1
|
Young A, Gilotra K, Jin MX, Raiker A, Dickson M, Ros P. A Review of COVID-19's Impact on Radiology Residents' Academics and Wellness in North America. J Am Coll Radiol 2023; 20:1135-1145. [PMID: 37716445 DOI: 10.1016/j.jacr.2023.08.022] [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: 03/14/2023] [Revised: 08/07/2023] [Accepted: 08/22/2023] [Indexed: 09/18/2023]
Abstract
BACKGROUND The COVID-19 pandemic caused major disruptions in radiology departments throughout North America. Radiology residency programs were forced to make dramatic changes to their training programs, which had major impacts on resident academics and wellness. The goal of this review is to evaluate the impact of COVID-19 on radiology residents' academics and wellness in North America, while also identifying effective measures taken by programs to mitigate the effects of the pandemic. METHODS The search strategy involved database search via PubMed, Embase, and Web of Science with specific key words related to COVID-19, radiology residents, education, wellness, and virtual learning. Studies discussing the education and wellness of radiology residents in North America published after 2020 were included. The data were analyzed using a narrative synthesis approach. RESULTS The three main domains affected by the pandemic include the residency curriculum, research, and resident wellness. The decline in case volume and diversity of cases had negative overall impact on education of radiology residents, but simulated cases and virtual learning proved its value during the pandemic and may have lasting implications for the postpandemic world. Research initiatives transitioned to a remote format with greater emphasis on quality improvement and COVID-19-related studies. Reduced face-to-face interaction opportunities made it difficult to establish strong and meaningful interpersonal connections and had a negative impact on resident wellness, mentorship, and professional development. Implementing mentorship programs and virtual "town hall meetings" were effective measures to maintain connections during times of social distancing. Finally, the COVID-19 pandemic introduced unprecedented stressors and challenges for radiology residents that negatively impacted their mental health and wellness. Incorporating wellness initiatives such as wellness hours and team-building activities and using social media were helpful in promoting wellness and mental health for radiology residents. CONCLUSION The COVID-19 pandemic has had a significant impact on the academics and wellness of radiology residents across North America but has taught us many lessons that can help us navigate the ongoing challenges of the pandemic, the postpandemic world, and future pandemics.
Collapse
Affiliation(s)
- Austin Young
- Medical Student, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.
| | - Kevin Gilotra
- Medical Student, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York
| | - Michael X Jin
- Radiology Resident, Department of Radiology, Stony Brook University Hospital, Stony Brook, New York
| | - Ashna Raiker
- Medical Student, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York
| | - Maya Dickson
- Undergraduate Student, State University of New York at Stony Brook, Stony Brook, New York
| | - Pablo Ros
- Clinical Professor of Radiology and Pathology, Department of Radiology, Stony Brook University Hospital, Stony Brook, New York
| |
Collapse
|
2
|
Xiberta P, Boada I, Thió-Henestrosa S, Pedraza S, Pineda V. Asynchronous online learning as a key tool to adapt to new educational needs in radiology during the COVID-19 pandemic. MEDICAL EDUCATION ONLINE 2022; 27:2118116. [PMID: 36066086 PMCID: PMC9467610 DOI: 10.1080/10872981.2022.2118116] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 08/14/2022] [Accepted: 08/24/2022] [Indexed: 05/28/2023]
Abstract
The risk of contagion and the lockdown caused by the COVID-19 pandemic forced a change in teaching methodologies in radiology. New knowledge about the disease that was being acquired on a daily basis needed to be rapidly spread worldwide, but the restrictions imposed made it difficult to share this information. This paper describes the methodology applied to design and launch a practice-based course on chest X-ray suggestive of COVID-19 right after the pandemic started, and aims to determine whether asynchronous online learning tools for radiology education are useful and acceptable to general practitioners and other medical personnel during a pandemic. The study was carried out from April to October 2020 and involved 2632 participants. Pre- and post-testing was used to assess the participants' gain of knowledge in the course content (paired t-tests and chi-squared tests of independence). A five-point Likert scale questionnaire inspired by the technological acceptance model (TAM) was provided to evaluate the e-learning methodology (ANOVA tests). The results from the pre- and post-tests showed that there were significant differences in the scores before and after completing the course (sample size = 2632, response rate = 56%, p<0.001). As for the questionnaire, all questions surpassed 4.5 out of 5, including those referring to perceived ease of use and perceived usefulness, and no significant differences were found between experienced and inexperienced participants (sample size = 2535, response rate = 53%, p=0.85). The analysis suggests that the applied methodology is flexible enough to adapt to complex situations, and is useful to improve knowledge on the subject of the course. Furthermore, a wide acceptance of the teaching methodology is confirmed for all technological profiles, pushing for and endorsing a more widespread use of online platforms in the domain of radiology continuing education.
Collapse
Affiliation(s)
- Pau Xiberta
- Graphics and Imaging Laboratory, Universitat de Girona, Girona, Catalonia
| | - Imma Boada
- Graphics and Imaging Laboratory, Universitat de Girona, Girona, Catalonia
| | - Santiago Thió-Henestrosa
- Departament d’Informàtica, Matemàtica Aplicada i Estadística, Universitat de Girona, Girona, Catalonia
| | - Salvador Pedraza
- Centre de Diagnòstic per la Imatge, Hospital Clínic de Barcelona, Barcelona, Catalonia
| | - Víctor Pineda
- Department of Radiology and IDIBGI, Hospital Universitari Dr Josep Trueta (Institut de Diagnòstic per la Imatge), Girona, Catalonia
| |
Collapse
|
3
|
McDonnell C, Lambe G, Hutchinson B. The effect of COVID-19 on radiology postgraduate training in Ireland. Ir J Med Sci 2022:10.1007/s11845-022-03190-9. [PMID: 36229589 PMCID: PMC9560879 DOI: 10.1007/s11845-022-03190-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 10/06/2022] [Indexed: 12/02/2022]
Abstract
Background The COVID-19 pandemic had a significant impact on the healthcare provision, and while it has also had unprecedented effects on medical education and training, the extent has not been fully evaluated. Aims We wished to assess the effects of COVID-19 on postgraduate radiology training, and due to the structure of postgraduate radiology training in Ireland, this setting allows for the surveying of an entire national cohort of trainees due to the relatively small national population and centralised national training body. Methods A 70-question survey, covering 11 areas of the training experience, was devised. The survey was reviewed by the national trainee committee and approved by the national training and education committee for radiology. This was distributed to all radiology trainees (n = 124), who were given 2 weeks to submit responses anonymously. The survey was not mandatory. Results Out of 124 trainees, 64 (51.6%) submitted responses. A total of 37.5% of respondents felt that their workload had decreased, 23.5% reported that they had been required to take greater than 7 days of leave due to COVID-19 (either primary infection or required isolation due to ‘close contact’), 77% felt that their subspecialty rotations had been significantly impacted by COVID-19, and 56.3% of respondents reported a worsening in their sense of wellbeing due to the COVID-19 pandemic. Conclusion Our survey, which, to our knowledge, is unique in its representation of the entirety of a national postgraduate training programme, has demonstrated trainees’ attitudes that there has been a significant, multifaceted impact of the COVID-19 pandemic on the quality of their training. Supplementary Information The online version contains supplementary material available at 10.1007/s11845-022-03190-9.
Collapse
Affiliation(s)
- Caoimhe McDonnell
- Department of Diagnostic Imaging, St James's Hospital, James's Street, 8, D08 NHY1, Dublin, Ireland.
| | - Gerard Lambe
- Radiology Department, Austin Hospital, Heidelberg, VIC, 3084, Australia
| | - Barry Hutchinson
- Radiology Department, Mater Misericordiae University Hospital, Dublin, Ireland
| |
Collapse
|
4
|
Radiology trainee and attending satisfaction with virtual readouts during the COVID-19 pandemic. Clin Imaging 2022; 88:66-77. [PMID: 35643045 PMCID: PMC9123824 DOI: 10.1016/j.clinimag.2022.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/06/2022] [Accepted: 05/16/2022] [Indexed: 01/25/2023]
Abstract
RATIONALE AND OBJECTIVES In response to COVID-19, our institution implemented three virtual readout systems: a commercial HIPAA compliant web-based video conferencing platform used for screen-sharing (Starleaf), an interactive control sharing system integrated into PACS allowing simultaneous multi-user mouse control over images (Collaborate), and the telephone. Our aim was to assess overall satisfaction with and perceived effectiveness of these virtual readout methods to optimize best practices for the future. MATERIALS AND METHODS An IRB-exempt survey was electronically distributed to 64 trainees and 76 attendings at one tertiary-care institution via Survey Monkey. Questions focused on overall satisfaction, perceived effectiveness, technical difficulties, and continued future use of the three virtual readout strategies. Answers were collected with Likert scales, tick boxes, and open-ended questions. RESULTS 32/64 trainees (50%) and 32/76 attendings (42%) completed the survey. Trainees and attendings were more satisfied with screen sharing (Starleaf) and perceived it more effective than control sharing (Collaborate) or the telephone (p < 0.0001). Respondents experienced more technical difficulties with control sharing versus screen sharing (p = 0.0004) with a negative correlation between level of technical difficulties and satisfaction with screen sharing (r = -0.50, p < 0.0001) and control sharing (r = -0.38, p = 0.0006). Trainees and faculty supported a combination of in-person and virtual readouts in the future (p < 0.0001). CONCLUSION Platforms mirroring in-person readouts, such as Starleaf, are preferred by both trainees and attendings over non-screen sharing platforms such as the telephone. However, technical stability determines satisfaction between similar platforms. Both trainees and attendings support incorporation of virtual readout methods in combination with traditional in-person readouts in the post-COVID-19 era.
Collapse
|
5
|
Talking Points: Enhancing Communication Between Radiologists and Patients. Acad Radiol 2022; 29:888-896. [PMID: 33846062 DOI: 10.1016/j.acra.2021.02.026] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 02/15/2021] [Accepted: 02/21/2021] [Indexed: 11/23/2022]
Abstract
Radiologists communicate along multiple pathways, using written, verbal, and non-verbal means. Radiology trainees must gain skills in all forms of communication, with attention to developing effective professional communication in all forms. This manuscript reviews evidence-based strategies for enhancing effective communication between radiologists and patients through direct communication, written means and enhanced reporting. We highlight patient-centered communication efforts, available evidence, and opportunities to engage learners and enhance training and simulation efforts that improve communication with patients at all levels of clinical care.
Collapse
|
6
|
Wong TY, Huang JJ, Cooke EA, Hoffmann JC, Donnelly EF. Adapting to the Era of Virtual Recruitment: Radiology Departmental Website Response to COVID-19 and Portrayal of the Resident Experience. Acad Radiol 2022; 29:771-778. [PMID: 35379478 PMCID: PMC8971923 DOI: 10.1016/j.acra.2021.11.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 11/24/2021] [Accepted: 11/26/2021] [Indexed: 11/09/2022]
Abstract
Rationale and Objectives The COVID-19 pandemic has transformed radiology recruitment into a virtual affair and placed an even stronger emphasis on the importance of departmental websites. In this study, we evaluate residency websites in detailing the response to COVID-19 as well as initiatives which help describe the resident experience. Materials and Methods Program websites for diagnostic radiology residencies listed in the 2022 Electronic Residency Application Service (ERAS) program list were evaluated for 31 criteria related to departmental response to COVID-19, online outreach, and resident wellness. Results Of 184 programs, 182 had functioning websites for review. One program was excluded from analysis as the website was almost entirely video-based. In response to COVID-19, ≤1% described resident redeployment, vaccination information, departmental response to ABR Core Exam changes, or regular administration updates. Six (3.3%) described revised read-out protocols, four (2.2%) mentioned supplementary non-clinical education, and 14 (7.7%) indicated changes to educational conferences. The majority of websites (122, 67.4%) offered an informational or tour video, while 44 (24.3%) described expectations for virtual interviewing, and 20 (11.0%) had virtual “open-houses.” Departmental social media, primarily Twitter, was linked for 60 (33.1%) programs. A total of 134 (74.0%) websites described community highlights. More than a quarter mentioned meal stipends (72, 39.8%), paid sick time (54, 29.8%) and healthcare resources (57, 31.5%). Although social activities were described by 44 (24.3%) programs, some specifically indicating changes to COVID-19, formal resident mentoring (25, 13.8%) and wellness committees (28, 15.5%) were less common. These criteria were found more commonly at the largest third of residency programs (chi square, p < 0.00625). Conclusion Programs rarely described work flow changes to COVID-19, and websites could improve in virtual outreach. Compared with prior literature, departmental websites have improved in describing wellness initiatives and related measures.
Collapse
|
7
|
Kamel P, Brookmeyer C, Tang H, Solnes L, Lin CT. Conference Attendance Tracking and Evaluation in the Era of Virtual Conferences. Acad Radiol 2022; 29 Suppl 5:S76-S81. [PMID: 35042665 PMCID: PMC8760604 DOI: 10.1016/j.acra.2021.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 12/12/2021] [Accepted: 12/13/2021] [Indexed: 11/04/2022]
Abstract
Rationale and Objectives The coronavirus pandemic upended in-person radiology education and led to a transition to virtual platforms. We needed a new method to monitor lecture attendance, previously relying on a physical badge system. Our goal was to develop and implement a virtual conference attendance system that is user-friendly, automated, useable in any virtual conference environment, and accurate. Materials and Methods We developed a web-based platform to serve as a virtual conference attendance tracking and evaluation platform. Daily, the application synchronizes with our lecture calendar to identify scheduled conferences and generates a unique attendance link for each event. The link is automatically posted in the conference chat and attendees must be logged in by the time it is posted to click the link, prompting single sign-on authentication. We integrated the system with resident schedules to excuse residents when appropriate. Real-time attendance reports are accessible in a user-friendly dashboard with a 5-star lecture review and comment system. We surveyed residents on satisfaction with the application after 1-year of use. Results Over the 2020–2021 academic year, we registered 376 conferences with 5,040 virtual swipes from 65 users. Once set up, virtual swipes take seconds to perform with minimal disruption to the conference. Average satisfaction for the platform was rated as 4.69 on a scale of 1 to 5. All respondents agreed or strongly agreed that use of the platform should be continued for future years, with 85% strongly agreeing. Conclusion : We developed an online platform for radiology conference attendance logging and evaluation, designed for virtual conferences.
Collapse
|
8
|
Patil NS, Gunter D, Larocque N. The Impact of the COVID-19 Pandemic on Radiology Resident Education: Where Do We Go From Here? Acad Radiol 2022; 29:576-583. [PMID: 35033451 PMCID: PMC8610839 DOI: 10.1016/j.acra.2021.11.015] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 11/09/2021] [Accepted: 11/18/2021] [Indexed: 02/03/2023]
Abstract
The Coronavirus Disease of 2019 (COVID-19) pandemic caused a dramatic shift in radiology resident education. Primarily, physical distancing prompted a general transition to virtual learning. Common changes made by radiology residency programs included virtual rounds and readouts, the use of simulation technology, and case-based learning which utilized pedagogical approaches such as the flipped classroom for teaching residents. Virtual learning appears to be a suitable alternative to traditional, in-person learning, and may have a place post-pandemic as part of a blended curriculum with in-person and virtual components. The extent of disruption to radiology resident education varied based on the local impact of COVID-19 and the prevalence of redeployment, as did residents’ mental health and wellbeing. Accessibility of mental health resources for residents was highlighted as an issue that programs need to address during these difficult times. Moreover, the pandemic resulted in unavoidable reductions in procedural exposure which programs mitigated through the use of simulation technologies and virtual learning resources. Professional development activities such as mentorship and career planning were also dramatically impacted by the pandemic and remains a challenge that programs need to consider moving forward post-pandemic. The purpose of this review is to outline the changes made to radiology resident education as a result of the COVID-19 pandemic and suggest what changes may be worthwhile to continue.
Collapse
Affiliation(s)
- Nikhil S Patil
- Michael G Degroote School of Medicine, McMaster University, Hamilton, ON, Canada.
| | - Dane Gunter
- University College Cork School of Medicine, Cork, Ireland
| | - Natasha Larocque
- Department of Diagnostic Imaging, Hamilton General Hospital, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada
| |
Collapse
|
9
|
Radiology Medical Student Education 2020: Surveys of the Alliance of Medical Student Educators in Radiology and Medical Students. Acad Radiol 2022; 29:298-311. [PMID: 33516589 PMCID: PMC8735856 DOI: 10.1016/j.acra.2021.01.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 12/22/2020] [Accepted: 01/01/2021] [Indexed: 02/08/2023]
Abstract
Rationale and Objectives The coronavirus disease 2019 (COVID-19) pandemic has resulted in significant changes to medical student education by disrupting clinical rotations, licensing exams, and residency applications. To evaluate the pandemic's impact and required modifications of radiology medical student courses, the authors developed and administered surveys to Alliance of Medical Student Educators in Radiology (AMSER) faculty and enrolled medical students. The surveys requested feedback and insight about respondents’ experiences and innovations. Materials and Methods Anonymous twenty-question and seventeen-question surveys about the pandemic's impact on medical student education were distributed via email to AMSER members and medical students. The surveys consisted of multiple choice, ranking, Likert scale, and open-ended questions. Differences in the Likert score agreement was performed using one-sided Wilcoxon-Mann-Whitney tests. Survey data were collected using SurveyMonkey (San Mateo, California). This study was IRB exempt. Results The AMSER survey indicated 96% of institutions cancelled medical student courses and 92% resumed with virtual courses, typically general radiology. A total of 64% of faculty enjoyed online teaching, although 82% preferred on-site courses. A total of 62% of students felt an online radiology course was an excellent alternative to an on-site rotation, although 27% disagreed. A total of 69% of students who completed both on-site and online courses preferred the on-site format. Survey-reported innovations and free response comments have been collated as educational resources. Conclusion Faculty were able to adapt radiology courses to the online environment utilizing interactive lectures, self-directed learning, flipped classroom sessions, and virtual readouts, which were effective for student respondents. Hybrid rotations with on-site and online elements may offer the best of both worlds.
Collapse
|
10
|
Woerner A, Chick JFB, Monroe EJ, Ingraham CR, Pereira K, Lee E, Hage AN, Makary MS, Shin DS. Interventional Radiology in the Coronavirus Disease 2019 Pandemic: Impact on Practices and Wellbeing. Acad Radiol 2021; 28:1209-1218. [PMID: 34210612 PMCID: PMC8185184 DOI: 10.1016/j.acra.2021.05.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 05/18/2021] [Accepted: 05/25/2021] [Indexed: 12/13/2022]
Abstract
PURPOSE To report the impact of the coronavirus disease 2019 (COVID-19) pandemic on interventional radiology (IR). MATERIALS AND METHODS A 78-question survey was distributed to practicing interventional radiologists and IR trainees. The survey consisted of demographic and practice environment queries. Anxiety symptoms were evaluated using the Generalized Anxiety Disorder-7 (GAD-7) screener, and coping strategies were assessed using the Brief-Coping Orientation to Problems Experienced (Brief-COPE) questionnaire. RESULTS There were 422 respondents including 333 (78.9%) attending interventional radiologists and 89 (21.1%) interventional radiologists-in-training from 15 counties. Most respondents were from academic medical centers (n = 218; 51.7%). A large majority (n = 391; 92.7%) performed a procedure on a patient with confirmed COVID-19 infection. An N95 mask was the most common (n = 366; 93.6%) safety measure employed. Cancellation or limitation of elective procedures were reported by 276 (65.4%) respondents. Many respondents (n = 177; 41.9%) had self-reported anxiety (GAD-7 score >5) with an overall mean GAD-7 score of 4.64 ± 4.63 (range: 0-21). Factors associated with reporting anxiety included female gender (p = 0.045), increased call coverage (p = 0.048), lack of adequate departmental adjustments (p <0.0001), and lack of adjustments in a timely manner (p <0.0001). The most utilized coping strategy was acceptance (mean of 5.49 ± 1.88), while the most employed dysfunctional coping strategy was self-distraction (mean of 4.16 ± 1.67). The odds of reporting anxiety increased by >125% with adoption of dysfunctional strategies. CONCLUSION The COVID-19 pandemic induced practice alterations and high rates of self-reported anxiety in IR. Female gender, increased call coverage, and lack of adequate or timely departmental adjustments were associated with increased anxiety levels.
Collapse
Affiliation(s)
- Andrew Woerner
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195
| | - Jeffrey Forris Beecham Chick
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195; Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, University of Washington, Seattle, Washington 98105
| | - Eric J Monroe
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195; Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, University of Washington, Seattle, Washington 98105
| | - Christopher R Ingraham
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195
| | - Keith Pereira
- Department of Radiology, Division of Vascular Interventional Radiology, Saint Louis University Hospital, St. Louis, Missouri 63110
| | - Eunjee Lee
- Department of Information and Statistics, Chungnam National University, Yuseong-gu, Daejeon, South Korea
| | - Anthony N Hage
- Department of Radiology, Division of Vascular and Interventional Radiology, Thomas Jefferson Hospital, Philadelphia, Pennsylvania 19107
| | - Mina S Makary
- Department of Radiology, Division of Vascular and Interventional Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43210
| | - David S Shin
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195.
| |
Collapse
|
11
|
Schweitzer AD, Sarkany D. The Importance of the Clinical Internship for the Radiologist. Acad Radiol 2021; 28:1292-1295. [PMID: 32620529 PMCID: PMC7326448 DOI: 10.1016/j.acra.2020.05.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 05/28/2020] [Indexed: 11/01/2022]
|
12
|
Alhasan AS, Alahmadi SM, Altayeb YA, Daqqaq TS. Impact of COVID-19 Pandemic on Training and Well-Being in Radiology Residency: A National Survey of Diagnostic Radiology Trainees in Saudi Arabia. Acad Radiol 2021; 28:1002-1009. [PMID: 33893029 DOI: 10.1016/j.acra.2021.03.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 03/12/2021] [Accepted: 03/17/2021] [Indexed: 12/20/2022]
Abstract
OBJECTIVES To understand and report the perceived impact of the COVID-19 pandemic on radiology residents in Saudi Arabia with respect to their education, clinical activities, and personal well-being. METHODS The survey questionnaire was designed by a team of experts based on a review of the literature and was distributed electronically through the Saudi Commission for Health Specialties to residents registered in all radiology residency training programs in Saudi Arabia during the academic year 2019 to 2020. Categorical variables were presented as counts and percentage. Numerical variables were presented as mean and standard deviation if normally distributed. Chi-square testing was used to compare categorical variables with the perceived impact of the COVID-19 pandemic. Spearman correlation was used to correlate numerical variables at the level of significance p-value < 0.05. RESULTS A total of 109 residents completed the online survey during the study period, with a response rate of 32.2% (109/337). The mean age was 27.3 years (standard deviation, 1.86). The majority of respondents (71.5%, 78/109) reported either a severe or moderate negative impact on educational activities. Also, the majority (73.4%, 80/109) reported either a minimal or moderate negative impact on clinical activities. Residents training in the western province perceived a statistically higher negative impact on educational activities compared to their peers in other regions (p = 0.01). Residents in their second year of residency training perceived a statistically higher negative impact on their participation in clinical activities (p = 0.014). Less than half of the respondents (45.9%, 50/109) reported that they were redeployed to work in another department. The majority (80%, 40/50) reported a negative impact on their well-being. CONCLUSION The majority of radiology residents in Saudi Arabia reported a negative impact of the COVID-19 pandemic on their education, clinical activities, and personal well-being. Our study also identified and explored some of the innovative solutions and strategies implemented by the training programs and the SCFHS to mitigate the negative effects on trainees.
Collapse
Affiliation(s)
- Ayman S Alhasan
- Department of Radiology, College of Medicine, Taibah University, P.O.Box 7295, Zip Code 42361, Madinah, Saudi Arabia.
| | - Shahad M Alahmadi
- College of Medicine, Taibah University, Madinah, Kingdome of Saudi Arabia
| | - Yara A Altayeb
- College of Medicine, Taibah University, Madinah, Kingdome of Saudi Arabia
| | - Tareef S Daqqaq
- Department of Radiology, College of Medicine, Taibah University, P.O.Box 7295, Zip Code 42361, Madinah, Saudi Arabia
| |
Collapse
|
13
|
Shah N, Nguyen JK, Gupta Y, Matalon SA, Gaviola GC. Engaging Medical Students in the Virtual, Socially Distant Era of the Covid-19 Pandemic: Online Radiology Resources Worth Exploring. Acad Radiol 2021; 28:733-736. [PMID: 33685793 DOI: 10.1016/j.acra.2021.01.021] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 01/04/2021] [Accepted: 01/15/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Neal Shah
- Edward Via College of Osteopathic Medicine, Department of Radiology, 350 Howard Street, Spartanburg, SC, United States 29303.
| | - Jeffers K Nguyen
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Radiology, Hempstead, New York
| | - Yasha Gupta
- Mount Auburn Hospital, Department of Radiology, Cambridge, Massachusetts
| | - Shanna A Matalon
- Brigham and Women's Hospital, Boston, Massachusetts, Department of Radiology, Boston, Massachusetts
| | - Glenn C Gaviola
- Brigham and Women's Hospital, Boston, Massachusetts, Department of Radiology, Boston, Massachusetts
| |
Collapse
|
14
|
Larocque N, Shenoy-Bhangle A, Brook A, Eisenberg R, Chang YM, Mehta P. Resident Experiences With Virtual Radiology Learning During the COVID-19 Pandemic. Acad Radiol 2021; 28:704-710. [PMID: 33640229 PMCID: PMC7883720 DOI: 10.1016/j.acra.2021.02.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 02/03/2021] [Accepted: 02/06/2021] [Indexed: 12/12/2022]
Abstract
Rationale and Objectives COVID-19 has disrupted radiology education and forced a transition from traditional in-person learning to a virtual platform. As a result of hospital and state mandates, our radiology residency program quickly transitioned to a virtual learning platform to continue dissemination of knowledge, maintain resident engagement, and ensure professional development. The goal of this study is to assess the strengths and weaknesses of the virtual learning platform at our institution using resident ratings. Materials and Methods This institutional IRB-exempt study involved a survey of 17 questions which was electronically distributed to 45 radiology residents using SurveyMonkey. Questions encompassed resident satisfaction with teaching and professional development, scheduling changes, and engagement with the virtual platform. Answers to most questions were submitted on a Likert scale. Results A total of 31 of 45 respondents completed the survey (response rate = 69%). Most residents were satisfied with the virtual platform with teaching activities identified as a strength and the incorporation of professional development as a weakness. The most frequent barriers to attending the virtual curriculum were technical difficulties (43%) and childcare (36%). Residents who reported experiencing barriers were less likely to adhere to the virtual curriculum (p = 0.004). Most respondents (81%) reported a desire to maintain elements of the virtual learning practice postpandemic. Conclusion The majority of residents reported high satisfaction with virtual learning during the COVID-19 pandemic. Teaching activities are a curricular strength. Weaknesses identified include the incorporation of professional development and extrinsic barriers, such as technical difficulties and family obligations, which require further support for trainees.
Collapse
Affiliation(s)
- Natasha Larocque
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts.
| | - Anuradha Shenoy-Bhangle
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts
| | - Alexander Brook
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts
| | - Ronald Eisenberg
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts
| | - Yu-Ming Chang
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts
| | - Pritesh Mehta
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts
| |
Collapse
|
15
|
Lowery B, Sandhu S, Cook TS, Prasanna P. The Role of Imaging Informatics in Disaster Preparedness During the COVID-19 Pandemic. J Digit Imaging 2021; 34:330-336. [PMID: 34160715 PMCID: PMC8221096 DOI: 10.1007/s10278-021-00469-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/20/2021] [Indexed: 11/05/2022] Open
Abstract
Disaster preparedness is a major but necessary undertaking for every health care facility. The 2019 coronavirus (SARS-CoV-2) provided an unforeseen opportunity to compare the response of two radiology departments, University Health System A (UHSA) and University Health System B (UHSAB). Preparing for this disaster was unique since though unexpected, was thought to be detected early enough to allow for sufficient preparation. Unlike many other disasters which are short-term, single events, this has been an on-going event. Changes at both health systems included workflow alterations for exposure reduction to faculty, trainees, and staff. UHSA was able to quickly divert workflow to previously deployed home workstations, while University of Utah Health Sciences Center required 2 to 3 weeks to procure and initialize enough remote workstations to significantly affect departmental operations. Other measures such as universal masking, temperature screening at facility entrances, virtual appointments, and physical barriers were used by both systems to limit patient-to-patient, patient-to-staff, staff-to-patient, and staff-staff physical interaction to help decrease exposure risk. The goal of these preparations is to allow each department to fulfill imaging needs in support of the organizational clinical mission with the flexibility to adapt to the unique and dynamic nature of this disaster.
Collapse
Affiliation(s)
- Bryce Lowery
- Department of Radiology and Imaging Sciences, University of Utah Health Sciences Center, Salt Lake City, UT, USA
| | - Sameer Sandhu
- Department of Radiology, Hospital of University of Pennsylvania, Philadelphia, PA, USA
| | - Tessa S Cook
- Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 1 Silverstein Radiology, Philadelphia, PA, 19104, USA
| | - Prasanth Prasanna
- Department of Radiology and Imaging Sciences, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
| |
Collapse
|
16
|
Tu W, Joe BN. Trainee Perspectives on Breast Imaging Training during COVID-19: Where We Are Now. Radiol Imaging Cancer 2021; 3:e210011. [PMID: 33778765 PMCID: PMC7849595 DOI: 10.1148/rycan.2021210011] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Wendy Tu
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (W.T.); Breast Imaging, Department of Radiology and Biomedical Imaging, UCSF, San Francisco, CA (B.N.J.)
| | - Bonnie N Joe
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (W.T.); Breast Imaging, Department of Radiology and Biomedical Imaging, UCSF, San Francisco, CA (B.N.J.)
| |
Collapse
|
17
|
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
| |
Collapse
|
18
|
Poyiadji N, Klochko C, LaForce J, Brown ML, Griffith B. COVID-19 and Radiology Resident Imaging Volumes-Differential Impact by Resident Training Year and Imaging Modality. Acad Radiol 2021; 28:106-111. [PMID: 33046369 PMCID: PMC7528904 DOI: 10.1016/j.acra.2020.09.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 09/18/2020] [Accepted: 09/19/2020] [Indexed: 01/23/2023]
Abstract
Rationale and Objectives The COVID-19 pandemic has greatly impacted radiology departments across the country. The pandemic has also disrupted resident education, both due to departmental social distancing efforts and reduced imaging volumes. The purpose of this study was to assess the differential impact the pandemic had on radiology resident imaging volumes by training year and imaging modality. Materials and Methods All signed radiology resident reports were curated during defined prepandemic and intrapandemic time periods. Imaging case volumes were analyzed on a mean per resident basis to quantify absolute and percent change by training level. Change in total volume by imaging modality was also assessed. The number of resident workdays assigned outside the normal reading room was also calculated. Results Overall percent decline in resident imaging interpretation volume from the prepandemic to intrapandemic time period was 62.8%. R1s and R2s had the greatest decline at 87.3% and 64.3%, respectively. Mammography, MRI and nuclear medicine had the greatest decline in resident interpretation volume at 92.0%, 73.2%, and 73.0%, respectively. During the intrapandemic time period, a total of 478 resident days (mean of 14.5 days per resident) were reassigned outside of the radiology reading room. Conclusion The COVID-19 pandemic caused a marked decrease in radiology resident imaging interpretation volume and has had a tremendous impact on resident education. The decrease in case interpretation, as well as in-person teaching has profound implications for resident education. Knowledge of this differential decrease by training level will help residency programs plan for the future.
Collapse
|
19
|
Radiology residency program management post-pandemic-peak: looking down the curve and around the bend. Clin Imaging 2021; 69:243-245. [PMID: 32979790 PMCID: PMC7501832 DOI: 10.1016/j.clinimag.2020.09.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 07/20/2020] [Accepted: 09/14/2020] [Indexed: 12/23/2022]
Abstract
The three stage model set forth by the ACGME, which provides a framework for pandemic residency program management, is insufficient and could best be expanded to 5 stages to include post-pandemic-peak residency program management. Stage 4, "Increased non-COVID clinical demands," present the challenge of an increased clinical workload in the setting of social distancing while reengaging the educational mission of the residency program. In Stage 5, "Business as usual, redefined," the residency program must learn to adapt to new challenges including uncertainty surrounding the American Board of Radiology (ABR) Core examination, uncertainty in the job market, and potential diminished medical student interest in radiology. Despite these challenges, this post-pandemic environment offers tremendous opportunity to build on and enhance the residency program now and into the future.
Collapse
|
20
|
Gomes RLE, de Faria LL, Holzmann HA, Fujiwara NKDF, Ando SDM, Sawamura MVY, Leite CDC, Cerri GG. Fighting the invisible enemy: providing support and structure to radiology resident during the COVID-19 pandemic. Radiol Bras 2020; 53:397-400. [PMID: 33304007 PMCID: PMC7720668 DOI: 10.1590/0100-3984.2020.0067] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
The objective of this article is to share the strategy we used in order to restructure the radiology and diagnostic imaging department of a referral institution during the coronavirus disease 2019 pandemic, on the basis of the current recommendations. It is essential to integrate the work of supervisors, preceptors, and residents, maintaining communication and sharing decisions, with mutual support, as well as to determine the best strategy to be adopted in this scenario of uncertainty and constant change, while also ensuring adequate emotional support for all parties.
Collapse
Affiliation(s)
- Regina Lucia Elia Gomes
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Luisa Leitão de Faria
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Hernane Ajuz Holzmann
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Natalia Kimie de Faria Fujiwara
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Sabrina de Mello Ando
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Marcio Valente Yamada Sawamura
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Claudia da Costa Leite
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| | - Giovanni Guido Cerri
- Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil
| |
Collapse
|
21
|
Abstract
PURPOSE The novel coronavirus disease (COVID-19) pandemic has swept the globe, with a domino effect on medical education and training. In this study, we surveyed Canadian radiology residents to understand the impact of the pandemic on their residency training, strategies utilized by the residency programs in mitigating those impacts, and factors important to residents in the selection of educational resources on COVID-19. METHODS A 10-item questionnaire was distributed to 460 resident members of the Canadian Association of Radiologists. The survey was open for 2 weeks, with a reminder sent at half-way mark. RESULTS We received 96 responses (response rate: 20.9%). The 4 highest affected domains of training were daytime case volumes (92.4%), daytime schedules (87.4%), internal and external assessments (86.5%), and vacation/travel (83.3%). Virtual teaching rounds (91.7%), change in schedules to allow staying home (78.1%), and virtual/phone readouts (72.9%) were the most utilized strategies by the Canadian radiology residency programs. Overall stress of exposure to the disease was moderate to low (86.5%). A minority of the residents were redeployed (6.2%), although most (68.8%) were on standby for redeployment. Residents preferred published society guidelines (92.3%), review papers (79.3%), video lectures (79.3%), and web tools (76.9%) for learning about COVID-19 imaging manifestations. CONCLUSION The COVID-19 pandemic has had a significant impact on various domains of the Canadian radiology residency programs, which has been mitigated by several strategies employed by the training programs.
Collapse
Affiliation(s)
- Devang Odedra
- Department of Radiology, McMaster University, Hamilton, Ontario, Canada
| | - Baljot S. Chahal
- Department of Radiology and Diagnostic Imaging, University of Alberta, WC Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada
| | - Michael N. Patlas
- Department of Radiology, McMaster University, Hamilton, Ontario, Canada
| |
Collapse
|
22
|
The battle against Covid-19: the experience of an Egyptian radiology department in a university setting. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2020. [PMCID: PMC7592454 DOI: 10.1186/s43055-020-00335-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Background The current COVID-19 pandemic has resulted in marked and rapid changes to the standing policies of radiology departments globally. The aim of this review article is to describe the various processes implemented by a radiology department in an educational institution in a resource limited country during the COVID-19 crisis, giving insights into the adopted strategies in other institutions in developed countries. Main body Our preparedness strategy was directed into five main domains: protection and wellness of radiology faculty and staff, radiological examinations and patients’ safety, education, research, and financial support. By implementing new strategies, we found that work reorganization through the use of home PACS provided safe and effective reporting service, low infection rate with zero mortality, and online lectures and theses defense were successful. Furthermore, governmental support and donations were helpful in facing financial challenges during the pandemic. A comprehensive literature review search for policies adopted by other radiology departments in the world was performed. The adopted strategies of various centers are generally similar to ours aiming for mitigating the spread of the virus, keeping good patients’ care, and maintaining the educational process. Few policy differences across institutions were found in the reporting strategy of COVID-19 pneumonia and according to the availability of resources. Conclusion Covid-19 pandemic has opened the door for changes in the radiology department policies with renewed focus on educational, clinical, and scientific strategies. Documentation of the dynamic modifications of everyday practices and lessons learned are important as a reference for preparedness for possible second surge or future crisis.
Collapse
|
23
|
Tang PH, Chen EMH, Liang MMS, Teo SY, Ong CL. Maintaining Training with Self-Ultrasound During COVID-19. Acad Radiol 2020; 27:1491. [PMID: 32800445 PMCID: PMC7362803 DOI: 10.1016/j.acra.2020.07.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Accepted: 07/09/2020] [Indexed: 12/22/2022]
|
24
|
Patel TY, Bedi HS, Deitte LA, Lewis PJ, Marx MV, Jordan SG. Brave New World: Challenges and Opportunities in the COVID-19 Virtual Interview Season. Acad Radiol 2020; 27:1456-1460. [PMID: 32948443 PMCID: PMC7362778 DOI: 10.1016/j.acra.2020.07.001] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 06/28/2020] [Accepted: 07/07/2020] [Indexed: 11/24/2022]
Abstract
The COVID-19 pandemic has forced the transition of the traditional residency interview to a virtual format. This new interview format creates additional challenges and opportunities for both programs and applicants. The specific challenges of the virtual interview format are described, as well as means to mitigate those challenges. In addition, opportunities to improve residency selection from the program end are described.
Collapse
|
25
|
Shi J, Miskin N, Dabiri BE, DeSimone AK, Schaefer PM, Bay C, Guenette JP, Gaviola GC. Quantifying Impact of Disruption to Radiology Education During the COVID-19 Pandemic and Implications for Future Training. Curr Probl Diagn Radiol 2020; 50:815-819. [PMID: 32950305 PMCID: PMC7448952 DOI: 10.1067/j.cpradiol.2020.07.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 07/27/2020] [Indexed: 11/25/2022]
Abstract
Purpose The aim of this study was to assess the impact on radiology resident education due to the COVID-19 pandemic in order to inform future educational planning. Methods During a 10-week study period from March 16 to May 22, 2020, changes to educational block-weeks (BW) of first through fourth year residents (R1-4) were documented as disrupted in the setting of the COVID-19 pandemic. The first 5 weeks and the second 5 weeks were evaluated separately for temporal differences. Overall and mean disrupted BW per resident were documented. Wilcoxon rank-sum tests were used to assess pairwise differences between classes with Bonferroni-adjusted P-values, as well as differences in the early versus later phase of the pandemic. Results Of 373 BW, 56.6% were assigned to virtual curriculum, 39.4% radiology clinical duties, 2.9% illness, and 1.1% reassignment. Scheduling intervention affected 6.2 ± 2.3 (range 1-10) mean BW per resident over the 10-week study period. The R3 class experienced the largest disruption, greater than the R2 classes, and statistically significantly more than the R1 and R4 classes (both P < 0.05). The second half of the pandemic caused statistically significantly more schedule disruptions than the first half (P = 0.009). Discussion The impact of COVID-19 pandemic varied by residency class year, with the largest disruption of the R3 class and the least disruption of the R4 class. To optimize future educational opportunities, shifting to a competency-based education paradigm may help to achieve proficiency without extending the length of the training program.
Collapse
Affiliation(s)
- Junzi Shi
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA.
| | - Nityanand Miskin
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA
| | - Borna E Dabiri
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA
| | - Ariadne K DeSimone
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA
| | - Peter M Schaefer
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA
| | - Camden Bay
- Brigham and Women's Hospital, Department of Radiology, Boston, MA
| | - Jeffrey P Guenette
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA
| | - Glenn C Gaviola
- Brigham and Women's Hospital, Department of Radiology, Boston, MA; Harvard Medical School, Boston, MA
| |
Collapse
|
26
|
Veerasuri S, Vekeria M, Davies SE, Graham R, Rodrigues JCL. Impact of COVID-19 on UK radiology training: a questionnaire study. Clin Radiol 2020; 75:877.e7-877.e14. [PMID: 32847684 PMCID: PMC7420949 DOI: 10.1016/j.crad.2020.07.022] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 07/23/2020] [Indexed: 12/21/2022]
Abstract
AIM To understand the impact of COVID-19 on radiology trainee experience and well-being. MATERIALS AND METHODS A questionnaire designed to capture the impact of COVID-19 on radiology training, working patterns, and well-being was sent to all speciality trainees in a regional UK radiology school. The survey was distributed at the beginning of May 2020 and responses collected over 2 weeks. Trainees were questioned about changes that had occurred over a time period starting at the beginning of the COVID-19 pandemic. All survey responses (n=29) were anonymised and the results were subsequently analysed. RESULTS Sixty-two percent (29 of 47) of trainees within the deanery, who were spread across seven different hospital sites, responded to the questionnaire. All trainees felt that overall radiology workload had decreased in response to COVID-19. Seventy-two percent (21/29) stated that their workload had significantly decreased. Seventy percent (19/27) reported decreased subspecialty experience, and 19% (5/27) reported a complete lack of subspecialty training. Twenty-four percent (7/29) of trainees were redeployed from radiology to clinical ward-based work. Forty-eight percent reported experiencing a worsening in their well-being compared to before the pandemic. CONCLUSION The first wave of the COVID-19 pandemic had a significant impact on training and well-being. Lessons learnt from this report should help prepare for a second-wave of COVID-19 or future pandemics.
Collapse
Affiliation(s)
- S Veerasuri
- Severn PGME School of Radiology, Severn Deanery, Health Education England, Park House, 1200 Parkway, Bristol, BS34 8YU, UK; Department of Radiology, Royal United Hospital, Combe Park, Bath, Avon, BA1 3NG, UK.
| | - M Vekeria
- Severn PGME School of Radiology, Severn Deanery, Health Education England, Park House, 1200 Parkway, Bristol, BS34 8YU, UK
| | - S E Davies
- Severn PGME School of Radiology, Severn Deanery, Health Education England, Park House, 1200 Parkway, Bristol, BS34 8YU, UK; Department of Radiology, Royal United Hospital, Combe Park, Bath, Avon, BA1 3NG, UK
| | - R Graham
- Severn PGME School of Radiology, Severn Deanery, Health Education England, Park House, 1200 Parkway, Bristol, BS34 8YU, UK; Department of Radiology, Royal United Hospital, Combe Park, Bath, Avon, BA1 3NG, UK
| | - J C L Rodrigues
- Department of Radiology, Royal United Hospital, Combe Park, Bath, Avon, BA1 3NG, UK
| |
Collapse
|
27
|
Robbins JB, England E, Patel MD, DeBenedectis CM, Sarkany DS, Heitkamp DE, Milburn JM, Kalia V, Ali K, Gaviola GC, Ho CP, Jay AK, Ong S, Jordan SG. COVID-19 Impact on Well-Being and Education in Radiology Residencies: A Survey of the Association of Program Directors in Radiology. Acad Radiol 2020; 27:1162-1172. [PMID: 32571648 PMCID: PMC7293482 DOI: 10.1016/j.acra.2020.06.002] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 05/28/2020] [Accepted: 06/01/2020] [Indexed: 12/14/2022]
Abstract
RATIONALE AND OBJECTIVES The COVID-19 pandemic has forced rapid evolution of the healthcare environment. Efforts to mitigate the spread of the virus through social distancing and shelter-at-home edicts have unintended consequences upon clinical and educational missions and mental well-being of radiology departments. We sought to understand the impact of the COVID-19 pandemic on radiology residencies with respect to the educational mission and perceptions of impact on well-being. MATERIALS AND METHODS This study was IRB exempt. An anonymous 22 question survey regarding the impact of COVID-19 pandemic on educational and clinical missions of residencies, its perceived impact upon morale of radiologists and trainees and a query of innovative solutions devised in response, was emailed to the Association of Program Directors in Radiology membership. Survey data were collected using SurveyMonkey (San Mateo, California). RESULTS Respondents felt the COVID-19 pandemic has negatively impacted their residency programs. Regarding the educational mission impact, 70.1% (75/107) report moderate/marked negative impact and 2.8% (3/107) that educational activities have ceased. Regarding the pandemic's impact on resident morale, 44.8% (48/107) perceive moderate/marked negative effect; perceived resident morale in programs with redeployment is significantly worse with 57.1% (12/21) reporting moderate/marked decrease. Respondents overwhelmingly report adequate resident access to mental health resources during the acute phase of the pandemic (88.8%, 95/107). Regarding morale of program directors, 61% (65/106) report either mild or marked decreased morale. Program innovations reported by program directors were catalogued and shared. CONCLUSION The COVID-19 pandemic has markedly impacted the perceived well-being and educational missions of radiology residency programs across the United States.
Collapse
Affiliation(s)
- Jessica B Robbins
- University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, E3/374 CSC, Madison, WI 53792.
| | - Eric England
- University of Cincinnati Medical Center, Department of Radiology, Cincinnati, Ohio
| | - Maitray D Patel
- Mayo Clinic Arizona, Department of Radiology, Phoenix, Arizona
| | - Carolynn M DeBenedectis
- University of Massachusetts Medical School, Department of Radiology, Worcester, Massachusetts
| | - David S Sarkany
- Staten Island University Hospital Northwell Health, Department of Radiology, Staten Island, New York
| | | | - James M Milburn
- Ochsner Clinic Foundation, Department of Radiology, New Orleans, Louisiana
| | - Vivek Kalia
- University of Michigan Health System, Department of Radiology, Ann Arbor, Michigan
| | - Kamran Ali
- University of Kansas School of Medicine, Department of Radiology, Wichita, Kansas
| | - Glenn C Gaviola
- Brigham and Women's Hospital, Department of Radiology, Boston, Massachusetts
| | - Christopher P Ho
- Emory University School of Medicine, Department of Radiology and Imaging Sciences, Atlanta, Georgia
| | - Ann K Jay
- MedStar Georgetown University Hospital, Department of Radiology, Washington, District of Columbia
| | - Seng Ong
- University of Chicago Medical Center, Department of Radiology, Chicago, Illinois
| | - Sheryl G Jordan
- University of North Carolina School of Medicine, Chapel Hill, North Carolina
| |
Collapse
|
28
|
Recht MP, Fefferman NR, Bittman ME, Dane B, Fritz J, Hoffmann JC, Hood J, Mercado CL, Mahajan S, Sheth MM. Preserving Radiology Resident Education During the COVID-19 Pandemic: The Simulated Daily Readout. Acad Radiol 2020; 27:1154-1161. [PMID: 32553278 PMCID: PMC7833746 DOI: 10.1016/j.acra.2020.05.021] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 05/21/2020] [Accepted: 05/29/2020] [Indexed: 11/06/2022]
Abstract
RATIONALE AND OBJECTIVES The educational value of the daily resident readout, a vital component of resident training, has been markedly diminished due to a significant decrease in imaging volume and case mix diversity. The goal of this study was to create a "simulated" daily readout (SDR) to restore the educational value of the daily readout. MATERIALS AND METHODS To create the SDR the following tasks were performed; selection of cases for a daily worklist for each resident rotation, comprising a combination of normal and abnormal cases; determination of the correct number of cases and the appropriate mix of imaging modalities for each worklist; development of an "educational" environment consisting of separate "instances" of both our Picture Archive Communication System and reporting systems; and the anonymization of all of the cases on the worklists. Surveys of both residents and faculty involved in the SDR were performed to assess its effectiveness. RESULTS Thirty-two residents participated in the SDR. The daily worklists for the first 20 days of the SDR included 3682 cases. An average of 480 cases per day was dictated by the residents. Surveys of the residents and the faculty involved in the SDR demonstrated that both agreed that the SDR effectively mimics a resident's daily work on rotations and preserves resident education during the Coronavirus Disease 2019 crisis. CONCLUSION The development of the SDR provided an effective method of preserving the educational value of the daily readout experience of radiology residents, despite severe decreases in imaging exam volume and case mix diversity during the Coronavirus Disease 2019 pandemic.
Collapse
Affiliation(s)
- Michael P Recht
- Department of Radiology, New York University Grossman School of Medicine, New York, New York.
| | - Nancy R Fefferman
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Mark E Bittman
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Bari Dane
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Jan Fritz
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Jason C Hoffmann
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Joseph Hood
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Cecilia L Mercado
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Sonia Mahajan
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| | - Monica M Sheth
- Department of Radiology, New York University Grossman School of Medicine, New York, New York
| |
Collapse
|