instructional contents in this study had clinical validity.
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Affiliation(s)
- Asuka Yamahata
- Department of Radiological Sciences, Faculty of Medical Science Technology, Morinomiya University of Medical Sciences
| | - Shinya Imai
- Department of Radiological Sciences, Faculty of Medical Science Technology, Morinomiya University of Medical Sciences
| | - Masao Funahashi
- Department of Radiological Sciences, Faculty of Medical Science Technology, Morinomiya University of Medical Sciences
| | - Hideo Onishi
- Department of Radiological Sciences, Faculty of Medical Science Technology, Morinomiya University of Medical Sciences
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Rao K, Perry S, Hagedorn J, Carter K, Balkenende B, Policeni B. Impact of a Reading Room Coordinator on Efficiency of On-Call Radiology Residents. J Am Coll Radiol 2024; 21:642-650. [PMID: 37777077 DOI: 10.1016/j.jacr.2023.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 05/07/2023] [Accepted: 05/09/2023] [Indexed: 10/02/2023]
Abstract
OBJECTIVES Few level I trauma, tertiary care, academic centers have a paid, permanent reading room coordinator (RRC) to facilitate image management services during off-hour calls, to minimize interruptions to reading workflow. The purpose of this study is to investigate the effect of an RRC on the efficiency of radiology residents signing preliminary reports for emergency department (ED) and inpatient studies. METHODS A pre- and postintervention retrospective review was performed, using carestream PACS to retrieve imaging studies read on call during two time periods-July 1 to December 1, 2019 (pre-RRC), and July 1 to December 1, 2021 (post-RRC). Efficiency of residents signing preliminary reports was measured by turnaround time (TAT), defined as the time from when a study was marked complete by a technologist to when a preliminary report was signed by a resident, in PACS. RESULTS In the above time periods, residents interpreted a total of 64,406 studies on call. For ED studies, the mean TAT was 7.0 min shorter post-RRC, compared with pre-RRC (95% confidence interval [CI]: -7.8 to -6.1, (t = 15.50, degrees of freedom (df) = 31,866, P < .0001). The percentage of ED studies signed within 30 min increased from 57.7% to 65.8%, an increase of 8.1% (95% CI: 7.0% to 9.1%) after employing an RRC (χ2 = 228.11, df = 1, P < .0001). For inpatient studies, the mean TAT was 10.2 min shorter post-RRC (95% CI: -12.3 to -8.0, t = 9.22, df = 25,193, P < .0001). CONCLUSIONS An RRC increased radiology resident on-call workflow efficiency, facilitating care for patients in both the ED and inpatient setting.
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Affiliation(s)
- Karan Rao
- Department of Radiology, University of Iowa, Iowa City, Iowa
| | - Sarah Perry
- Department of Biostatistics, University of Iowa, Iowa City, Iowa
| | - Joshua Hagedorn
- Carver College of Medicine, University of Iowa, Iowa City, Iowa
| | - Knute Carter
- Clinical Associate Professor, Department of Biostatistics; Deputy Director, Center for Public Health Statistics, College of Public Health, University of Iowa, Iowa City, Iowa
| | | | - Bruno Policeni
- Clinical Professor, Director of Neuroradiology Fellowship; Vice-Chair for Operations and Education, Department of Radiology, University of Iowa, Iowa City, Iowa.
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Musa A, Hall H, Johnson SC, Alchammas J, Badawy M, Harb A. The role of moonlighting in radiology residency. Clin Imaging 2024; 108:110083. [PMID: 38340436 DOI: 10.1016/j.clinimag.2024.110083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 12/13/2023] [Accepted: 01/07/2024] [Indexed: 02/12/2024]
Affiliation(s)
- Arif Musa
- Department of Radiology, Detroit Medical Center, Detroit, MI 48201, United States of America.
| | - Hunter Hall
- Department of Radiology, Detroit Medical Center, Detroit, MI 48201, United States of America
| | - Samuel C Johnson
- Department of Radiology, Detroit Medical Center, Detroit, MI 48201, United States of America
| | - Jorge Alchammas
- Department of Radiology, Detroit Medical Center, Detroit, MI 48201, United States of America
| | - Mohamed Badawy
- Department of Radiology, Detroit Medical Center, Detroit, MI 48201, United States of America
| | - Ali Harb
- Department of Radiology, Detroit Medical Center, Detroit, MI 48201, United States of America
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Czerminski J, Pahade JK, Davis MA, Mezrich JL. The disproportionate impact of peer learning on emergency radiology. Emerg Radiol 2024; 31:133-139. [PMID: 38261134 DOI: 10.1007/s10140-024-02207-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 01/17/2024] [Indexed: 01/24/2024]
Abstract
PURPOSE The use of peer learning methods in radiology continues to grow as a means to constructively learn from past mistakes. This study examined whether emergency radiologists receive a disproportionate amount of peer learning feedback entered as potential learning opportunities (PLO), which could play a significant role in stress and career satisfaction. Our institution offers 24/7 attending coverage, with emergency radiologists interpreting a wide range of X-ray, ultrasound and CT exams on both adults and pediatric patients. MATERIALS AND METHODS Peer learning submissions entered as PLO at a single large academic medical center over a span of 3 years were assessed by subspecialty distribution and correlated with the number of attending radiologists in each section. Total number of studies performed on emergency department patients and throughout the hospital system were obtained for comparison purposes. Data was assessed using analysis of variance and post hoc analysis. RESULTS Emergency radiologists received significantly more (2.5 times) PLO submissions than the next closest subspeciality division and received more yearly PLO submissions per attending compared to other subspeciality divisions. This was found to still be true when normalizing for increased case volumes; Emergency radiologists received more PLO submissions per 1000 studies compared to other divisions in our department (1.59 vs. 0.85, p = 0.04). CONCLUSION Emergency radiologists were found to receive significantly more PLO submissions than their non-emergency colleagues. Presumed causes for this discrepancy may include a higher error rate secondary to wider range of studies interpreted, demand for shorter turn-around times, higher volumes of exams read per shift, and hindsight bias in the setting of follow-up review.
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Affiliation(s)
- Jan Czerminski
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, TE2, New Haven, CT, 06520, USA
| | - Jay K Pahade
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, TE2, New Haven, CT, 06520, USA
| | - Melissa A Davis
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, TE2, New Haven, CT, 06520, USA
| | - Jonathan L Mezrich
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, TE2, New Haven, CT, 06520, USA.
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12
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Velleman T, Hein S, Dierckx RAJO, Noordzij W, Kwee TC. Reading room assistants to reduce workload and interruptions of radiology residents during on-call hours: Initial evaluation. Eur J Radiol 2024; 173:111381. [PMID: 38428253 DOI: 10.1016/j.ejrad.2024.111381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 01/23/2024] [Accepted: 02/16/2024] [Indexed: 03/03/2024]
Abstract
PURPOSE To determine how much timesaving and reduction of interruptions reading room assistants can provide by taking over non-image interpretation tasks (NITs) from radiology residents during on-call hours. METHODS Reading room assistants are medical students who were trained to take over NITs from radiology residents (e.g. answering telephone calls, administrative tasks and logistics) to reduce residents' workload during on-call hours. Reading room assistants' and residents' activities were tracked during 6 weekend dayshifts in a tertiary care academic center (with more than 2.5 million inhabitants in its catchment area) between 10 a.m. and 5p.m. (7-hour shift, 420 min), and time spent on each activity was recorded. RESULTS Reading room assistants spent the most time on the following timesaving activities for residents: answering incoming (41 min, 19%) and outgoing telephone calls (35 min, 16%), ultrasound machine related activities (19 min, 9%) and paramedical assistance such as supporting residents during ultrasound guided procedures and with patients (17 min, 8%). Reading room assistants saved 132 min of residents' time by taking over NITs while also spending circa 31 min consulting the resident, resulting in a net timesaving of 101 min (24%) during a 7-hour shift. The reading room assistants also prevented residents from being interrupted, at a mean of 18 times during the 7-hour shift. CONCLUSION This study shows that the implementation of reading room assistants to radiology on-call hours could provide a timesaving for residents and also reduce the number of times residents are being interrupted during their work.
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Affiliation(s)
- Ton Velleman
- Department of Radiology, Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
| | - Sandra Hein
- Department of Radiology, Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Rudi A J O Dierckx
- Department of Radiology, Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Walter Noordzij
- Department of Radiology, Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Thomas C Kwee
- Department of Radiology, Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
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Raviprasad A, Pierre K, Kang D, Turetsky J, Thakkar R, Batmunh B, Quisling R, Rees J, Lanier L, Slater RM, Sistrom CL, Sharma PG, Rajderkar DA, Mancuso AA. An assessment of radiology resident competency in identifying suppurative retropharyngeal lymphadenitis: an examination using the WIDI SIM platform. Emerg Radiol 2024; 31:187-192. [PMID: 38340256 DOI: 10.1007/s10140-024-02210-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 01/29/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND AND PURPOSE Suppurative retropharyngeal lymphadenitis is a retropharyngeal space infection almost exclusively seen in the young (4-8 years old) pediatric population. It can be misdiagnosed as a retropharyngeal abscess, leading to unnecessary invasive treatment procedures. This retrospective study aims to assess radiology residents' ability to independently identify CT imaging findings and make a definitive diagnosis of suppurative retropharyngeal lymphadenitis in a simulated call environment. MATERIALS AND METHODS The Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation (WIDI SIM) is a computer-aided emergency imaging simulation proven to be a reliable method for assessing resident preparedness for independent radiology call. The simulation included 65 cases across various imaging modalities of varying complexity, including normal studies, with one case specifically targeting suppurative retropharyngeal adenitis identification. Residents' free text responses were manually scored by faculty members using a standardized grading rubric, with errors subsequently classified by type. RESULTS A total of 543 radiology residents were tested in three separate years on the imaging findings of suppurative retropharyngeal lymphadenitis using the Wisdom in Diagnostic Imaging simulation web-based testing platform. Suppurative retropharyngeal lymphadenitis was consistently underdiagnosed by radiology residents being tested for call readiness irrespective of the numbers of years in training. On average, only 3.5% of radiology residents were able to correctly identify suppurative retropharyngeal lymphadenitis on a contrast-enhanced computed tomography (CT). CONCLUSIONS Our findings underscore a potential gap in radiology residency training related to the accurate identification of suppurative retropharyngeal lymphadenitis, highlighting the potential need for enhanced educational efforts in this area.
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Affiliation(s)
- Abheek Raviprasad
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
| | - Kevin Pierre
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Dahyun Kang
- College of Medicine, University of Florida, Gainesville, FL, USA
| | - Jordan Turetsky
- Department of Medicine, University of Florida College of Medicine, Gainesville, FL, USA
| | - Rajvi Thakkar
- College of Medicine, University of Florida, Gainesville, FL, USA
| | - Bayar Batmunh
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Ronald Quisling
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - John Rees
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Linda Lanier
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Roberta M Slater
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Christopher L Sistrom
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Priya G Sharma
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Dhanashree A Rajderkar
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Anthony A Mancuso
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
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Navarro-Ballester A. Letter to Editor Re: "Why Medical Students Pursue Radiology: A Current Longitudinal Survey on Motivations and Controversial Issues in Radiology". Acad Radiol 2024; 31:1724. [PMID: 38272729 DOI: 10.1016/j.acra.2023.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 12/07/2023] [Accepted: 12/11/2023] [Indexed: 01/27/2024]
Affiliation(s)
- Antonio Navarro-Ballester
- Servicio de Radiodiagnóstico, Hospital General Universitari de Castelló, Castellón de la Plana (Castellón), Benicasim avenue, 128, 12,004, Spain.
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15
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Morris RW, Kresse ME, Chang CY, Goodman EM. Five Years of the Musculoskeletal Radiology Fellowship Match: Trends and Perspectives. Acad Radiol 2024; 31:1698-1706. [PMID: 38042625 DOI: 10.1016/j.acra.2023.11.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 10/28/2023] [Accepted: 11/07/2023] [Indexed: 12/04/2023]
Abstract
RATIONALE AND OBJECTIVES The 2023 Match marks 5 years since the Musculoskeletal (MSK) Radiology Fellowship Match first took place in June 2019. The objective of this study is to analyze trends in the MSK Match over its 5-year course. MATERIALS AND METHODS Data from the National Resident Matching Program were evaluated for the number of applicants, medical school type of matched applicants, number of programs, and number of positions. Programs were grouped according to geographic region, program size, and ACGME accreditation status. These data were plotted to look for trends over time and by program characteristics. RESULTS There has been little variation in the number of eligible programs registering for the Match (range 80-83). The number of available positions has had a wider variation (range 204-218), and the number of applicants preferring MSK has varied from 156 to 178. The gap between positions and applicants has resulted in a percentage of positions filled that has ranged from 70.9% to 82.4%. Program size is positively correlated with Match rates, with 100% of programs with five or more positions filling ≥ 50% in 4 out of 5 years. CONCLUSION The variable numbers of fellowship positions and applicants have resulted in variable success of the Match by all metrics. Maintaining or increasing the number of applicants is the most critical factor for ongoing Match success.
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Affiliation(s)
- Robert W Morris
- University of Mississippi Medical Center, Division of Musculoskeletal Imaging, Department of Radiology, 2500 North State St. Jackson, Mississippi, 39216, USA (R.W.M.).
| | - Maxine E Kresse
- University of Virginia School of Medicine, Division of Musculoskeletal Imaging and Intervention, Department of Radiology and Medical Imaging, 1215 Lee St. Charlottesville, Virginia, 22908, USA (M.E.K.)
| | - Connie Y Chang
- Massachusetts General Hospital, Division of Musculoskeletal Imaging and Intervention, Department of Radiology, 55 Fruit St. Boston, Massachusetts, 02114, USA (C.Y.C.)
| | - Eric M Goodman
- Zucker School of Medicine at Hofstra/Northwell, Division of Musculoskeletal Imaging, Department of Radiology, 500 Hofstra Blvd. Hempstead, New York, 11549, USA (E.M.G.)
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16
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Dupré M, Spruce R, Evans E, Meshaka R, Shelmerdine SC. Paediatric radiology training in the UK: a national trainee survey by the British Society of Paediatric Radiologists (BSPR). Clin Radiol 2024; 79:312-318. [PMID: 38302376 DOI: 10.1016/j.crad.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/05/2024] [Accepted: 01/14/2024] [Indexed: 02/03/2024]
Abstract
AIM To survey current UK radiology trainee experiences and opinions regarding the quality of paediatric radiology training encountered in their core years, and assess their career ambitions with regards to paediatric radiology. MATERIALS AND METHODS A 22-question online survey, approved by the BSPR committee, was promoted over 12 months (1 February 2022 to 31 January 2023) across current radiology trainees and fellows via regional radiology training programme directors (TPDs), Junior Radiology Forum (JRF) trainee representatives, at BSPR Junior Forum webinar teaching sessions, and via social media/word of mouth. RESULTS Eighty-three UK survey responses were received from 17/19 (89%) training schemes. Sixty of the 83 (72%) had taken or were due to take a 2-4 month core paediatric radiology placement partly at tertiary centres (66/83, 80%), with 67/83 (81%) receiving dedicated didactic teaching. Only 26/83 (31%) reported fulfilling core curriculum competencies and 32/83 (39%) reported not receiving enough paediatric radiology training. Almost a quarter (18/83, 22%) reported <2 months of paediatric radiology rotation during core training and 12% (10/83) across six training schemes, reported no dedicated paediatric teaching sessions. Respondents who left negative comments around their experience were more likely to reject paediatric radiology as a future career option (p<0.05). CONCLUSIONS Only 31% of UK radiology trainees reported having enough paediatric radiology training to achieve core competencies. Standardised training, teaching, and increased on-call support could improve confidence in dealing with emergency cases and encourage interest in paediatric radiology beyond junior years.
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Affiliation(s)
- M Dupré
- Department of Clinical Radiology, Royal Hospital for Children, Glasgow, Scotland, UK
| | - R Spruce
- Department of Clinical Radiology, Imperial College Healthcare NHS Trust, London, UK
| | - E Evans
- Department of Clinical Radiology, University Hospital Coventry and Warwickshire, UK
| | - R Meshaka
- Department of Clinical Radiology, Great Ormond Street Hospital, London, UK
| | - S C Shelmerdine
- Department of Clinical Radiology, Great Ormond Street Hospital, London, UK; UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK; NIHR Great Ormond Street Hospital Biomedical Research Centre, London, UK.
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17
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Wells JB, Lewis SJ, Barron M, Trieu PD. Surgical and Radiology Trainees' Proficiency in Reading Mammograms: the Importance of Education for Cancer Localisation. J Cancer Educ 2024; 39:186-193. [PMID: 38100062 PMCID: PMC10994868 DOI: 10.1007/s13187-023-02393-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/03/2023] [Indexed: 04/05/2024]
Abstract
Medical imaging with mammography plays a very important role in screening and diagnosis of breast cancer, Australia's most common female cancer. The visualisation of cancers on mammograms often forms a diagnosis and guidance for radiologists and breast surgeons, and education platforms that provide real cases in a simulated testing environment have been shown to improve observer performance for radiologists. This study reports on the performance of surgical and radiology trainees in locating breast cancers. An enriched test set of 20 mammography cases (6 cancer and 14 cancer free) was created, and 18 surgical trainees and 32 radiology trainees reviewed the cases via the Breast Screen Reader Assessment Strategy (BREAST) platform and marked any lesions identifiable. Further analysis of performance with high- and low-density cases was undertaken, and standard metrics including sensitivity and specificity. Radiology trainees performed significantly better than surgical trainees in terms of specificity (0.72 vs. 0.35; P < 0.01). No significant differences were observed between the surgical and radiology trainees in sensitivity or lesion sensitivity. Mixed results were obtained with participants regarding breast density, with higher density cases generally having lower performance. The higher specificity of the radiology trainees compared to the surgical trainees likely represents less exposure to negative mammography cases. The use of high-fidelity simulated self-test environments like BREAST is able to benchmark, understand and build strategies for improving cancer education in a safe environment, including identifying challenging scenarios like breast density for enhanced training.
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Affiliation(s)
- J B Wells
- Discipline of Medical Imaging Sciences, Faculty of Medicine and Health, University of Sydney, D18 Susan Wakil Health Building, Western Avenue, Camperdown, NSW, 2006, Australia
| | - S J Lewis
- Discipline of Medical Imaging Sciences, Faculty of Medicine and Health, University of Sydney, D18 Susan Wakil Health Building, Western Avenue, Camperdown, NSW, 2006, Australia.
| | - M Barron
- Discipline of Medical Imaging Sciences, Faculty of Medicine and Health, University of Sydney, D18 Susan Wakil Health Building, Western Avenue, Camperdown, NSW, 2006, Australia
| | - P D Trieu
- Discipline of Medical Imaging Sciences, Faculty of Medicine and Health, University of Sydney, D18 Susan Wakil Health Building, Western Avenue, Camperdown, NSW, 2006, Australia
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18
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Jalloul M, Derbew HM, Miranda-Schaeubinger M, De Leon Benedetti L, Mekete Y, Jr Carbajal JA, Doherty M, Noor A, Dako F, Otero HJ. Case competition sessions: a global education and academic engagement tool. Pediatr Radiol 2024; 54:385-391. [PMID: 37535093 DOI: 10.1007/s00247-023-05723-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 07/13/2023] [Accepted: 07/14/2023] [Indexed: 08/04/2023]
Abstract
BACKGROUND Radiology virtual teaching sessions utilize live video conferencing to promote collaborative learning and engagement by discussing radiology cases. Because of its convenience and flexibility, this mode of education has gained popularity, particularly after the corona virus disease 2019 pandemic. OBJECTIVE We describe our experience in organizing a series of "Global Health Imaging Case Competitions" for trainees in low- and middle-income countries (LMICs). These competitions provide the trainees with an opportunity to present unique radiology cases, network with radiologists, learn about various radiology topics, win prizes and potentially publish their case reports in a peer-reviewed journal. MATERIALS AND METHODS Planning and execution of the competition involves several steps. First, trainees are invited to participate and submit abstracts discussing unique cases. The organizing committee grades these abstracts; the authors of the 20 abstracts with the highest scores are asked to submit a video presentation of their cases to be presented during the live webinar. During this webinar, presentations are displayed and graded to select winners. Additionally, the audience votes to choose a participant as the people's favorite. We have completed four cycles (Africa, Latin America and the Caribbean, Africa and the Middle East and Asia) and will continue in the same order of rotation. RESULTS Attendance totalled 2,510 participants from 50 countries. Pediatric cases represented the majority of cases among finalists. Feedback was positive; 26 out of 29 (90%) participants surveyed indicated that the webinar was "very good" to "excellent" with well-organized and challenging cases. Diversity of participating countries was noted. Limitations included technology barriers such as internet connectivity. CONCLUSION This innovative approach emphasizing audience participation engaged trainees from LMICs and fostered locoregional collegiality and mentoring.
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Affiliation(s)
- Mohammad Jalloul
- Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
| | - Hermon Miliard Derbew
- Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
- College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia
| | | | | | - Yadel Mekete
- Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
| | - Jesus A Jr Carbajal
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Megan Doherty
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Abass Noor
- Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
- Hospital of the University of Pennsylvania, Philadelphia, USA
| | - Farouk Dako
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
- Hospital of the University of Pennsylvania, Philadelphia, USA
| | - Hansel J Otero
- Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
- Hospital of the University of Pennsylvania, Philadelphia, USA
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19
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Miranda-Schaeubinger M, Derbew HM, Andronikou S, Jalloul M, Otero HJ. Global pediatric radiology education: responding to training-level specific needs. Pediatr Radiol 2024; 54:381-384. [PMID: 37610649 DOI: 10.1007/s00247-023-05747-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 08/08/2023] [Accepted: 08/09/2023] [Indexed: 08/24/2023]
Abstract
Pediatric radiology education for pediatric and radiology trainees and practicing professionals must be adapted to the target audience. In efforts to narrow the gaps in global pediatric radiology education, the Children's Hospital of Philadelphia's radiology department's Global Outreach and Education Program has designed specific interventions and curricula according to different levels of training and desired expertise. Our initiatives include an online "Introduction to Pediatric Imaging" lecture series for pediatrics residents in Botswana, Ethiopia and Vietnam; access to a learning management system (Outreach RADIAL) for radiology residents; case-based review sessions for pediatric radiology fellows; and in-person seminars for professionals from Eastern Europe and Africa. Here, we highlight our global education efforts to encourage other departments to take a similar systematic approach to outreach activities.
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Affiliation(s)
- Monica Miranda-Schaeubinger
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
| | - Hermon Miliard Derbew
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
| | - Savvas Andronikou
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
- University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA
| | - Mohammad Jalloul
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
| | - Hansel J Otero
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA
- University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA
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20
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Lewis K, Mdletshe S, Doubleday A, Pieterse T. The impact of intensive training in preliminary image evaluation (PIE) for radiographers in the emergency department of a regional hospital in New Zealand - A pilot study. Radiography (Lond) 2024; 30:688-693. [PMID: 38394826 DOI: 10.1016/j.radi.2024.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 02/04/2024] [Accepted: 02/13/2024] [Indexed: 02/25/2024]
Abstract
INTRODUCTION New Zealand has seen an increase in the X-ray examinations in the emergency departments (ED), and the radiology report is generally unavailable immediately. This requires practitioners managing the patient to take the responsibility of detecting any abnormalities in the images and using such information for the management of the patient. There is, therefore, a need for consideration of the contribution that radiographers could make in the accurate management of the patients in ED in New Zealand. The aim of this study was to assess if an intensive preliminary image evaluation (PIE) training course improved radiographer accuracy, sensitivity, and specificity on extremity X-ray examinations in a regional ED in New Zealand. METHOD A pre-post-intervention design was employed for this study. Seven radiographers working at a regional base hospital in New Zealand undertook image evaluation tests to evaluate their ability to detect and describe abnormalities prior to and following a 2-day intensive PIE training course. The training concentrated on acute extremity abnormalities. Tests were then scored to determine sensitivity, specificity, and accuracy. RESULTS Following an intensive PIE training course, the post-intervention test mean demonstrated an improved sensitivity by an average of 3.99% (89.01-93.0), specificity improved by an average of 6.13% (79.77-85.90%), and accuracy improved by an average of 3.33% (77.55-80.87%). CONCLUSION This study demonstrated that an intensive training course in PIE improved the participants' sensitivity, specificity, and accuracy when evaluating acute extremity X-ray examinations in ED at the study site, however further research is required to see if these results also represent clinical ability. IMPLICATION FOR PRACTICE The NZ healthcare system could benefit by the introduction of a radiographers' PIE system. It is therefore recommended that when introducing PIE into an ED in New Zealand, radiographers should undertake additional training to improve image evaluation sensitivity, specificity, and accuracy prior to participation.
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Affiliation(s)
- K Lewis
- Radiology Department, Te Whatu Ora Taranaki, New Plymouth, New Zealand; Department of Anatomy and Medical Imaging, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
| | - S Mdletshe
- Department of Anatomy and Medical Imaging, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - A Doubleday
- Department of Anatomy and Medical Imaging, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - T Pieterse
- Department of Anatomy and Medical Imaging, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
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21
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Neves J, Hsieh C, Nobre IB, Sousa SC, Ouyang C, Maciel A, Duchowski A, Jorge J, Moreira C. Shedding light on ai in radiology: A systematic review and taxonomy of eye gaze-driven interpretability in deep learning. Eur J Radiol 2024; 172:111341. [PMID: 38340426 DOI: 10.1016/j.ejrad.2024.111341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 01/04/2024] [Accepted: 01/25/2024] [Indexed: 02/12/2024]
Abstract
X-ray imaging plays a crucial role in diagnostic medicine. Yet, a significant portion of the global population lacks access to this essential technology due to a shortage of trained radiologists. Eye-tracking data and deep learning models can enhance X-ray analysis by mapping expert focus areas, guiding automated anomaly detection, optimizing workflow efficiency, and bolstering training methods for novice radiologists. However, the literature shows contradictory results regarding the usefulness of eye-tracking data in deep-learning architectures for abnormality detection. We argue that these discrepancies between studies in the literature are due to (a) the way eye-tracking data is (or is not) processed, (b) the types of deep learning architectures chosen, and (c) the type of application that these architectures will have. We conducted a systematic literature review using PRISMA to address these contradicting results. We analyzed 60 studies that incorporated eye-tracking data in a deep-learning approach for different application goals in radiology. We performed a comparative analysis to understand if eye gaze data contains feature maps that can be useful under a deep learning approach and whether they can promote more interpretable predictions. To the best of our knowledge, this is the first survey in the area that performs a thorough investigation of eye gaze data processing techniques and their impacts in different deep learning architectures for applications such as error detection, classification, object detection, expertise level analysis, fatigue estimation and human attention prediction in medical imaging data. Our analysis resulted in two main contributions: (1) taxonomy that first divides the literature by task, enabling us to analyze the value eye movement can bring for each case and build guidelines regarding architectures and gaze processing techniques adequate for each application, and (2) an overall analysis of how eye gaze data can promote explainability in radiology.
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Affiliation(s)
- José Neves
- Instituto Superior Técnico / INESC-ID, University of Lisbon, Portugal.
| | - Chihcheng Hsieh
- School of Information Systems, Queensland University of Technology, Australia.
| | | | | | - Chun Ouyang
- School of Information Systems, Queensland University of Technology, Australia.
| | - Anderson Maciel
- Instituto Superior Técnico / INESC-ID, University of Lisbon, Portugal.
| | | | - Joaquim Jorge
- Instituto Superior Técnico / INESC-ID, University of Lisbon, Portugal.
| | - Catarina Moreira
- Human Technology Institute, University of Technology Sydney, Australia.
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22
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Karera A, Engel-Hills P, Davidson F. Radiology image interpretation services in a low-resource setting: Medical doctors' experiences and the potential role of radiographers. Radiography (Lond) 2024; 30:560-566. [PMID: 38281318 DOI: 10.1016/j.radi.2024.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 01/04/2024] [Accepted: 01/12/2024] [Indexed: 01/30/2024]
Abstract
INTRODUCTION Medical doctors can encounter significant challenges in both the radiology image interpretation service and their ability to interpret images to promote effective patient management. This study aimed to explore the experiences of medical doctors in a low-resource setting regarding the image interpretation service received in state-funded hospitals and the potential role of radiographers. METHODS A qualitative approach with a descriptive phenomenology design was employed. Thirteen medical officers and medical interns, with a maximum of three years of experience, were purposively selected from three state-funded hospitals. Semi-structured interviews were conducted in English, and data analysis followed the conventional content analysis method using Atlas.ti for Windows (version 9). RESULTS Three main themes emerged from the data. The first theme was a poor image interpretation service which highlighted issues such as long turnaround times for image reporting and compromised patient management. The second theme was training and support deficiency which revealed the inadequacy of image interpretation training and the need for additional on-the-job support. The third theme was the inconspicuous radiographer role which showcased the potential opportunities for radiographers to aid in filling the gaps in the image interpretation system. CONCLUSION Medical doctors in this low-resource setting experience significant delays in radiology image interpretation, leading to compromised patient management. Their training in image interpretation is inadequate, and they often lack on-the-job support. Radiographers potentially play a role in image interpretation which may provide solutions to these contextual challenges. IMPLICATIONS FOR PRACTICE There is a need to review and develop a comprehensive image interpretation system that effectively supports medical doctors in image interpretation, possibly involving the collaboration of radiographers.
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Affiliation(s)
- A Karera
- Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
| | - P Engel-Hills
- Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
| | - F Davidson
- Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
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23
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Chilanga CC, Lysdahl KB. The radiographers' opinion on assessing radiological referrals. Radiography (Lond) 2024; 30:605-611. [PMID: 38330893 DOI: 10.1016/j.radi.2024.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Revised: 01/16/2024] [Accepted: 01/25/2024] [Indexed: 02/10/2024]
Abstract
INTRODUCTION Radiographers have a fundamental duty to assess radiological referrals and ensure imaging is justified. This study constitutes the third part of a broader research on radiographers' assessment of referrals. The study examines the opinions of radiographers on the matter, as articulated in their own words. METHODS A questionnaire with closed and open-ended questions was designed, validated, and distributed to radiographers following activities organised by the International Society of Radiographers and Radiological Technologists (ISRRT). This third part covers the participants' free-text comments about radiographers' assessment of referrals. Qualitative, inductive content analysis was used to report findings involving three phases: 1) Preparation, 2) Organisation where two authors individually coded and categorised the emerged themes, and 3) Reporting, were the authors compared, reviewed, and defined the meanings of the themes and sub-themes. RESULTS Five main themes Opportunity, Competency, Work environment, Role perception and Significance emerged, shaped as descriptive, normative, and prospective statements. In opportunities the respondents (descriptively) depicted the importance of their position and challenges faced, including lack of adequate clinical information in referrals. Competencies concerned whether they have the required knowledge and skills for the task. In work environment the respondents viewed themselves as partners and collaborators with radiologists and referrers but expressed that unclear regulations could challenge their task. In role perception, the respondents expressed (normatively) that assessing referrals is vital for professional self-esteem and radiographers' responsibility. Significance covers the importance of assessing referrals for different aspects relating to quality of services. CONCLUSION Radiographers expressed high engagement towards tasks of assessing referrals. To support radiographers in this role, it is crucial to establish clear regulations, better organisation of departmental processes and provide adequate training. IMPLICATIONS FOR PRACTICE Radiology departments should actively explore strategies of incorporating the radiographers' resources and core position in the process of assessing referrals, in a consistent and effective manner.
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Affiliation(s)
- C C Chilanga
- Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Pb 235, 3603 Kongsberg, Norway.
| | - K B Lysdahl
- Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Pb 235, 3603 Kongsberg, Norway
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Gupta VF, Gallo CJR, Chisholm M, Martin JG. Expansion of Scholarships for Visiting Students of Identities Underrepresented in Radiology. Acad Radiol 2024; 31:1221-1222. [PMID: 37821346 DOI: 10.1016/j.acra.2023.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 09/12/2023] [Accepted: 09/17/2023] [Indexed: 10/13/2023]
Affiliation(s)
- Vikram F Gupta
- Duke University School of Medicine, Durham, North Carolina, USA (V.F.G., M.C.)
| | - Christopher J R Gallo
- Division of Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA (C.G., J.G.M.)
| | - Miriam Chisholm
- Duke University School of Medicine, Durham, North Carolina, USA (V.F.G., M.C.)
| | - Jonathan G Martin
- Division of Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA (C.G., J.G.M.).
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25
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Burns L, Caterine S, Walker D, Ghumman Z, Lee SY. One-week radiology boot camp for pre-clerkship medical students: A novel format improving image interpretation and confidence. Curr Probl Diagn Radiol 2024; 53:252-258. [PMID: 38272750 DOI: 10.1067/j.cpradiol.2024.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 10/27/2023] [Accepted: 01/16/2024] [Indexed: 01/27/2024]
Abstract
RATIONALE AND OBJECTIVES To measure change in radiology knowledge, confidence in radiology skills, and perceptions pertaining to radiology following a one-week boot camp elective for undergraduate medical students. MATERIALS AND METHODS A five-day comprehensive radiology boot camp was developed including sessions on image interpretation, procedural skills, and appropriate image ordering. A multiple-choice quiz was administered before and after the elective, utilizing radiology questions from the validated AMSER STARS database. Additionally, a pre- and post-elective survey was administered assessing radiology career interest, confidence in radiology-based skills, and the potential ability of radiology-based skills to increase confidence in specialties other than radiology. Responses from the assessments were analysed using paired t-tests. RESULTS 15 students enrolled in the course and 14 completed all assessments. The average score on the quiz increased from 50.1% to 66.0% (p<0.001). On the post-elective survey, the average student confidence score increased by more than one point on a six-point Likert scale in each of radiographic interpretation (p=0.004), ultrasound interpretation (p=0.0002), CT/MRI interpretation (p=0.02), general radiology knowledge including procedural skills (p=0.0001), and appropriate image ordering (p=0.004). Average student satisfaction with the elective was 8.1 out of 10. CONCLUSION A one-week radiology boot camp for pre-clerkship medical students improved radiology knowledge and confidence in radiology skills, showing potential for this format to meet the demand for increased radiology content in undergraduate training. Students indicated that confidence in radiology knowledge would increase confidence on non-radiology clerkship rotations, highlighting the importance of how a one-week radiology bootcamp can impact both future radiology and non-radiology clerkship experiences.
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Affiliation(s)
- Levi Burns
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Scott Caterine
- Department of Radiology, McMaster University, Hamilton, Ontario, Canada
| | - Danielle Walker
- Department of Radiology, McMaster University, Hamilton, Ontario, Canada
| | - Zonia Ghumman
- Department of Radiology, McMaster University, Hamilton, Ontario, Canada
| | - Stefanie Y Lee
- Department of Radiology, McMaster University, Hamilton, Ontario, Canada.
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Rooks EA, Nayiga J, Rousslang LK, Meldrum JT, Ishikawa K, DeStigter KK, Rooks VJ. A pilot program evaluating WhatsApp as an interactive educational tool for pediatric radiology in Eastern Africa. Pediatr Radiol 2024; 54:400-406. [PMID: 37086289 PMCID: PMC10122084 DOI: 10.1007/s00247-023-05658-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 03/24/2023] [Accepted: 03/27/2023] [Indexed: 04/23/2023]
Abstract
The widespread use of WhatsApp as a communication tool makes it a candidate platform to facilitate the delivery of educational materials to radiology trainees in Eastern Africa. The aim of this pilot program is to assess the novel approach of using WhatsApp as a learning tool in pediatric radiology for residents in Kenya, Rwanda, Tanzania and Uganda. We recruited radiology residents to participate in a 3-month case-based pediatric radiology learning module that was delivered through WhatsApp to personal cell phones. Residents were presented with a multiple choice question once a week. Once they submitted their answer, the correct answer and explanations for each choice were provided. Questionnaires investigated comfort with reading pediatric radiology imaging, perception of the module content and convenience of the approach. Of the 72 participants, 40 (56%) responded to all 12 questions and both questionnaires, of whom 22 (55%) reported little to no comfort before the module and feeling very comfortable after. Confidence decreased with the number of incorrect answers. There was no correlation between the number of correct answers and the year level of the resident. Participants reported that the module was useful for learning pediatric radiology, found the material moderately difficult and found the application convenient for learning. Pediatric radiology educational content delivered over WhatsApp to residents in Eastern Africa is perceived as beneficial and convenient. This interactive learning platform provides opportunities for mentorship and enhanced learning of pediatric radiology.
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Affiliation(s)
- Elizabeth A Rooks
- John A. Burns School of Medicine, University of Hawaii, 651 Ilali Street, Honolulu, HI, 96813, USA.
| | - Joyce Nayiga
- Department of Radiology, Makerere University, Kampala, Uganda
| | - Lee K Rousslang
- Department of Radiology, Tripler Army Medical Center, Honolulu, HI, USA
| | - Jaren T Meldrum
- Department of Radiology, Alaska Native Medical Center, Anchorage, AK, USA
| | - Kyle Ishikawa
- Department of Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA
| | - Kristen K DeStigter
- Department of Radiology, University of Vermont Medical Center, Burlington, VT, USA
| | - V J Rooks
- Department of Radiology, Tripler Army Medical Center, Honolulu, HI, USA
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Mücke K, Igelbrink J, Busch C, Drescher D, Becker J, Becker K. Is there any sustained effect of the coronavirus disease 2019 pandemic? - A controlled trial comparing pre- and post-pandemic oral radiology courses. J Dent Educ 2024; 88:356-365. [PMID: 37997280 DOI: 10.1002/jdd.13417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Revised: 09/10/2023] [Accepted: 10/29/2023] [Indexed: 11/25/2023]
Abstract
PURPOSE/OBJECTIVES Due to the coronavirus disease 2019 (COVID-19) pandemic, undergraduate education shifted towards online-only formats from April 2020 until July 2021. Previous research indicated a negative effect on students' competence development, and it remains unclear whether blended learning concepts could provide compensation. Therefore, the present study aimed to compare pre- to post-pandemic students' performance in standardized baseline (BL) and final exams (FE), as well as the associated knowledge gain (KG) in three consecutive undergraduate blended learning-based oral radiology courses (C1-3). METHODS Ninety-four students participated during two pre-pandemic semesters (October 17-July 18), and ninety-eight students during two post-pandemic semesters (October 21-July 22). Before the pandemic, conventional face-to-face lectures were combined with an oral radiology platform. Two years into the COVID-19 pandemic, additional video-based e-learning modules were adopted from the pandemic online-only curriculum. In each semester, skills and KG were assessed by conducting standardized BL and FE. Students' performance in BL, FE, and the associated KG during pre-pandemic semesters was compared to post-pandemic semesters. RESULTS In post-pandemic courses, students showed significantly lower BL scores, whereas KG was significantly higher in post- compared to pre-pandemic semesters (27.42% vs. 10.64%, p < 0.001, respectively). FE scores in C1 significantly improved from pre- to post-pandemic semesters. CONCLUSIONS Within the limitations of our study, the lower BL scores confirmed the negative effect of the pandemic on competence development. Blended learning concepts seem to compensate for this effect and enable students to return to pre-pandemic levels. Future studies are needed to assess the additional impact of video-based e-learning modules.
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Affiliation(s)
- Katharina Mücke
- Department of Orthodontics, University Hospital Düsseldorf, Heinrich Heine University, Dusseldorf, Germany
| | - Justine Igelbrink
- Department of Orthodontics, University Hospital Düsseldorf, Heinrich Heine University, Dusseldorf, Germany
| | - Caroline Busch
- Department of Oral Surgery, University Hospital Düsseldorf, Heinrich Heine University, Dusseldorf, Germany
| | - Dieter Drescher
- Department of Orthodontics, University Hospital Düsseldorf, Heinrich Heine University, Dusseldorf, Germany
| | - Jürgen Becker
- Department of Oral Surgery, University Hospital Düsseldorf, Heinrich Heine University, Dusseldorf, Germany
| | - Kathrin Becker
- Department of Orthodontics and Dentofacial Orthopedics, Charité Berlin, Berlin, Berlin, Germany
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Hassankhani A, Amoukhteh M, Valizadeh P, Jannatdoust P, Walker DK, Gholamrezanezhad A. Diversity Patterns in Radiology Residency Applicants: A Comparative Study of Demographics (2013-2022). Acad Radiol 2024; 31:830-832. [PMID: 38320945 DOI: 10.1016/j.acra.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Revised: 11/29/2023] [Accepted: 01/01/2024] [Indexed: 02/08/2024]
Affiliation(s)
- Amir Hassankhani
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA; Department of Radiology, Mayo Clinic, Rochester, MN
| | - Melika Amoukhteh
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA; Department of Radiology, Mayo Clinic, Rochester, MN
| | - Parya Valizadeh
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Payam Jannatdoust
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Daphne K Walker
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA
| | - Ali Gholamrezanezhad
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA.
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29
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Farmakis SG, Chertoff JD, Straus CM, Barth RA. Response to Restructuring radiology clerkship to promote active learning. Acad Radiol 2024; 31:1225. [PMID: 38182441 DOI: 10.1016/j.acra.2023.12.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2023] [Indexed: 01/07/2024]
Affiliation(s)
- Shannon G Farmakis
- Mercy Children's Hospital, West County Radiological Group, Inc, 615 S. New Ballas Rd, St. Louis, MO 63141 (S.G.F.).
| | | | | | - Richard A Barth
- Department of Radiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California (R.A.B.)
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Mathurin CE, Tomblinson CM. Katherine P. Andriole - A trailblazer in medical informatics and radiology. Clin Imaging 2024; 107:110069. [PMID: 38237327 DOI: 10.1016/j.clinimag.2023.110069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 12/17/2023] [Accepted: 12/23/2023] [Indexed: 02/12/2024]
Abstract
In a traditionally male-dominated field, the journey of Dr. Andriole represents a pioneering path in the realms of radiology and medical imaging informatics. Her career has not only reshaped the landscape of radiology but also championed diversity, equity, and inclusion in healthcare technology. Through a comprehensive exploration of Dr. Andriole's career trajectory, we navigate her transition from analog to digital radiology, her influential role in pioneering picture archiving communication systems (PACS), and her dedication to mentorship and education in the field. Dr. Andriole's journey underscores the growing influence of women in radiology and informatics, exemplified by her Gold Medal accolades from esteemed organizations. Dr. Andriole's career serves as a beacon for aspiring radiologists and informaticians, emphasizing the significance of passion, mentorship, and collaborative teamwork in advancing the fields of radiology and informatics.
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Affiliation(s)
- Christian E Mathurin
- Meharry Medical College, Nashville, TN, United States of America. https://twitter.com/chrismathurinm4
| | - Courtney M Tomblinson
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States of America.
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31
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Bhatt AA, Henrichsen TL. A perspective on how to optimize breast imaging rotations for medical students. Curr Probl Diagn Radiol 2024; 53:190-191. [PMID: 38245429 DOI: 10.1067/j.cpradiol.2024.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 01/16/2024] [Indexed: 01/22/2024]
Abstract
As educators we try to acquire and retain the attention of medical students who rotate through radiology in hopes to improve recruitment. There are various ways to optimize a medical student rotation in breast imaging. We review our methods of identifying their medical interest, highlighting the steps in breast intervention, selecting key cases for review, and providing meaningful feedback.
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Affiliation(s)
- Asha A Bhatt
- Moffitt Cancer Center, Department of Radiology, Tampa, FL, United States.
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Koo HJ, Do KH. The Staffing Crisis and Burnout in Academic Radiology: Insights from a Survey Study in Korea. J Am Coll Radiol 2024; 21:505-514. [PMID: 37778572 DOI: 10.1016/j.jacr.2023.08.046] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Revised: 07/21/2023] [Accepted: 08/03/2023] [Indexed: 10/03/2023]
Abstract
OBJECTIVE Academic radiology is essential for advancing medical knowledge, improving patient care, and leading professional organizations. Any shortage of academic faculty affects the ability to provide quality education in radiology, conduct research, and advance the field. In this study, we aimed to identify contributors to the challenges faced by academic radiology in Korea and compare the work burden, career satisfaction, and burnout between academic radiology and private practice. METHODS A Google survey of members of the Korean Society of Radiology, conducted between August 19, 2022 and August 31, 2022, attracted responses from 642 radiologists, including 511 board-certified radiologists and 131 radiologist trainees. The survey assessed career satisfaction, burnout, and reasons for working in academia and frustrations with an academic career. RESULTS Of the responding academic radiologists, 53% were located in Seoul, and of the responding private practice radiologists, 71% were located in regions outside Seoul. The reported volume of image readings per month (CT and/or MRI) was higher for academic radiologists than for private practice radiologists, but no significant difference in the time taken to complete the readings was evident between the two groups. Compared with private practice radiologists, academic radiologists required more time for education, clinical conferences, and additional nonclinical tasks. Lower scores for career satisfaction and higher scores for burnout were reported by academic radiologists, compared with private practice radiologists. DISCUSSION The field of academic radiology in Korea faces challenges because of a faculty shortage. To prevent the collapse of education in radiology, interventions must address the identified contributors to this shortage, while increasing career satisfaction and reducing burnout among academic radiologists.
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Affiliation(s)
- Hyun Jung Koo
- Assistant Professor, Department of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea; member of academic committee of Korean Academy of Medical Science
| | - Kyung-Hyun Do
- Professor, Department of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea; director of international relations of Korean Medical Association; treasurer of Korean Academy of Medical Science; and chair of Radiology Advocacy Network of Korea for Quality and Safety (RANK-QS) of Korean Society of Radiology.
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Mohamed I, Bera K, Ramaiya N. The Undermined ACGME Subcompetency: A Roadmap for Radiology Residency Programs to Foster Residents-as-Educators. Acad Radiol 2024; 31:1189-1197. [PMID: 38052673 DOI: 10.1016/j.acra.2023.10.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 10/09/2023] [Accepted: 10/13/2023] [Indexed: 12/07/2023]
Abstract
Radiology Residency programs in the United States use a set of six core competencies as laid out by the Accreditation Council for Graduate Medical Education (ACGME) to evaluate the foundational skills of every resident. Despite the fact that educational skills are included under the heading of Practice-Based Learning and Improvement in the ACGME guidelines for radiology residents, it is often underappreciated and undervalued, when compared with medical knowledge or patient care. In this paper, the authors lay out the important role of residents-as-educators and how it can be inculcated as part of formal training during residency. They enunciate five pillars for academic programs to build and maintain the pedagogical skills of their radiology residents: Training, Practicing, Providing Feedback, Mentoring, and Changing the Culture. The authors believe that implementing this will holistically benefit radiology residents as well as radiology in building future educators. The authors also delineate the challenges that programs currently face in implementation and ways to overcome them.
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Affiliation(s)
- Inas Mohamed
- Department of Radiology, University Hospitals Cleveland Medical Center, 11000 Euclid Avenue, Cleveland, OH 44106
| | - Kaustav Bera
- Department of Radiology, University Hospitals Cleveland Medical Center, 11000 Euclid Avenue, Cleveland, OH 44106.
| | - Nikhil Ramaiya
- Department of Radiology, University Hospitals Cleveland Medical Center, 11000 Euclid Avenue, Cleveland, OH 44106
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Wu X, Khunte M, Tegtmeyer K, Bajaj S, Prajapati P, Payabvash S, Gandhi D, Malhotra A. Trends of diversity in radiology trainees compared to other primary- and nonprimary-care specialties. Clin Imaging 2024; 106:110015. [PMID: 38065023 DOI: 10.1016/j.clinimag.2023.110015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 10/24/2023] [Accepted: 10/30/2023] [Indexed: 01/15/2024]
Affiliation(s)
- Xiao Wu
- Department of Radiology, University of California at San Francisco, United States of America
| | - Mihir Khunte
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, United States of America.
| | - Kyle Tegtmeyer
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, United States of America.
| | - Suryansh Bajaj
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, United States of America
| | - Priyanka Prajapati
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, United States of America
| | - Seyedmehdi Payabvash
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, United States of America
| | - Dheeraj Gandhi
- Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology and Neurosurgery, University of Maryland School of Medicine, United States of America.
| | - Ajay Malhotra
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, United States of America.
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Neitzel E, vanSonnenberg E, Lynch K, Irwin C, Shah-Patel L, Mamlouk MD. Why Medical Students Pursue Radiology: A Current Longitudinal Survey on Motivations and Controversial Issues in Radiology. Acad Radiol 2024; 31:736-744. [PMID: 37852816 DOI: 10.1016/j.acra.2023.09.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 09/11/2023] [Accepted: 09/16/2023] [Indexed: 10/20/2023]
Abstract
RATIONALE AND OBJECTIVES Radiology is an increasingly competitive specialty. Various current factors influence medical students' decision to pursue a radiology career, including artificial intelligence (AI), remote reading, and COVID-19. This study seeks to determine the decision-making factors of all alumni from our medical school who matched into a radiology residency, and to gather opinions on emerging radiology topics. MATERIALS AND METHODS A survey querying decision-making factors and opinions on current radiology topics was distributed to all alumni from our medical school (first graduating class in 2011) who previously matched into a diagnostic or interventional radiology residency program (n = 57). Wilcoxon Rank-Sum and Fisher's Exact tests were used to determine statistical significance. RESULTS Forty-three of fifty-seven responses were received (75% response rate). The most influential factor that sparked respondents' interest in radiology was a radiology elective (25/43, 58%). Students who will finish radiology training in 2023 or later were more likely to be influenced by a mentor (15/23, 65%) than those who finished radiology training before 2023 (5/20, 25%) (p = 0.04). Respondents reported a 1.6/5 concern about AI negatively impacting their future career in radiology. There was 1.7/5 concern about performing radiology procedures on patients during the COVID-19 pandemic. Respondents predicted that remote reading would have a 3.2/5 positive impact on helping them achieve their preferred lifestyle. Job satisfaction among attending radiologists is rated at 4.3/5. CONCLUSION Radiology electives had the greatest influence in piquing students' interest in radiology, while mentorship is assuming increasing influence. AI is perceived as a relatively minimal threat to negatively impact radiologists' jobs. Respondents had little concern about performing radiology procedures during the COVID-19 pandemic. Remote reading is viewed as having a moderately positive impact on lifestyle. Responding radiologists enjoy notably high job satisfaction.
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Affiliation(s)
- Easton Neitzel
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.).
| | - Eric vanSonnenberg
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.); Departments of Radiology & Student Affairs, University of Arizona College of Medicine - Phoenix, Phoenix, AZ (M.M., E.v., L.S.-P.)
| | - Kelly Lynch
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.)
| | - Chase Irwin
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.)
| | - Lisa Shah-Patel
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.); Departments of Radiology & Student Affairs, University of Arizona College of Medicine - Phoenix, Phoenix, AZ (M.M., E.v., L.S.-P.)
| | - Mark D Mamlouk
- Department of Radiology, The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, California (M.M.); Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California (M.M.)
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Slanetz PJ, Albasha H, Gomez E, Schaefer P. Unionization and the Impact on Radiology Resident Education. J Am Coll Radiol 2024; 21:360-362. [PMID: 37734689 DOI: 10.1016/j.jacr.2023.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 09/15/2023] [Indexed: 09/23/2023]
Affiliation(s)
- Priscilla J Slanetz
- Diagnostic Radiology Residency, Department of Radiology, Boston University Medical Center, Boston, Massachusetts; Boston University School of Medicine, Boston, Massachusetts.
| | - Heba Albasha
- Department of Radiology, University of Cincinnati, Cincinnati, Ohio; Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
| | - Erin Gomez
- Program Director of the Diagnostic Radiology and Molecular Imaging Residencies, Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland
| | - Pamela Schaefer
- Department of Radiology, Massachusetts General Hospital and Massachusetts General Brigham, Boston, Massachusetts
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Henkel M, Belfi L. Utilizing Learning Analytics in Radiology: A Pilot Study of an e-Learning Platform in Medical Student Education. Acad Radiol 2024; 31:724-735. [PMID: 37331868 DOI: 10.1016/j.acra.2023.05.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Revised: 05/07/2023] [Accepted: 05/21/2023] [Indexed: 06/20/2023]
Abstract
RATIONALE AND OBJECTIVES Learning analytics is a rapidly advancing scientific field that enables data-driven insights and personalized learning experiences. However, traditional methods for teaching and assessing radiology skills do not provide the data needed to leverage this technology in radiology education. MATERIALS AND METHODS In this paper, we implemented rapmed.net, an interactive radiology e-learning platform designed to utilize learning analytics tools in radiology education. Second-year medical students' pattern recognition skills were evaluated using time to solve a case, dice score, and consensus score, while their interpretation abilities were assessed through multiple-choice questions (MCQs). Assessments were conducted before and after a pulmonary radiology block to examine the learning progress. RESULTS Our results show that a comprehensive assessment of students' radiological skills using consensus maps, dice scores, time metrics, and MCQs revealed shortcomings traditional MCQs would not have detected. Learning analytics tools allow for a better understanding of students' radiology skills and pave the way for a data-driven educational approach in radiology. CONCLUSION As one of the most important skills for physicians across all disciplines, improving radiology education will contribute to better healthcare outcomes.
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Affiliation(s)
- Maurice Henkel
- Department of Radiology, University Hospital Basel, Basel, Switzerland (M.H.).
| | - Lily Belfi
- Department of Radiology, Weill Cornell Medicine, New York, New York (L.B.)
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Yu H, Shahi N, Robert SC, Supersad A, Anishchenko A, Lebel K, Dobson JL, Patlas MN. Characterizing the Variety of Call Structures Across Canadian Diagnostic Radiology Postgraduate Medical Education Programs. Can Assoc Radiol J 2024; 75:187-190. [PMID: 37312499 DOI: 10.1177/08465371231182415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023] Open
Affiliation(s)
- Hang Yu
- Radiology Resident, University of Manitoba, Winnipeg, MB, Canada
| | - Niharika Shahi
- Radiology Resident, McMaster University, Hamilton ON Canada
| | | | - Alanna Supersad
- Radiology Resident, University of Alberta, Edmonton, AB, Canada
| | | | - Kiana Lebel
- Radiology Resident, Universite de Montreal, Montreal, QC, Canada
| | | | - Michael N Patlas
- Attending Radiologist, McMaster University, Hamilton, ON, Canada
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Hassankhani A, Gholamrezanezhad A. Addressing Methodological Considerations in Studying the Impact of USMLE Step 2 CK on Diversity in Radiology Residency Selection. Acad Radiol 2024; 31:750. [PMID: 37996366 DOI: 10.1016/j.acra.2023.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 11/03/2023] [Indexed: 11/25/2023]
Affiliation(s)
- Amir Hassankhani
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Ave Ste 2315, Los Angeles, California, 90089, USA (A.H., A.G.); Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
| | - Ali Gholamrezanezhad
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Ave Ste 2315, Los Angeles, California, 90089, USA (A.H., A.G.)
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Mücke K, Busch C, Becker J, Drescher D, Becker K. Is online-only learning as effective as blended learning? A longitudinal study comparing undergraduate students' performance in oral radiology. Eur J Dent Educ 2024; 28:236-250. [PMID: 37579026 DOI: 10.1111/eje.12941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 04/17/2023] [Accepted: 07/14/2023] [Indexed: 08/16/2023]
Abstract
INTRODUCTION Blended learning seems to be an effective teaching concept in oral radiology. During the COVID-19 pandemic, blended learning shifted towards online-only learning. The aim of the present study was to compare the effectiveness of pandemic online-only and pre-pandemic blended learning in three consecutive oral radiology courses (C1, C2 and C3) and to examine whether additional video-based e-learning modules (VBLMs) had a positive impact on undergraduate students' performance during pandemic semesters. MATERIALS AND METHODS Data from 205 undergraduate dental students participating either in a blended learning or an online-only learning concept were analysed. Pre-pandemic blended learning comprised face-to-face seminars and access to an oral radiology platform (ORP). Pandemic online-only learning comprised online seminars, access to the ORP and additional VBLMs (two VBLMs for C1, four VBLMs for C2 and six VBLMs for C3). Through standardised e-exams at the beginning and end of each semester, performance in final exams and knowledge gain were compared between the two groups. RESULTS No significant differences in scores in final exams (p = .11) and knowledge gain (p = .18) were found when comparing the pre-pandemic and pandemic groups. On course level, however, students receiving a lower number of VBLMs performed significantly worse in final exams (C1: p < .01, C2: p = .02) and showed inferior knowledge gain (C2: p < .01) during the pandemic. CONCLUSIONS Within the limitations of the study, the present investigation confirmed that pandemic online-only learning involving VBLMs might be as effective as pre-pandemic blended learning.
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Affiliation(s)
- Katharina Mücke
- Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | - Caroline Busch
- Department of Oral Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | - Jürgen Becker
- Department of Oral Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | - Dieter Drescher
- Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | - Kathrin Becker
- Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
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Zhu GG, Xie AY, Elahi F, Overfield C, Mackner J, Chakraborty A, Wiggins RH. RadDiscord's Big Bang: Perspectives and Impact of Creation of a Successful Radiology Education Community. Acad Radiol 2024; 31:390-398. [PMID: 38160091 DOI: 10.1016/j.acra.2023.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 11/30/2023] [Accepted: 12/03/2023] [Indexed: 01/03/2024]
Abstract
The COVID-19 pandemic brought unprecedented challenges in radiology education. RadDiscord, a digital, open-access radiology educational platform now with over 4100 members internationally, emerged as a COVID-era innovation that has transformed radiology education, broken down institutional silos, and equalized access to high-quality education. This special report will discuss the origin of RadDiscord, overcoming early barriers, building an organization and community, innovation and impact, and the future of radiological education. This may offer helpful perspectives to trainees and educators who are interested in innovating in the realm of radiology education.
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Affiliation(s)
- Grace G Zhu
- University of Utah Health Department of Radiology, 30 North 1900 East, Salt Lake City, Utah 84132, USA (G.G.Z., R.H.W.).
| | | | - Fatima Elahi
- Hospital of the University of Pennsylvania, Department of Radiology, 3400 Spruce Street, 1 Silverstein, Philadelphia, Pennsylvania 19104, USA (F.E.)
| | - Cameron Overfield
- Mayo Clinic Jacksonville, 4500 San Pablo Rd, Jacksonville, Florida 32224, USA (C.O.)
| | - Jordan Mackner
- The University of Arizona College of Medicine - Phoenix, 475 N 5th St. Phoenix, Arizona 85004, USA (J.M.)
| | - Amit Chakraborty
- Baptist Health Lexington, 1740 Nicholasville Rd., Lexington, Kentucky 40503, USA (A.C.)
| | - Richard H Wiggins
- University of Utah Health Department of Radiology, 30 North 1900 East, Salt Lake City, Utah 84132, USA (G.G.Z., R.H.W.)
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Zhu GG, Xie AY, Elahi F, Asumu H, Chakraborty A, Stoddard GJ, Al-Dulaimi R, Wiggins RH. Perspectives From the RadDiscord Annual Survey: Overview of the Top Study Tools and Evaluation of Study Time and Various Resources. Acad Radiol 2024; 31:399-408. [PMID: 38401985 PMCID: PMC10897967 DOI: 10.1016/j.acra.2023.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 12/01/2023] [Accepted: 12/03/2023] [Indexed: 02/26/2024]
Abstract
RATIONALE AND OBJECTIVES Each year, senior radiology residents take the American Board of Radiology Qualifying (Core) exam to evaluate competency. Approximately 10% of first-time examinees will fail this exam (1). Understanding factors that contribute to success will help residency program directors and trainees prepare for future exams. RadDiscord (www.raddiscord.org), an international radiology educational community, is in the unique position to evaluate different study materials and resources. The goal of this paper is to report the results from the RadDiscord survey and analyze the factors that correlate with higher exam performance and passing. MATERIALS AND METHODS Following the February 2021, June 2021, and June 2022 exams, RadDiscord members were provided an anonymous survey, collecting information on study resources and exam scores. The collected data were analyzed using various statistical methods. Both descriptive and inferential analyses were performed. RESULTS A total of 318 residents responded (95% passed). Significant variability in Qualifying (Core) exam performance and perceived quality of internal didactics existed between program types. Residents who did less than 2000 practice questions performed lower on the exam. The Diagnostic Radiology In-Training (DXIT) exam was the most predictive for passing and performance. Qualifying (Core) exam performance negatively correlated with study time, though certain residents did receive some benefit from study time. CONCLUSION Many factors correlate with passing and Qualifying (Core) exam performance. Residency programs with fewer resources should consider alternative ways to support residents beyond offering study time. Residents who complete at least 2000 practice questions are more likely to pass and DXIT results can be a useful gauge to identify exam readiness.
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Affiliation(s)
- Grace G Zhu
- Department of Radiology, University of Utah Health, Salt Lake City, Utah (G.G.Z., R.H.W.).
| | | | - Fatima Elahi
- Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania (F.E.)
| | - Hazel Asumu
- Baylor University Medical Center, Dallas, Texas (H.A.)
| | | | - Gregory J Stoddard
- Department of Internal Medicine, University of Utah, Salt Lake City, Utah (G.J.S.)
| | | | - Richard H Wiggins
- Department of Radiology, University of Utah Health, Salt Lake City, Utah (G.G.Z., R.H.W.)
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Ocal S, Schiller E, Alpert JB, Stavrakis C, Fefferman NR, Hoffmann JC. Design, Implementation, and Initial Impact of a Longitudinal Radiology Curriculum in a Primary Care-Focused Medical School. J Am Coll Radiol 2024; 21:346-349. [PMID: 36893997 DOI: 10.1016/j.jacr.2023.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 02/13/2023] [Accepted: 02/15/2023] [Indexed: 03/09/2023]
Affiliation(s)
- Selin Ocal
- Medical Student MS3, NYU Long Island School of Medicine, Mineola, New York; ACR Member, ACR Medical Student Subcommittee Member.
| | - Emily Schiller
- Medical Student MS2, NYU Long Island School of Medicine, Mineola, New York; ACR Member
| | - Jeffrey B Alpert
- Associate Professor, Department of Radiology at NYU Grossman School of Medicine; Department of Thoracic Radiology and Department of Radiology, NYU Langone Health, New York, New York
| | - Costas Stavrakis
- Clinical Assistant Professor, Department of Radiology at NYU Long Island School of Medicine, Mineola, New York; and Department of Musculoskeletal Radiology, NYU Langone Health, New York, New York; and ACR Member
| | - Nancy R Fefferman
- Vice Chair for Education; Section Chief Pediatric Radiology; Associate Professor, Department of Radiology at NYU Grossman School of Medicine, Department of Radiology, NYU Langone Health, New York, New York
| | - Jason C Hoffmann
- Director, Diagnostic Radiology Residency Program, NYU Langone Hospital-Long Island, Mineola, New York, and Associate Professor, Department of Radiology at NYU Long Island School of Medicine, New York, New York; President of the NYU Long Island School of Medicine Faculty Council; ACR Member
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Siewert B, Brook OR, Kruskal JB. Peer learning in abdominal radiology: iterative process improvements over a 20-year experience. Abdom Radiol (NY) 2024; 49:662-677. [PMID: 38093102 DOI: 10.1007/s00261-023-04118-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 10/23/2023] [Accepted: 10/26/2023] [Indexed: 02/01/2024]
Abstract
PURPOSE After a slow and challenging transition period, peer learning and improvement (PLI) is now being more widely adopted by practices as an option for continuous personal and practice performance improvement. In addition to gaps that exist in the understanding of what PLI is and how it should be practiced, wide variation exists in how the process is implemented, administered, how outcomes are measured, and what strategies are employed to engage radiologists. This report aims to describe lessons learned from our 20-year experience with the design, implementation, and continuous improvements of a PLI program in a large academic program. METHODS Since initial implementation in 2004, an oversight team prospectively documented iterative process improvements and data submission trends in our PLI process. Process data included strategies for engaging radiologists in the PLI process (fostering case submission, PLI meeting participation), steps for achieving regulatory compliance, and template content for facilitating the value and impact of PLI meetings (case analysis, review of contributing factors, identification of improvement opportunities). RESULTS Submission trends, submitted case content, and improvement opportunities varied by clinical section. Process improvements that fostered engagement included closing the loop with participants, expanding criteria for case submission beyond interpretive disagreements (e.g., great pickups, near misses), minimizing impacts to workflow, and using evidence-based templates for case and contributor categorization, bias analysis, and identification of improvement opportunities. CONCLUSION Implementing an effective PLI program requires sustained communication, education, and continuous process improvement. While PLI can certainly lead to process and individual performance improvement, the program requires trained champions, designated time, effort, resources, education, and patience to be effectively implemented.
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Affiliation(s)
- Bettina Siewert
- Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA, 02215, USA
| | - Olga R Brook
- Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA, 02215, USA
| | - Jonathan B Kruskal
- Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA, 02215, USA.
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Choe AI, Conaty S, Ha J, Mack J, Aumann EK, Wasserman E, McGillen K. What's in the Shadows? Formal Analysis: Art History Method to Improve Interpretation Skills for Mammography and Chest Radiographs in Resident Education. Acad Radiol 2024; 31:383-389. [PMID: 38401984 DOI: 10.1016/j.acra.2023.10.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 10/21/2023] [Accepted: 10/31/2023] [Indexed: 02/26/2024]
Abstract
RATIONALE AND OBJECTIVES To assess the feasibility of using an art history tool of formal analysis in resident education for interpretations of mammography and chest radiographs METHODS: In a pre-post study design, residents were shown pre-selected 10 mammograms and 10 chest radiographs for a total of 20 unique anonymized patient cases. After the pretest, residents attended four formal analysis art history lessons. The formal elements included line, light, dark, shade, proportion and balance. The post-tests were administered utilizing the same set of images given during the pre-test. After the completion of the pre- and post-tests, the participants filled out a written survey. RESULTS On average, participants improved their image descriptions for a mean of 30% of the total number of mammographic images they evaluated, and similarly they improved their image diagnoses for a mean of 31% of the mammographic images. On average, participants improved their image descriptions for a mean of 37% of the total number of chest radiographs they evaluated, while improving their image diagnoses for a mean of 52% of the chest X-rays. Of the 20 participants, 14 (70%) completed the post study survey. Almost all of the respondents endorsed agreement in understanding the application of formal analysis to radiologic interpretation. Eight out of 14 (57%) participants self-reported improvement in identifying abnormalities and contriving descriptors. CONCLUSION This pilot study shows that formal art analysis used by art historians may improve radiologic learners' ability to perceive and describe relevant radiologic abnormalities which in turn would lead to a more accurate radiologic differential diagnosis. The formal analysis process trains the eye to detect and categorize the underlying structure of images. This method provides an alternative arts intervention specifically designed to improve fundamental visual skills in radiology education.
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Affiliation(s)
- Angela I Choe
- Penn State Health Milton S. Hershey Medical Center, 30 Hope Drive, Hershey, Pennsylvania 17033, USA (A.I.C., J.M., E.K.A.).
| | - Siobhan Conaty
- La Salle University, 1900 W. Olney Ave, Philadelphia, Pennsylvania 19141, USA (S.C.)
| | - Jason Ha
- Penn State College of Medicine, 700 HMC Crescent Drive, Hershey, Pennsylvania 17033, USA (J.H.)
| | - Julie Mack
- Penn State Health Milton S. Hershey Medical Center, 30 Hope Drive, Hershey, Pennsylvania 17033, USA (A.I.C., J.M., E.K.A.)
| | - Emel K Aumann
- Penn State Health Milton S. Hershey Medical Center, 30 Hope Drive, Hershey, Pennsylvania 17033, USA (A.I.C., J.M., E.K.A.)
| | - Emily Wasserman
- Department of Public Health Sciences, Penn State College of Medicine, 90 Hope Drive, Hershey, Pennsylvania 17033, USA (E.W.)
| | - Kathryn McGillen
- Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pennsylvania 17033, USA (K.M.)
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Raviprasad AG, Pierre K, McGaugh SA, Amador IE, McCann UG, Slater RM, Sistrom CL, Lucke-Wold B, Sabat S, Rajderkar DA, Sharma PG, Mancuso AA. Radiology resident competency in detecting basilar artery occlusion: a simulation-based assessment. Emerg Radiol 2024; 31:1-6. [PMID: 37994976 DOI: 10.1007/s10140-023-02189-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 11/16/2023] [Indexed: 11/24/2023]
Abstract
PURPOSE Basilar artery strokes are rare but can have characteristic imaging findings that can often be overlooked. This retrospective study aims to assess radiology residents' ability to identify CT imaging findings of basilar artery occlusion in a simulated call environment. METHODS The Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation (WIDI SIM)-a tested and reliable computer-aided emergency imaging simulation-was employed to assess resident readiness for independent radiology call. The simulations include 65 cases of varying complexity, including normal studies, with one case specifically assessing basilar artery stroke. Residents were presented with a single, unique case of basilar artery occlusion in two separate years of testing and were only provided with non-contrast CT images. Residents' free text responses were manually scored by faculty members using a standardized grading rubric, with errors subsequently classified by type. RESULTS A total of 454 radiology residents were tested in two separate years on the imaging findings of basilar artery occlusion using the Wisdom in Diagnostic Imaging simulation web-based testing platform. Basilar artery occlusion was consistently underdiagnosed by radiology residents being tested for call readiness irrespective of the numbers of years in training. On average, only 14% of radiology residents were able to correctly identify basilar artery occlusion on non-contrast CT. CONCLUSIONS Our findings underscore a potential gap in radiology residency training related to the detection of basilar artery occlusion, highlighting the potential need for increased educational efforts in this area.
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Affiliation(s)
- Abheek G Raviprasad
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
| | - Kevin Pierre
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Scott A McGaugh
- College of Medicine, University of Florida, PO Box 100243, Gainesville, FL, 32610, USA
| | - Isabella E Amador
- College of Medicine, University of Florida, PO Box 100243, Gainesville, FL, 32610, USA
| | - Ulysse G McCann
- College of Medicine, University of Florida, PO Box 100243, Gainesville, FL, 32610, USA
| | - Roberta M Slater
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Christopher L Sistrom
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Brandon Lucke-Wold
- Lillian S. Wells Department of Neurosurgery, University of Florida College of Medicine, 1505 SW Archer Road, Gainesville, FL, 32608, USA
| | - Shyamsunder Sabat
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Dhanashree A Rajderkar
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Priya G Sharma
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
| | - Anthony A Mancuso
- Department of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA
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Wan Z, Tang J, Bai X, Cao Y, Zhang D, Su T, Zhou Y, Qiao L, Shen K, Wang L, Tian X, Wang J. Burnout among radiology residents: a systematic review and meta-analysis. Eur Radiol 2024; 34:1399-1407. [PMID: 37589905 DOI: 10.1007/s00330-023-09986-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 04/24/2023] [Accepted: 05/30/2023] [Indexed: 08/18/2023]
Abstract
OBJECTIVE To analyze the prevalence of burnout among radiology residents. METHOD Five databases (PubMed, Web of Science, Embase, PsycINFO, and Scopus) were searched for studies reporting burnout in radiology residents for the period up to November 7, 2022. RESULTS A total of 423 studies were identified, and eventually, 16 studies were selected for the qualitative analysis, of which 11 studies were used in the meta-analysis. There was a total of 2164 radiology residents. Six studies reported the prevalence of burnout but the data could not be pooled due to their inconsistent definitions of burnout. The mean scores of three burnout subscales indicated a moderate to high degree of severity: emotional exhaustion = 25.2 (95% CI, 22.1-28.3; I2 = 94.4%), depersonalization = 10.2 (95% CI, 8.5-11.9; I2 = 93.0%), and low perception of personal accomplishment = 32.9 (95% CI, 30.5-35.4; I2 = 94.4%). The pooled prevalence of high-degree emotional exhaustion was 49.9% (95% CI, 43.6-56.1%; I2 = 55.7%), high-degree depersonalization was 45.1% (95% CI, 38.3-52.0%; I2 = 63.2%), and high-degree diminished personal accomplishment was 58.2% (95% CI, 36.0-77.6%; I2 = 84.9%). The impact of the COVID-19 pandemic on radiology residents was not investigated. In addition, there are inconsistent findings on the effects of female sex, seniority, and social support on burnout. CONCLUSIONS About half of the radiology residents showed at least one of the three burnout manifestations (emotional exhaustion, depersonalization, and personal accomplishment), with a moderate to high degree of severity. CLINICAL RELEVANCE STATEMENT Such a high prevalence and severity of burnout among radiology residents warrant the attention of residency program directors. KEY POINTS • Burnout, not uncommon among radiology residents, has not been effectively analyzed. • Nearly half of the radiology residents experience at least one of the three manifestations of burnout to a moderate to high degree. • The high prevalence and severe degree of burnout among radiology residents warrant the attention of residency program directors.
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Affiliation(s)
- Ziqi Wan
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
- Eight-year program, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
| | - Jieying Tang
- Department of Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
| | - Xiaoyin Bai
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yihan Cao
- Department of Radiology, Mass General Brigham Salem Hospital, 81 Highland Avenue, Salem, MA, 01970, USA
| | - Dingding Zhang
- Medical Research Center, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Tong Su
- Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yangzhong Zhou
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Lin Qiao
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Kaini Shen
- Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Luo Wang
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
| | - Xinlun Tian
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
| | - Jinglan Wang
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Trygg E, Bjällmark A, Ahlander BM, Kihlberg J. Radiographers' confidence in handling iodine based contrast media hypersensitivity reactions. Radiography (Lond) 2024; 30:21-27. [PMID: 37864987 DOI: 10.1016/j.radi.2023.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 09/24/2023] [Accepted: 10/06/2023] [Indexed: 10/23/2023]
Abstract
INTRODUCTION Adverse reactions to iodinated contrast media, which is used during computed tomography (CT) examinations, are rare. As a result, radiographers have limited experience handling those situations and may feel uncertainty and a lack of confidence. The aim of this study was to investigate radiographers' confidence in handling hypersensitivity reactions to contrast media during CT examinations. METHODS A survey in the form of a questionnaire was conducted to gather both quantitative and qualitative data. There were 31 clinics that participated in this study, of which four were university hospitals, 17 were medium-sized hospitals and 10 were small hospitals. In total, the questionnaires were distributed to 700 radiographers. The questionnaire contained 12 questions and was distributed via email with a link to the questionnaire. RESULTS Two hundred-ninety radiographers participated in the survey. 72% of the respondents answered in the middle of the four-point scale (2-3) in response to the statement "I feel confident in handling hypersensitivity reactions". 65% answered that they did not have routines for training regularly regarding hypersensitivity reactions. Qualitative data showed that many of the respondents wished to receive education and training regularly. CONCLUSIONS The confidence of radiographers regarding the management of hypersensitivity reactions was deficient and most of the respondents wished they felt more confident. IMPLICATION FOR PRACTICE To increase radiographers' confidence in handling hypersensitivity reactions, it is recommended that the radiology clinics review their routines and the possibility to implement regular training.
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Affiliation(s)
- E Trygg
- Department of Radiology in Norrköping, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - A Bjällmark
- Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Gjuterigatan 5, SE-553 18, Jönköping, Sweden
| | - B-M Ahlander
- Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Gjuterigatan 5, SE-553 18, Jönköping, Sweden
| | - J Kihlberg
- Department of Radiology in Linköping, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
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Pohlen MS. From Stanford to the Stars: A Resident's Experience With the Emerging Frontier of Space Radiology. AJR Am J Roentgenol 2024; 222:e2330454. [PMID: 37910037 DOI: 10.2214/ajr.23.30454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
Affiliation(s)
- Michael S Pohlen
- Department of Radiology, Stanford University School of Medicine, 291 Campus Drive, Li Ka Shing Bldg, Stanford, CA 94305
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Vijapura C, Tobler J, Wahab RA, Smith ML, Brown AL, Pickle S, Stryker SD, Spalluto LB, England E, Kanfi A. Resident Attitudes and Experiences with a Novel Radiology-based Transgender Curriculum: A Qualitative Study. Acad Radiol 2024; 31:294-303. [PMID: 36914502 DOI: 10.1016/j.acra.2023.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/07/2023] [Accepted: 02/10/2023] [Indexed: 03/16/2023]
Abstract
RATIONALE AND OBJECTIVES Transgender persons often experience healthcare disparities due to lack of provider knowledge. With increasing gender diversity awareness and prevalence of gender-affirming care, radiologists-in-training need to be aware of the unique health considerations for this patient population. Radiology residents have limited exposure to dedicated teaching on transgender medical care and imaging during training. Development and implementation of a radiology-based transgender curriculum can help close this gap in radiology residency education. The aim of this study was to explore radiology resident attitudes and experiences with a novel radiology-based transgender curriculum, guided by the conceptual framework of reflective practice. MATERIALS AND METHODS A qualitative approach was employed using semi-structured interviews to explore resident perspectives of a curriculum covering transgender patient care and imaging over 4 monthly sessions. Ten residents at the University of Cincinnati radiology residency participated in interviews consisting of open-ended questions. Interviews were audiotaped, transcribed, and thematic analysis was conducted across all responses. RESULTS Four themes emerged through the existing framework: 1) impactful/memorable aspects; things learned; increased awareness; and suggestions/feedback. Prominent subthemes included patient panel and stories, physician experts sharing knowledge and experiences, link to radiology and imaging, novel concept, gender-affirming surgeries and anatomy, appropriate radiology reporting, and patient interactions. CONCLUSION Radiology residents found the curriculum to be an effective novel educational experience that was previously unaddressed during their training. This imaging-based curriculum can be further adapted and implemented in a variety of radiology curricular settings.
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Affiliation(s)
- Charmi Vijapura
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio.
| | - Juliana Tobler
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Rifat A Wahab
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - M Lynne Smith
- College of Education, Criminal Justice, and Human Services, Cincinnati Ohio
| | - Ann L Brown
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Sarah Pickle
- Department of Family and Community Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Shanna D Stryker
- Department of Family and Community Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Lucy B Spalluto
- Department of Radiology, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee; Veterans Health Administration-Tennessee Valley Health Care System, Geriatric, Research, and Education Clinical Center (GRECC), Nashville, Tennessee
| | - Eric England
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Alisa Kanfi
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
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