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Junaid Tahir M, Aymen U, Mehmood Q, Sohaib Asghar M, Kumari U, Hassan Z, Naz N, Rafiq N, Tayyeb M, Ullah I, Abbasher Hussien Mohamed Ahmed K, Alwalid O. Digital eye strain and its associated factors among radiology physicians in Pakistan: a cross-sectional survey using logistic regression analysis. Ann Med Surg (Lond) 2024; 86:1933-1941. [PMID: 38576948 PMCID: PMC10990352 DOI: 10.1097/ms9.0000000000001882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 02/20/2024] [Indexed: 04/06/2024] Open
Abstract
Background and aims Increased use of digital devices in the modern era has led to the development of digital eye strain (DES) or computer vision syndrome in their users. This can result in the development of various ocular and visual symptoms among them. In this study, the authors aimed to view the prevalence of digital eye strain among radiology physicians in Pakistan and their associated risk factors. Materials and methods A cross-sectional study was conducted to evaluate occupational DES among radiology physicians in Pakistan. The data collection was done using the convenience sampling technique, and the data were analyzed using IBM SPSS for Windows, Version 25.0. Results Out of the 247 respondents, 33.6% were males and 66.4% were females. 41.7% of them were between 30 and 40 years of age and 51.8% of them were radiology residents. 52.2% of the participants had a refractive error and were using a corrective lens. The majority of the radiologists in our study (84.2%) preferred picture archiving and communication system (PACS) over films and 82.2% of them reported having breaks of less than 15 min. Major symptoms reported by the participants were tired or heavy eyes (69.6%) and headache (69.3%). The proportion of developing DES was higher in females [P=0.001, adjusted odds ratio (aOR)=2.94], radiology residents (P=0.031, aOR=3.29), and working hours of more than 4 h per day (P<0.001, aOR=0.04). Conclusion With recent advances in the field of radiology in Pakistan, the frequency of developing DES among radiologists is increasing. Being a female, having long working hours, and having noticeable flickers on the digital screens were among the significant factors in developing DES among radiologists.
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Affiliation(s)
| | | | | | | | | | | | | | - Nida Rafiq
- Dow University of Health Sciences, Karachi
| | | | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar
| | | | - Osamah Alwalid
- Department of Diagnostic Imaging, Sidra Medicine, Doha, Qatar
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Yacoub JH, Weitz DA, Stirrat TP, Fong A, Ratwani RM. Reading Room Interruptions are Less Disruptive When Using Asynchronous Communication Methods. JOURNAL OF IMAGING INFORMATICS IN MEDICINE 2024:10.1007/s10278-024-01073-2. [PMID: 38504083 DOI: 10.1007/s10278-024-01073-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 02/06/2024] [Accepted: 03/01/2024] [Indexed: 03/21/2024]
Abstract
Radiologist interruptions, though often necessary, can be disruptive. Prior literature has shown interruptions to be frequent, occurring during cases, and predominantly through synchronous communication methods such as phone or in person causing significant disengagement from the study being read. Asynchronous communication methods are now more widely available in hospital systems such as ours. Considering the increasing use of asynchronous communication methods, we conducted an observational study to understand the evolving nature of radiology interruptions. We hypothesize that compared to interruptions occurring through synchronous methods, interruptions via asynchronous methods reduce the disruptive nature of interruptions by occurring between cases, being shorter, and less severe. During standard weekday hours, 30 radiologists (14 attendings, 12 residents, and 4 fellows) were directly observed for approximately 90-min sessions across three different reading rooms (body, neuroradiology, general). The frequency of interruptions was documented including characteristics such as timing, severity, method, and length. Two hundred twenty-five interruptions (43 Teams, 47 phone, 89 in-person, 46 other) occurred, averaging 2 min and 5 s with 5.2 interruptions per hour. Microsoft Teams interruptions averaged 1 min 12 s with only 60.5% during cases. In-person interruptions averaged 2 min 12 s with 82% during cases. Phone interruptions averaged 2 min and 48 s with 97.9% during cases. A substantial portion of reading room interruptions occur via predominantly asynchronous communication tools, a new development compared to prior literature. Interruptions via predominantly asynchronous communications tools are shorter and less likely to occur during cases. In our practice, we are developing tools and mechanisms to promote asynchronous communication to harness these benefits.
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Affiliation(s)
- Joseph H Yacoub
- Department of Radiology, MedStar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, USA.
| | - Daniel A Weitz
- School of Medicine, Georgetown University, Washington, DC, USA
| | | | - Allan Fong
- MedStar National Center for Human Factors Engineering in Healthcare, MedStar Health Research Institute, Washington, DC, USA
| | - Raj M Ratwani
- MedStar National Center for Human Factors Engineering in Healthcare, MedStar Health Research Institute, Washington, DC, USA
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Gamba IAD, Hartery A. The Virtual Reality Radiology Workstation: Current Technology and Future Applications. Can Assoc Radiol J 2024:8465371241230278. [PMID: 38362857 DOI: 10.1177/08465371241230278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024] Open
Abstract
Virtual reality (VR) and augmented reality (AR) technology hold potential across many disciplines in medicine to expand the delivery of education and healthcare. VR-AR applications in radiology, in particular, have gained prominence and have demonstrated advantages in many areas within the field. Recently, VR software has emerged to redesign the physical radiology workstation (ie, reading room) to expand the possibilities of diagnostic interpretation. Given the novelty of this technology, there is limited research investigating the potential applications of a simulated radiology workstation. In this review article, we explore VR-simulated reading room technology in its current form and illustrate the practical applications this technology will bring to future radiologists and learners. We also discuss the limitations and barriers to adopting this technology that must be overcome to truly understand its potential benefits. VR reading room technology offers great potential in radiology, but further research is needed to appreciate its benefits and identify areas for improvement. The findings and insights presented in this review contribute to the ongoing discourse on future technological advancements in radiology and healthcare, offering valuable recommendations for further research and practical implementation.
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Affiliation(s)
- Iain A D Gamba
- Memorial University of Newfoundland, St. John's, NL, Canada
| | - Angus Hartery
- Memorial University of Newfoundland, St. John's, NL, Canada
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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] [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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Oppenheimer DC, Mohajeri S, Proffitt EK, Shiau MC, Harvey JA. Embracing Remote Academic Radiologists. Acad Radiol 2024; 31:286-293. [PMID: 37863780 DOI: 10.1016/j.acra.2023.09.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 09/12/2023] [Accepted: 09/23/2023] [Indexed: 10/22/2023]
Abstract
Over the past two years at our large academic center, we successfully developed a formal remote academic radiologist division - composed of permanent fully remote radiologists across multiple subspecialties, living geographically distant from our institution. In this article, we share our experience implementing a remote radiologist division, review the benefits and challenges of this approach, discuss expectations of academic remote radiologists as clinicians, educators, and scholars, and provide tips for success.
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Affiliation(s)
- Daniel C Oppenheimer
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA.
| | - Sarah Mohajeri
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
| | - Elizabeth Kate Proffitt
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
| | - Maria C Shiau
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
| | - Jennifer A Harvey
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
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Yacoub JH, Bourne MD, Krishnan P. The Virtual Radiology Reading Room: Initial Perceptions of Referring Providers and Radiologists. J Digit Imaging 2023; 36:787-793. [PMID: 36698036 PMCID: PMC9876648 DOI: 10.1007/s10278-022-00745-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 11/02/2022] [Accepted: 11/22/2022] [Indexed: 01/26/2023] Open
Abstract
The objective of this study is to assess the initial perception of referring providers and radiologists to a virtual consultation solution (the Virtual Radiology Reading Room, VR3). VR3 is specifically designed to replace the radiology reading room phone and enable the radiologist to continue to work as part of the clinical care team fielding radiology consults without being confined to the same physical space. Surveys of providers' and radiologists' initial experience were conducted approximately 6 months after initial deployment. Users were asked about their overall impression, and how well the solution integrates with their workflow as well as how it compares to traditional phone calls to the reading room. Forty of 71 referring providers and 27 of 44 radiologists responded to our survey. VR3 was rated 4.7 out of 5 stars by referrers and 4.1 by radiologists. Seventy percent of referrers and radiologists preferred VR3 to the phone while 4.5% of referrers and 11% of radiologists preferred the phone. Referring providers and radiologists expressed a positive initial perception of the Virtual Radiology Reading Room and prefer it to traditional phone calls to the reading room.
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Affiliation(s)
- Joseph H Yacoub
- Department of Radiology, Medstar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, USA.
| | - Matthew D Bourne
- Department of Radiology, Medstar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, USA
| | - Pranay Krishnan
- Department of Radiology, Medstar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, USA
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McBee MP, Agarwal A, Alexander LF, Bajaj G, Kelahan LC, Leake R, Richardson ML, Burns J. Teaching with Technology-Matching Pedagogy with Purpose in Radiology Education. Acad Radiol 2023; 30:359-369. [PMID: 35551855 DOI: 10.1016/j.acra.2022.03.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/16/2022] [Accepted: 03/17/2022] [Indexed: 01/11/2023]
Abstract
The response to pandemic-related teaching disruption has revealed dynamic levels of learning and teaching flexibility and rapid technology adoption of radiology educators and trainees. Shutdowns and distancing requirements accelerated the adoption of technology as an educational tool, in some instances supplanting in-person education entirely. Despite the limitations of remote interaction, many educational advantages were recognized that can be leveraged in developing distance learning paradigms. The specific strategies employed should match modern learning science, enabling both students and educators to mutually grow as lifelong learners. As panel members of the "COVID: Faculty perspective" Task Force of the Association of University Radiologists Radiology Research Alliance, we present a review of key learning principles which educators can use to identify techniques that enhance resident learning and present an organized framework for applying technology-aided techniques aligned with modern learning principles. Our aim is to facilitate the purposeful integration of learning tools into the training environment by matching these tools to established educational frameworks. With these frameworks in mind, radiology educators have the opportunity to re-think the balance between traditional curricular design and modern digital teaching tools and models.
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Affiliation(s)
- Morgan P McBee
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, South Carolina.
| | - Atul Agarwal
- Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana
| | | | - Gitanjali Bajaj
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Linda C Kelahan
- Department of Radiology, Northwestern University, Chicago, Illinois
| | - Richard Leake
- Department of Radiology, University of Utah, Salt Lake City, Utah
| | | | - Judah Burns
- Department of Radiology, Montefiore Medical Center, New York, New York
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8
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Al-Dahery ST, Alsharif WM, Alamri FH, Nawawi SA, Mofti WK, Alhazmi FH, Alshamrani KM, Suliman AG, Qurashi AA. The role of teleradiology during COVID-19 outbreak: Saudi radiologists' perspectives. Saudi Med J 2023; 44:202-210. [PMID: 36773982 PMCID: PMC9987691 DOI: 10.15537/smj.2023.44.2.20220793] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 01/10/2023] [Indexed: 02/13/2023] Open
Abstract
OBJECTIVES To evaluate the role of teleradiology during the COVID-19 pandemic from Saudi radiologists' perspectives to improve the radiology quality service. METHODS A cross-sectional study was carried out in Saudi Arabia among radiologists working at local hospitals from October to November 2021. It contains 21 questions involved demographic information; general information on teleradiology services; and the impact of teleradiology during COVID-19. One-way ANOVA was used to compare demographic groups. Chi-square test was used to compare demographic groups regarding their distribution of responses. All tests were carried out <0.05 level of significance. RESULTS A total of 102 radiologists participated in this study (56% males, 44% females), 58.8% of them were sub-specialized in chest radiology. Regarding the general status of teleradiology, 69.6% of participants believed that teleradiology is a helpful tool for imaging interpretation. However, 44% of them were uncertain on the impact of teleradiology on patients' confidentiality. Approximately 87% of participants agreed that there is a positive contribution of teleradiology during COVID-19, which enables decreasing risk of infection and workload. There was a significant difference between professional degrees and overall participant responses (p<0.05). Academicians agreed that it enhances radiology departments' work (mean=17.78, SD=1.86). CONCLUSION Concerns raised on complicated cases that require physical presence of patients, cannot be performed by teleradiology. Additionally, it might provide insufficient communication with other professionals to discuss images.
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Affiliation(s)
- Shrooq T. Al-Dahery
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
- Address correspondence and reprint request to: Dr. Shrooq T. Al-Dahery, Department of Applied Radiologic Technology, College of Applied Medical Sciences, University of Jeddah, Jeddah, Kingdom of Saudi Arabia. E-mail: ORCID ID: https://orcid.org/0000-0003-2241-0011
| | - Walaa M. Alsharif
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Fatima H. Alamri
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Shahad A. Nawawi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Wed K. Mofti
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Fahad H. Alhazmi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Khalid M. Alshamrani
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Awadia G. Suliman
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Abdulaziz A. Qurashi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
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Ho ML, Arnold CW, Decker SJ, Hazle JD, Krupinski EA, Mankoff DA. Institutional Strategies to Maintain and Grow Imaging Research During the COVID-19 Pandemic. Acad Radiol 2023; 30:631-639. [PMID: 36764883 PMCID: PMC9816088 DOI: 10.1016/j.acra.2022.12.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/23/2022] [Accepted: 12/24/2022] [Indexed: 01/09/2023]
Abstract
Understanding imaging research experiences, challenges, and strategies for academic radiology departments during and after COVID-19 is critical to prepare for future disruptive events. We summarize key insights and programmatic initiatives at major academic hospitals across the world, based on literature review and meetings of the Radiological Society of North America Vice Chairs of Research (RSNA VCR) group. Through expert discussion and case studies, we provide suggested guidelines to maintain and grow radiology research in the postpandemic era.
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Affiliation(s)
- Mai-Lan Ho
- Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio.
| | | | | | - John D. Hazle
- The University of Texas MD Anderson Cancer Center, Houston, Texas
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Petscavage-Thomas JM, Hardy S, Chetlen A. Mitigation Tactics Discovered During COVID-19 with Long-Term Report Turnaround Time and Burnout Reduction Benefits. Acad Radiol 2022; 29:1786-1791. [PMID: 35585013 PMCID: PMC9023354 DOI: 10.1016/j.acra.2022.04.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/13/2022] [Accepted: 04/15/2022] [Indexed: 01/26/2023]
Abstract
RATIONALES AND OBJECTIVES The purpose is to describe a hybrid teleradiology solution utilized in an academic medical center and its outcomes on radiology report turnaround time (RTAT) and physician wellness. MATERIALS AND METHODS During coronavirus disease 2019, we utilized an alternating teleradiology solution with procedural and education attendings working in the hospital and other faculty remote to keep the worklist clean. RTAT data was collected for remote vs. in house emergency department (ED) and inpatient cases over a 6-month period. Pre and post implementation burnout surveys were administered. RESULTS RTAT significantly improved for ED and inpatient MR and CT, and inpatient US and radiographs when interpreted remotely compared to in-hospital. Physician wellness scores improved and open-ended comments reflected positive feedback about the hybrid work solution. 74% enjoyed the autonomy and flexibility, and 51% said the solution positively influences my desire to remain in my current institution and improves their clinical and/or academic productivity. CONCLUSION Hybrid work from home solutions allow faculty autonomy and flexibility with work-life balance, improving wellness. It is important to alternate the at-home faculty to maintain interdepartmental relations, particularly for junior faculty, and prevent isolation. The hybrid solution also demonstrated improved patient care metrics, possibly due to decreased distractions at home compared to the reading room.
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Sher A, Salman R, Seghers V, Desai N, Sammer M. Performance of Pediatric Neuroradiologists Working from Home during a Pandemic at a Quaternary Pediatric Academic Hospital. AJNR Am J Neuroradiol 2022; 43:474-477. [PMID: 35086800 PMCID: PMC8910801 DOI: 10.3174/ajnr.a7411] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 11/20/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE As a result of the coronavirus disease 2019 (COVID-19) pandemic, many radiology departments shifted to working a portion of clinical assignments from home. To determine the effect of working from home on performance, productivity, quality, and safety, we evaluated turnaround time, volume of studies, and error rates on rotations worked from home compared with in the hospital. MATERIALS AND METHODS The number of studies interpreted per day for each neuroradiologist, turnaround times, and error rates reported to peer learning was identified from April 1, 2020, through September 30, 2020. For each neuroradiologist, mean turnaround times and volumes per day at home versus in the hospital were compared. Similar comparison was performed for STAT studies. RESULTS During the time period, 2597 CTs (1897 at home, 700 in the hospital) and 3685 MRIs (2601 at home, 1084 in the hospital) were read. By individual neuroradiologists, 57% (4/7) had shorter turnaround time at home and 57% (4/7) demonstrated an increase in the mean number of studies per day read at home. No statistically significant difference was noted in the neuroradiologists' performance while reading STAT studies. Reported error rates were not found to be higher at home, with statistically significantly lower rates when working at home (P = .018). CONCLUSIONS Variable productivity and performance of neuroradiologists when working from home versus in the hospital were found, being 57% faster and/or more productive while working at home without an increase in error rates. The decision to work at home versus in the hospital may best be based on local factors, balancing the variability among individual neuroradiologist's and the institution's needs, recognizing that working from home is not a one-size-fits-all phenomenon but requires adaptability for successful implementation.
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Affiliation(s)
- A.C. Sher
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - R. Salman
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - V.J. Seghers
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - N.K. Desai
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - M.B.K. Sammer
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
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Communication - a lost art? Pediatr Radiol 2022; 52:613-615. [PMID: 34173851 PMCID: PMC8233635 DOI: 10.1007/s00247-021-05133-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/20/2021] [Accepted: 06/10/2021] [Indexed: 11/02/2022]
Abstract
The field of radiology has benefited greatly from the technological boom that has brought greater precision, efficiency and utilization amid an exponential growth in medical science. The downside is that the same technology that has allowed the field to grow is contributing to an erosion of interpersonal communication and connection with patients and referring physicians. Remote reading has displaced us from the communal reading room, where much interaction and teaching used to take place. The "invisible" radiologist must transcend these barriers in order to preserve and strengthen the role of radiology in medical care. With modest adaptation, radiologists can regain their identity as consultants, where they have the greatest chance to show their value and thwart the drive toward commoditization.
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Filice RW. The Imaging Informatics Response to a Pandemic. J Digit Imaging 2021; 34:229-230. [PMID: 33846888 PMCID: PMC8041017 DOI: 10.1007/s10278-021-00445-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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