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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] [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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Zaki-Metias KM, Bentley H, Hosseiny M, Vijan A. Evaluating the Fellowship Selection Process: Opportunities for Improvement. Radiographics 2023; 43:e230028. [PMID: 37824412 DOI: 10.1148/rg.230028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Affiliation(s)
- Kaitlin M Zaki-Metias
- From the Departments of Radiology of Trinity Health Oakland Hospital/Wayne State University School of Medicine, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341 (K.M.Z.M.); University of British Columbia, Vancouver, British Columbia, Canada (H.B.); University of California-San Diego, San Diego, Calif (M.H.); and Tata Memorial Hospital, Mumbai, India (A.V.)
| | - Helena Bentley
- From the Departments of Radiology of Trinity Health Oakland Hospital/Wayne State University School of Medicine, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341 (K.M.Z.M.); University of British Columbia, Vancouver, British Columbia, Canada (H.B.); University of California-San Diego, San Diego, Calif (M.H.); and Tata Memorial Hospital, Mumbai, India (A.V.)
| | - Melina Hosseiny
- From the Departments of Radiology of Trinity Health Oakland Hospital/Wayne State University School of Medicine, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341 (K.M.Z.M.); University of British Columbia, Vancouver, British Columbia, Canada (H.B.); University of California-San Diego, San Diego, Calif (M.H.); and Tata Memorial Hospital, Mumbai, India (A.V.)
| | - Antariksh Vijan
- From the Departments of Radiology of Trinity Health Oakland Hospital/Wayne State University School of Medicine, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341 (K.M.Z.M.); University of British Columbia, Vancouver, British Columbia, Canada (H.B.); University of California-San Diego, San Diego, Calif (M.H.); and Tata Memorial Hospital, Mumbai, India (A.V.)
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3
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Courtier J, Hess CP. Does Pediatric Radiology Need Faster Horses? Rethinking Strategies to Workforce and Workflow. Acad Radiol 2023; 30:2046-2049. [PMID: 37394413 DOI: 10.1016/j.acra.2023.05.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 05/24/2023] [Accepted: 05/31/2023] [Indexed: 07/04/2023]
Affiliation(s)
- Jesse Courtier
- UCSF Department of Radiology and Biomedical Imaging, Pediatric Radiology UCSF Benioff Children's Hospital, 1975 4th Street, C1758 P, San Francisco, CA 94138.
| | - Christopher P Hess
- UCSF Department of Radiology and Biomedical Imaging, Pediatric Radiology UCSF Benioff Children's Hospital, 1975 4th Street, C1758 P, San Francisco, CA 94138
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Stewart M, Yang N, Lim R. Provision of feedback to radiology trainees: Barriers and inefficiencies, why it matters and a potential solution. J Med Imaging Radiat Oncol 2023; 67:77-80. [PMID: 36480020 DOI: 10.1111/1754-9485.13497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 11/15/2022] [Indexed: 12/13/2022]
Affiliation(s)
- Michael Stewart
- Radiology Department, Austin Health, Melbourne, Victoria, Australia
| | - Natalie Yang
- Radiology Department, Austin Health, Melbourne, Victoria, Australia
| | - Ruth Lim
- Radiology Department, Austin Health, Melbourne, Victoria, Australia
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Marquis KM, Hoegger MJ, Shetty AS, Bishop GL, Balthazar P, Gould JE, Ballard DH. Results of the 2020 Survey of the American Alliance of Academic Chief Residents in Radiology. Clin Imaging 2023; 98:67-73. [PMID: 37023549 DOI: 10.1016/j.clinimag.2023.02.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/17/2022] [Accepted: 02/10/2023] [Indexed: 02/21/2023]
Abstract
RATIONALE AND OBJECTIVES An annual survey of chief residents in accredited North American radiology programs is conducted by the American Alliance of Academic Chief Residents in Radiology (A3CR2). The purpose of this study is to summarize the 2020 A3CR2 chief resident survey. MATERIALS AND METHODS An online survey was distributed to chief residents from 194 Accreditation Council on Graduate Medical Education-accredited radiology residencies. Questions were designed to gather information about residency program practices, benefits, fellowship or advanced interventional radiology (IR) training choices, and the integration of IR training. Subsets of questions focused on the perception of corporatization, non-physician providers (NPPs), and artificial intelligence (AI) in radiology and their relationship to the radiology job market. RESULTS 174 individual responses from 94 programs were provided, yielding a 48 % program response rate. Extended emergency department coverage has steadily decreased over the last 5 years (2016-2020), however only 52 % of programs have independent overnight call (without attending coverage). Regarding the impact of new integrated IR residencies on training, 42 % indicated there was no appreciable impact on their DR or IR training, while 20 % indicated DR training for IR residents suffered and 19 % indicated IR training for DR residents suffered. Corporatization in radiology was perceived as the biggest potential threat to the future job market. CONCLUSIONS Integration of IR residency did not detrimentally affect DR or IR training in most programs. Radiology resident perception of corporatization, NPPs, and AI may help residency programs shape educational content.
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Affiliation(s)
- Kaitlin M Marquis
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
| | - Mark J Hoegger
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
| | - Anup S Shetty
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
| | - Grace L Bishop
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
| | - Patricia Balthazar
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Jennifer E Gould
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
| | - David H Ballard
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
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Kim E, Garg T, Jean J, Gabr AM. Radiology and Advocacy: How Trainees Can Make a Difference. Radiographics 2023; 43:e220183. [DOI: 10.1148/rg.220183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Scheinfeld A, Schwartz C, Cunqueiro A. Resident pre-dictation of ED case delay signoff of those reports, but overall, residents improve report turnaround time. Emerg Radiol 2022; 30:153-159. [PMID: 36547740 PMCID: PMC9773659 DOI: 10.1007/s10140-022-02110-9] [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: 10/27/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022]
Abstract
PURPOSE In academic radiology departments, attendings and resident are increasingly working together overnight for Emergency Department (ED) radiology coverage. The purpose of this study was to quantify reporting turnaround time for overnight cases read by residents and for overnight shifts with residents on duty. METHODS A retrospective study was performed at a hospital system where one overnight attending covers two hospitals with a 2nd/3rd year overnight resident, and a second overnight attending covers two other hospitals 80% of the time independently and 20% of the time with a fourth-year resident. In the first analysis, the median difference in turnaround time, from the time when the case was completed by the technologist to the time the attending finalized it, between cases read independently by attendings and cases pre-dictated by residents was calculated. In the second analysis, the median difference in turnaround time for all cases performed at the second two hospitals was compared on nights when an attending was on duty alone versus nights when a fourth-year resident was also on duty, regardless of if the resident had pre-dictated the case. RESULTS For computed tomography (CT), radiographs (XR), and ultrasound (US), there was a significant delay in turnaround time for cases pre-dictated by residents compared to cases read independently by attendings, ranging between 11 and 49 min depending on resident seniority and modality (p ≤ 0.001). For all cases on nights with a 4th year resident working, overall median report turnaround time decreased by 7 min (p < 0.001). CONCLUSION Resident pre-dictation causes delay in the finalization of individual CT, US, and XR reports; however, overall, working with residents results in a significant decrease in report turnaround time supporting the belief that overnight resident education does not delay patient care.
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Affiliation(s)
- Adina Scheinfeld
- grid.251993.50000000121791997Montefiore Medical Center, Albert Einstein College of Medicine, Department of Radiology, Division of Emergency Radiology, 111 East 210 Street, Bronx, NY 10467 USA
| | - Carly Schwartz
- grid.251993.50000000121791997Montefiore Medical Center, Albert Einstein College of Medicine, Department of Radiology, Division of Emergency Radiology, 111 East 210 Street, Bronx, NY 10467 USA
| | - Alain Cunqueiro
- grid.251993.50000000121791997Montefiore Medical Center, Albert Einstein College of Medicine, Department of Radiology, Division of Emergency Radiology, 111 East 210 Street, Bronx, NY 10467 USA
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Pfeifer CM. Time Requirements for Academic Recognition: An Outdated Concept. Acad Radiol 2022; 29:1770. [PMID: 35300906 DOI: 10.1016/j.acra.2022.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 02/16/2022] [Accepted: 02/16/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Cory M Pfeifer
- Department of Radiology (C.M.P.), University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390.
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Daye D, Achuck E, Slanetz PJ. New England Women in Radiology (NEWR) Invited Lectureship Series: A Novel Program to Advance the Careers of Junior Female Faculty in Academic Radiology. Acad Radiol 2022; 30:919-925. [PMID: 35752573 DOI: 10.1016/j.acra.2022.05.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 05/18/2022] [Accepted: 05/28/2022] [Indexed: 11/26/2022]
Abstract
RATIONALE AND OBJECTIVES The purpose of this study is to assess the impact of the New England Women in Radiology (NEWR) program, a new program aimed to generate speaking and networking opportunities for junior women radiologists in New England, by providing opportunities to speak at other academic institutions in the region. MATERIALS AND METHODS A total of 12 academic radiology departments and 20 faculty members at various New England institutions participated in the program during its first year. An institutional survey was sent to all participating institutions and a faculty survey was sent to all participating faculty to assess their experience with the program. Experience was measured using a Likert scale. A word cloud was used to visualize common themes in free response survey questions. RESULTS Hundred percent of participating institutions and 67% of participating faculty responded to the corresponding surveys. Hundred percent of responding faculty indicated that they would participate in the program again. Ninety-two percent of faculty said that they would recommend the program to a colleague. Fifty-eight percent found the networking opportunity valuable; while 83% believed that participation in the NEWR program would help them achieve a promotion. Hundred percent of the participating institutions who completed the survey strongly agreed that 1) the program was easy to administer, 2) participating in the program was valuable to their educational mission, and 3) participating in the program benefited the promotion of junior women faculty in their department. CONCLUSION Initial experience with the NEWR program in its first year was positive amongst both faculty and institutional participants. To further help female junior faculty advance their careers in academia, the NEWR program could be adapted to other geographical locations to incorporate a greater number of institutions and faculty.
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Affiliation(s)
- Dania Daye
- Department of Interventional Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA.
| | - Emily Achuck
- Department of Interventional Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA
| | - Priscilla J Slanetz
- Department of Radiology, Boston University School of Medicine, 72 E Concord Street, Boston, MA
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Hoegger MJ, Shetty AS, Denner DR, Gould JE, Wahl RL, Raptis CA, Ballard DH. A Snapshot of Radiology Training During the Early COVID-19 Pandemic. Curr Probl Diagn Radiol 2021; 50:607-613. [PMID: 32690337 PMCID: PMC7322484 DOI: 10.1067/j.cpradiol.2020.06.012] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 06/11/2020] [Accepted: 06/22/2020] [Indexed: 12/21/2022]
Abstract
PURPOSE The COVID-19 pandemic transformed the personal and professional lives of radiology trainees. The purpose of this study was to broadly summarize the impact of COVID-19 on radiology trainees and their training programs via data collected during the early pandemic. MATERIALS AND METHODS An online survey was distributed to radiology chief residents in residencies throughout North America with responses collected between March 20th, 2020 and May 15th, 2020, which coincided with the development of initial COVID-19 peaks in North America. A subset of COVID-19 pandemic questions included resident wellness, imaging opinions, residency infrastructure change, and opinions regarding the Core Exam delay. RESULTS One hundred forty chief residents from 86 institutions responded to COVID-19-related questions. Nearly all responding programs (99%; 85/86) reported institutional positive cases of COVID-19. Most residents (94%; 132/140) thought laboratory testing provided more value than imaging. Fifty-seven percent of respondents (80/140) would use COVID-19-related terminology when encountering chest CT findings supportive of viral pneumonia in symptomatic patients. There was little reported change in the number of residents on call (no change reported in >80% of programs). Fifty-nine percent of residents (83/140) reported increased stress related to the COVID-19 pandemic. The majority of programs (93%) had fewer residents on service (80/86 responding programs). CONCLUSIONS COVID-19 dramatically affected radiology residencies during the early pandemic period. As we enter future phases of the COVID-19 pandemic, careful thought should also be given to rebuilding the radiology resident experience.
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Affiliation(s)
- Mark J Hoegger
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.
| | - Anup S Shetty
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO
| | - Darcy R Denner
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO
| | - Jennifer E Gould
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO
| | - Richard L Wahl
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO
| | - Constantine A Raptis
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO
| | - David H Ballard
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO
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Preparing junior radiology residents for overnight call via peer-led, hands-on simulation. Emerg Radiol 2021; 28:589-599. [PMID: 33452965 DOI: 10.1007/s10140-020-01887-x] [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: 11/21/2020] [Accepted: 12/11/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE The aim of this study was to assess the perceived value and impact of a hands-on mock call simulation program on resident confidence with interpretation of emergency department overnight call cases. METHODS A five-session course was implemented in June of 2018 for rising PGY-3/R2 residents to mimic the experience of overnight call with indirect supervision. Sessions were led by senior residents in the program and consisted of timed, independent interpretation of 15-20 high-yield cases per day which highlighted "do-not miss" critical findings and simulated workflow interruptions including phone calls, consultations, and questions from technologists. IRB-approved, and anonymous pre- and post-course surveys were administered to participants which assessed residents' degree of confidence in interpretation of on-call cases and comparison of the mock call experience with existing preparatory strategies. Survey responses were analyzed using McNemar's test and Mann-Whitney U test. RESULTS Our survey response rate was 91% (29/32). After completing the mock call simulation, there was a significant increase in the mean Likert score of resident confidence levels and feelings of preparedness from 4.59 to 7.38 (p < 0.01). The majority of respondents (72.4% [21/29]) felt that the mock call simulation was "extremely useful." One hundred percent of respondents indicated that the mock call simulation should be implemented for the following year. CONCLUSION Implementation of a hands-on mock call simulation significantly improves the confidence levels of radiology residents before assuming on-call responsibilities and may serve as an adjunct to existing preparatory strategies.
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Le VT, Akbari YS, El-Ali AM. An unexpected upheaval: pediatric radiology fellows' experience during COVID-19. Pediatr Radiol 2021; 51:216-219. [PMID: 33416923 PMCID: PMC7791337 DOI: 10.1007/s00247-020-04899-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 08/11/2020] [Accepted: 10/20/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Viet T. Le
- grid.239573.90000 0000 9025 8099Department of Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH USA
| | - Yasmin S. Akbari
- grid.412408.bDepartment of Pediatric Radiology, Texas Children’s Hospital/Baylor College of Medicine, Houston, TX USA
| | - Alexander M. El-Ali
- grid.239552.a0000 0001 0680 8770Department of Pediatric Radiology, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA 19104 USA
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Dinh ML, Pfeifer CM, Gokli A. Promoting pediatric radiology at multiple levels. Pediatr Radiol 2021; 51:1556-1558. [PMID: 33931795 PMCID: PMC8087496 DOI: 10.1007/s00247-021-05082-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 03/08/2021] [Accepted: 04/15/2021] [Indexed: 11/24/2022]
Affiliation(s)
| | - Cory M. Pfeifer
- Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390 USA
| | - Ami Gokli
- Department of Radiology, Staten Island University Hospital, Staten Island, NY USA
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