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Arkoudis NA, Karofylakis E, Moschovaki-Zeiger O, Prountzos S, Efthymiou E, Samonis G, Koutserimpas C. Interdepartmental miscommunication regarding radiology: Addressing chronic challenges and exploring solutions. World J Radiol 2024; 16:109-114. [PMID: 38845608 PMCID: PMC11151895 DOI: 10.4329/wjr.v16.i5.109] [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: 03/26/2024] [Revised: 04/24/2024] [Accepted: 04/28/2024] [Indexed: 05/24/2024] Open
Abstract
Effective communication and collaboration among healthcare professionals are crucial for delivering high-quality patient care. Interdepartmental miscommunication poses a significant challenge to healthcare systems, potentially undermining the quality of healthcare services provided. In the same manner, communication barriers between referring physicians and radiologists can specifically affect radiology services and patient outcomes. This article attempts to put the spotlight on the ever-present chronic challenges of this issue and prompt readers to recognize the relevant potential pitfalls in their daily clinical practice. Practical solutions are explored and proposed, which should be tailored to the specific needs and issues that each individual institution may face.
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Affiliation(s)
- Nikolaos-Achilleas Arkoudis
- Research Unit of Radiology and Medical Imaging, National and Kapodistrian University of Athens, Athens 11528, Greece
- The Second Department of Radiology, General University Hospital “Attikon”, National and Kapodistrian University of Athens, Chaidari 12462, Greece
| | - Emmanouil Karofylakis
- Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom
| | - Ornella Moschovaki-Zeiger
- The Second Department of Radiology, General University Hospital “Attikon”, National and Kapodistrian University of Athens, Chaidari 12462, Greece
| | - Spyridon Prountzos
- The Second Department of Radiology, General University Hospital “Attikon”, National and Kapodistrian University of Athens, Chaidari 12462, Greece
| | - Evgenia Efthymiou
- Research Unit of Radiology and Medical Imaging, National and Kapodistrian University of Athens, Athens 11528, Greece
- The Second Department of Radiology, General University Hospital “Attikon”, National and Kapodistrian University of Athens, Chaidari 12462, Greece
| | - George Samonis
- Department of Medicine, University of Crete, Heraklion, Crete 71500, Greece
- The First Department of Oncology, Metropolitan Hospital, Neon Faliron, Athens 18547, Greece
| | - Christos Koutserimpas
- Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Centre of Excellence, Croix-Rousse Hospital, Lyon University Hospital, Lyon 69004, France
- Department of Anatomy, National and Kapodistrian University of Athens, Athens 11527, Greece
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Benea D, Di Ioia R, Bejjani J, Nguyen AXL, Hardy I, Trop I, Jodoin N. Education Research: Neuroradiology Curriculum and Competencies Among Canadian Adult Neurology Residency Programs: A Cross-Sectional Study. NEUROLOGY. EDUCATION 2023; 2:e200096. [PMID: 39359313 PMCID: PMC11419301 DOI: 10.1212/ne9.0000000000200096] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 09/18/2023] [Indexed: 10/04/2024]
Abstract
Background and Objectives While benefitting from neuroradiologists' reports, neurologists use their own image interpretation to guide clinical decisions, especially in acute care settings. This calls for robust neuroradiology training in neurology residency, informed by current educational gaps and practices. This study aims to (1) characterize the formal neuroradiology curriculum among Canadian neurology residency programs; (2) assess neurology residents' neuroimaging interpretation competencies; and (3) define neurology residents' and program directors' (PDs) attitudes toward the current curriculum and future directions. Methods Anonymous surveys were sent to Canadian neurology residents and PDs, querying neuroradiology learning activities, imaging modalities covered, assessment modalities, perceived residents' competencies to interpret different modalities, and attitudes regarding neuroradiology training. Residents were asked to interpret 15 neuroimaging cases. Descriptive and inferential analyses were performed. Potential differences in residents' interpretation success rates by seniority, self-perceived proficiency, and perception of curriculum sufficiency were examined using 2-tailed Welch tests with a 95% CI and Holm-Bonferroni comparison adjustment. Statistics were computed using Excel. Results Seventy-eight (32.6%) residents and 11 (68.8%) PDs participated. Ten of 11 PDs reported including a mandatory neuroradiology rotation, and 9/11 offered a formal neuroradiology curriculum covering head CT, head and neck CT angiography (CTA), spine MRI, and head MRI. Programs predominantly offered additional didactic lectures (9/11), teaching cases (8/11), and imaging websites (8/11). Most of the residents agreed with a minimum 1-month long rotation and desired regular didactics from neuroradiologists. Residents favored learning about head MRI (88.5%), head and neck CTA (76.9%), and spine MRI (69.2%). Senior residents' self-perceived competencies were highest for head CT, head MRI, and head and neck CTA, but lower than PDs' perception. Senior residents had greater interpretation scores than juniors (84.5% ± 13.2% vs 69.1% ± 19.9%; p < 0.0001). Most PDs (7/11, 63.6%) expressed satisfaction with current curricula vs 32.1% of residents. PDs identified time and educator shortages as main barriers to increased training. Discussion Neuroradiology training varies among programs. Residents expressed strong interest in commonly taught modalities, for which they also expressed high self-perceived competencies. However, PDs expressed greater satisfaction than residents with the current training. Leveraging interactions with neuroradiologists and online case-based learning while emphasizing trainees' interests can enhance postgraduate neuroradiology training for this useful skill.
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Affiliation(s)
- Diana Benea
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Rose Di Ioia
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Julien Bejjani
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Anne Xuan-Lan Nguyen
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Isabelle Hardy
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Isabelle Trop
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Nicolas Jodoin
- From the School of Medicine (D.B., R.D.I., A.X.-L.N.), Faculty of Medicine and Health Sciences, McGill University; Department of Radiology, Radiation Oncology and Nuclear Medicine (J.B., I.T.), Faculty of Medicine, Université de Montréal; Department of Ophthalmology (I.H.), Faculty of Medicine, Université de Montréal; Department of Diagnostic Radiology (I.T.), Centre Hospitalier Universitaire de Montréal; and Department of Neurosciences (N.J.), Faculty of Medicine, Université de Montréal, Montreal, Canada
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Hager C, Taufik H, Blum F, Stockero A, Wiesmann M, Reich A, May R, Nikoubashman O. Work satisfaction among neuroradiology staff after receiving follow up reports of thrombectomy stroke patients. PLoS One 2021; 16:e0251889. [PMID: 34010332 PMCID: PMC8133452 DOI: 10.1371/journal.pone.0251889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 05/05/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND AND PURPOSE During a period of 6 months, we provided our entire neuroradiological staff including physicians, radiographers, and researchers with systematic feedback via email on the further clinical course of stroke patients who underwent mechanical thrombectomy. We analyzed the effects of this feedback on work satisfaction, work meaningfulness and valuation of the therapy among our staff. METHODS Our staff completed two self-reported questionnaires before and after the period of six months with systematic feedback. RESULTS Employees with higher work meaningfulness and higher work satisfaction valuated endovascular stroke therapy as more useful (p<0.001). A good clinical outcome was regarded more motivating than a good interventional outcome (p<0.001). Receiving systematic feedback did not increase work satisfaction (p = 0.318) or work meaningfulness (p = 0.178). Radiographers valuated the usefulness of interventional therapy the worst of all employees (p≤ 0.017). After the feedback period, 75% of radiographers estimated stroke as a more severe disease than before. Also, their desire for feedback decreased significantly (p = 0.007). Primarily patient cases with unfavorable outcomes were remembered by the staff. CONCLUSIONS Systematic email feedback does not per se enhance work satisfaction or work meaningfulness among employees. However, receiving feedback is educative for the staff. Evaluating work satisfaction and the perception of treatment may help to identify unexpected issues and may therefore help to find specific measures that increase work satisfaction and motivation.
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Affiliation(s)
- Charlotte Hager
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
| | - Homan Taufik
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
| | - Friederike Blum
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
| | - Andrea Stockero
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
| | - Martin Wiesmann
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
| | - Arno Reich
- Department of Neurology, University Hospital RWTH Aachen, Aachen, Germany
| | - Rebecca May
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
| | - Omid Nikoubashman
- Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
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Lee SY, Sharma N, Kagoma YK, Lum PA. Which Aspects of the CanMEDS Competencies are Most Valued in Radiologists? Perspectives of Trainees From Other Specialties. Can Assoc Radiol J 2021; 73:30-37. [PMID: 33909490 DOI: 10.1177/08465371211008649] [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: 11/16/2022] Open
Abstract
PURPOSE Radiologists work primarily in collaboration with other healthcare professionals. As such, these stakeholder perspectives are of value to the development and assessment of educational outcomes during the transition to competency-based medical education. Our aim in this study was to determine which aspects of the Royal College CanMEDS competencies for diagnostic radiology are considered most important by future referring physicians. METHODS Institutional ethics approval was obtained. After pilot testing, an anonymous online survey was sent to all residents and clinical fellows at our university. Open-ended questions asked respondents to describe the aspects of radiologist service they felt were most important. Thematic analysis of the free-text responses was performed using a grounded theory approach. The resulting themes were mapped to the 2015 CanMEDS Key Competencies. RESULTS 115 completed surveys were received from residents and fellows from essentially all specialties and years of training (out of 928 invited). Major themes were 1) timeliness and accessibility of service, 2) quality of reporting, and 3) acting as a valued team member. The competencies identified as important by resident physicians were largely consistent with the CanMEDS framework, although not all key competencies were covered in the responses. CONCLUSIONS This study illustrates how CanMEDS roles and competencies may be exemplified in a concrete and specialty-specific manner from the perspective of key stakeholders. Our survey results provide further insight into specific objectives for teaching and assessing these competencies in radiology residency training, with the ultimate goal of improving patient care through strengthened communication and working relationships.
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Affiliation(s)
- Stefanie Y Lee
- Department of Radiology, McMaster University, Hamilton Health Sciences - Juravinski Hospital and Cancer Centre, Hamilton, Ontario, Canada
| | - Namita Sharma
- McMaster University - Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada
| | - Yoan K Kagoma
- Department of Radiology, McMaster University, Hamilton Health Sciences - Juravinski Hospital and Cancer Centre, Hamilton, Ontario, Canada
| | - P Andrea Lum
- Department of Medical Imaging, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
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Fatahi N, Krupic F, Hellström M. Difficulties and possibilities in communication between referring clinicians and radiologists: perspective of clinicians. J Multidiscip Healthc 2019; 12:555-564. [PMID: 31410014 PMCID: PMC6650448 DOI: 10.2147/jmdh.s207649] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Accepted: 05/22/2019] [Indexed: 11/23/2022] Open
Abstract
Purpose To investigate modes and quality of interprofessional communication between clinicians and radiologists, and to identify difficulties and possibilities in this context, as experienced by referring clinicians. Patients and methods Focus group interviews with 22 clinicians from different specialties were carried out. The leading question was: "How do you experience communication, verbal and nonverbal, between referring clinicians and radiologists?" Content analysis was used for interpretation of data. Results Overall, referring clinicians expressed satisfaction with their interprofessional communication with radiologists, and digital access to image data was highly appreciated. However, increased reliance on digital communication has led to reduced face-to-face contacts between clinicians and radiologists. This seems to constitute a potential threat to bilateral feedback, joint educational opportunities, and interprofessional development. Cumbersome medical information software systems, time constraints, shortage of staff, reliance on teleradiology, and lack of uniform format of radiology reports were mentioned as problematic. Further implementation of structured reporting was considered beneficial. Conclusion Deepened face-to-face contacts between clinicians and radiologists were considered prerequisites for mutual understanding, deepened competence and mutual trust; a key factor in interprofessional communication. Clinicians and radiologists should come together in order to secure bilateral feedback and obtain deepened knowledge of the specific needs of subspecialized clinicians.
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Affiliation(s)
- Nabi Fatahi
- Department of Radiology, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Department of Learning and Leadership for Health Care Professionals, Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ferid Krupic
- Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Mikael Hellström
- Department of Radiology, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden
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Patel TY, Gupta S. More Than an Order: The Radiologist-Patient Consultation Clinic Conundrum. J Am Coll Radiol 2019; 16:1003-1005. [DOI: 10.1016/j.jacr.2019.01.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Revised: 01/14/2019] [Accepted: 01/18/2019] [Indexed: 11/29/2022]
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Klobuka AJ, Lee J, Buranosky R, Heller M. When the Reading Room Meets the Team Room: Resident Perspectives From Radiology and Internal Medicine on the Effect of Personal Communication After Implementing a Resident-Led Radiology Rounds. Curr Probl Diagn Radiol 2018; 48:312-322. [PMID: 29628404 DOI: 10.1067/j.cpradiol.2018.02.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Revised: 02/07/2018] [Accepted: 02/08/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Current radiology and internal medicine (IM) residents have trained to varying degrees depending on program in the post picture archiving and communication systems implementation era and thus have largely missed out on the benefits of in-person, 2-way communication between radiologists and consulting clinicians. The purpose of this study is to broadly explore resident perspectives from these groups on the desire for personal contact between radiologists and referring physicians and the effect of improved contact on clinical practice. MATERIALS AND METHODS A radiology rounds was implemented in which radiology residents travel to the IM teaching service teams to discuss their inpatients and review ordered imaging biweekly. Surveys were given to both cohorts following 9 months of implementation. RESULTS A total of 23/49 diagnostic radiology (DR) and 72/197 IM residents responded. In all, 83% of DR and 96% of IM residents desired more personal contact between radiologists and clinicians. Of all, 92% of DR residents agree that contact with referring clinicians changes their approach to a study, 96% of IM residents agree that personal contact with a radiologist has changed patient management in a way that they otherwise would not have done having simply read a report, 85% of DR residents report that more clinician contact will improve resource use, and 96% report that it will improve care quality. Furthermore, 99% of IM residents report that increased access to a radiologist would make selecting the most appropriate imaging study easier in various clinical scenarios. A majority of IM residents prefer radiology reports that provide specific next-step recommendations and that include arrows/key-image series. CONCLUSION We conclude that the newest generation of physicians is already attuned to the value of a radiologist who plays an active, in-person role in the clinical decision-making process.
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Affiliation(s)
- Andrew J Klobuka
- Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA.
| | - John Lee
- Drexel University College of Medicine, Pittsburgh, PA
| | - Raquel Buranosky
- Department of Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA
| | - Matthew Heller
- Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA
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Radiologists Should Not Be “Ordered” Around. J Am Coll Radiol 2017; 14:1639-1640. [DOI: 10.1016/j.jacr.2017.05.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 05/17/2017] [Accepted: 05/18/2017] [Indexed: 11/19/2022]
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Alhajeri M, Aldosari H, Aldosari B. Evaluating latest developments in PACS and their impact on radiology practices: A systematic literature review. INFORMATICS IN MEDICINE UNLOCKED 2017. [DOI: 10.1016/j.imu.2017.08.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Heitkamp DE, Cuskaden JH, Tahir B, Gunderman RB. PACS and the Erosion of Professional Relationships. Acad Radiol 2016; 23:905-7. [PMID: 27178648 DOI: 10.1016/j.acra.2016.02.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Accepted: 02/24/2016] [Indexed: 11/17/2022]
Affiliation(s)
- Darel E Heitkamp
- Department of Radiology, Indiana University, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202
| | - Jordan H Cuskaden
- Department of Radiology, Indiana University, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202
| | - Bilal Tahir
- Department of Radiology, Indiana University, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202
| | - Richard B Gunderman
- Department of Radiology, Indiana University, 702 North Barnhill Drive, Room 1053, Indianapolis, IN 46202.
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What Brings Referring Providers to the Pediatric Reading Room in the Day of Remote Access to Images? J Am Coll Radiol 2016; 13:696-701. [DOI: 10.1016/j.jacr.2015.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Accepted: 09/05/2015] [Indexed: 11/19/2022]
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Aripoli AM, Fishback SJ, Morgan RL, Hill JD, Robinson AL. Rounding Radiologists: Clinical Collaboration Between Radiology Residents and Internal Medicine Teams. J Am Coll Radiol 2016; 13:562-5. [PMID: 26922596 DOI: 10.1016/j.jacr.2015.10.027] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 10/19/2015] [Accepted: 10/21/2015] [Indexed: 10/22/2022]
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O'Connell TW, Patlas MN. Mobile devices and their prospective future role in emergency radiology. Br J Radiol 2016; 89:20150820. [PMID: 26689095 DOI: 10.1259/bjr.20150820] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Mobile devices, wireless networks and software have significantly evolved since the late 1990s and are now available with sufficient computing power, speed and complexity to allow real-time interpretation of radiology studies. Emergency radiology (ER)'s time-sensitive nature would seem to be an excellent match for study interpretation using mobile devices, allowing the radiologist to read studies anywhere, at any time. While suitable for use by the radiologist outside of the hospital, or clinicians and surgeons at the bedside or in the operating room, these devices do have limitations, and regulatory approval for in-hospital diagnostic use is limited. In the ER setting, we suggest that the best use of mobile devices is to be available to consult directly with patients about their imaging findings and to the clinical team during rounds and at handover. This will bring the radiologist to the clinician and patient, helping us to better understand the patient's presentation, educate both the physician and patient and increase the visibility and value of the radiologist as a member of the clinical care team.
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Affiliation(s)
- Timothy W O'Connell
- 1 Department of Radiology, Vancouver General Hospital, Vancouver, BC, Canada
| | - Michael N Patlas
- 2 Department of Radiology, McMaster University, Hamilton, ON, Canada
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Lio E, Tillack A, Sachs P, Restauri N, Vargas D, Suby-Long T. Improving Radiologist Accessibility and Availability in a PACS Environment. J Am Coll Radiol 2015; 12:1076-8. [DOI: 10.1016/j.jacr.2015.03.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Accepted: 03/02/2015] [Indexed: 11/30/2022]
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Gunn AJ, Mangano MD, Choy G, Sahani DV. Rethinking the Role of the Radiologist: Enhancing Visibility through Both Traditional and Nontraditional Reporting Practices. Radiographics 2015; 35:416-23. [DOI: 10.1148/rg.352140042] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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16
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Auffermann WF, Chetlen AL, Colucci AT, DeQuesada IM, Grajo JR, Heller MT, Nowitzki KM, Sherry SJ, Tillack AA. Online social networking for radiology. Acad Radiol 2015; 22:3-13. [PMID: 25262953 DOI: 10.1016/j.acra.2014.07.021] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Revised: 07/28/2014] [Accepted: 07/29/2014] [Indexed: 11/25/2022]
Abstract
Online social networking services have changed the way we interact as a society and offer many opportunities to improve the way we practice radiology and medicine in general. This article begins with an introduction to social networking. Next, the latest advances in online social networking are reviewed, and areas where radiologists and clinicians may benefit from these new tools are discussed. This article concludes with several steps that the interested reader can take to become more involved in online social networking.
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Mamlouk MD, Anavim A, Goodwin SC. Radiology Residents Rounding With the Clinical Teams: A Pilot Study to Improve the Radiologist's Visibility as a Consultant. J Am Coll Radiol 2014; 11:326-8. [DOI: 10.1016/j.jacr.2013.04.012] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Accepted: 04/24/2013] [Indexed: 10/26/2022]
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Tillack AA, Borgstede JP. An evaluation of the impact of clinically embedded reading rooms on radiologist-referring clinician communication. J Am Coll Radiol 2013; 10:368-72. [PMID: 23642878 DOI: 10.1016/j.jacr.2012.12.009] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2012] [Accepted: 12/05/2012] [Indexed: 11/24/2022]
Abstract
The aim of this study was to investigate whether locating reading rooms in clinical areas at a large tertiary care, academic hospital in the United States corresponds with increased rates of direct communication between radiologists and clinicians. Data recorded included the frequency, form, duration, and general purpose of communications. Two-tailed Fisher's exact tests were used to determine the statistical significance of differences between the frequencies of communication methods for the reading rooms included in the study. During the observation period, there were a total of 175 episodes of communication between radiologists and referring providers in the 4 study reading rooms. There was a highly significant difference (P < .0001) in the percentage of visits and critical test result management messages sent between embedded and nonembedded reading rooms, while the differences in the proportion of calls both to and from referring providers was not significant (P = .4468). Although the purpose of this study was to assess the impact of reading room location on radiologists' communications with referring providers, several alternative hypotheses could also explain the results. The value of this study emerges from the documentation of the high degree of variability among institutions in communication practices among different kinds of radiologists and referring physicians. The extent of these different practices among the 4 reading rooms has important implications for future studies of communication patterns between radiologists and referring providers as well as for designing effective interventions to enhance the role of radiologists as consultants.
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Affiliation(s)
- Allison A Tillack
- Department of Anthropology, History, and Social Medicine, University of California, San Francisco, San Francisco, California 94143-0850, USA.
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Gunderman RB, Tillack AA. The Loneliness of the Long-Distance Radiologist. J Am Coll Radiol 2012; 9:530-3. [DOI: 10.1016/j.jacr.2011.12.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2011] [Accepted: 12/16/2011] [Indexed: 11/16/2022]
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