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Strickland CD, Korf JA, Jesse MK, Dodd GD. Strategies for successful integration of work from home faculty in an academic radiology department. Curr Probl Diagn Radiol 2024; 53:185-187. [PMID: 38151438 DOI: 10.1067/j.cpradiol.2023.12.003] [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: 12/08/2023] [Accepted: 12/19/2023] [Indexed: 12/29/2023]
Abstract
Academic radiology departments have added increasing numbers of entirely remote "work-from-home" or hybrid faculty. This change has presented both an opportunity to recruit and retain faculty as well as a set of challenges to maintaining the full academic mission and educational environment. In this article we describe our experience with creating a remote faculty position and the key elements that we believe made it successful. Guiding principles for the department and faculty member accepting such a position are proposed and discussed.
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Affiliation(s)
- Colin D Strickland
- Section Head, Musculoskeletal Imaging and Intervention, Department of Radiology, University of Colorado, CU Anschutz Leprino Building, 12401 East 17th Avenue, Aurora, CO 80045, United States.
| | - James A Korf
- Department of Radiology, University of Colorado, Aurora, CO 80045, United States
| | - Mary K Jesse
- Department of Radiology, University of Colorado, Aurora, CO 80045, United States
| | - Gerald D Dodd
- Department of Radiology Chairman, Department of Radiology, University of Colorado, Aurora, CO 80045, United States
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Gamba IAD, Hartery A. The Virtual Reality Radiology Workstation: Current Technology and Future Applications. Can Assoc Radiol J 2024:8465371241230278. [PMID: 38362857 DOI: 10.1177/08465371241230278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024] Open
Abstract
Virtual reality (VR) and augmented reality (AR) technology hold potential across many disciplines in medicine to expand the delivery of education and healthcare. VR-AR applications in radiology, in particular, have gained prominence and have demonstrated advantages in many areas within the field. Recently, VR software has emerged to redesign the physical radiology workstation (ie, reading room) to expand the possibilities of diagnostic interpretation. Given the novelty of this technology, there is limited research investigating the potential applications of a simulated radiology workstation. In this review article, we explore VR-simulated reading room technology in its current form and illustrate the practical applications this technology will bring to future radiologists and learners. We also discuss the limitations and barriers to adopting this technology that must be overcome to truly understand its potential benefits. VR reading room technology offers great potential in radiology, but further research is needed to appreciate its benefits and identify areas for improvement. The findings and insights presented in this review contribute to the ongoing discourse on future technological advancements in radiology and healthcare, offering valuable recommendations for further research and practical implementation.
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Affiliation(s)
- Iain A D Gamba
- Memorial University of Newfoundland, St. John's, NL, Canada
| | - Angus Hartery
- Memorial University of Newfoundland, St. John's, NL, Canada
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Zhang Z. Opinions on Remote and in-Person Breast Imaging Work: Survey Results from the Society of Breast Imaging. JOURNAL OF BREAST IMAGING 2024; 6:23-32. [PMID: 38243858 DOI: 10.1093/jbi/wbad082] [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: 08/01/2023] [Indexed: 01/22/2024]
Abstract
OBJECTIVE The coronavirus disease 2019 pandemic accelerated trends in remote radiology work. We evaluated the opinions of Society of Breast Imaging (SBI) members regarding remote and in-person breast imaging work. METHODS An institutional review board-exempt anonymous survey was distributed to SBI members. Survey questions included demographics and opinions on remote and in-person work. RESULTS The response rate was 12% (307/2561). Overall, 79% of respondents preferred hybrid work, 16% preferred in-person work, and 5% preferred fully remote work. Only 34% of respondents had remote work in current practice. Screening mammograms (97%) and breast MRI (92%) were deemed most suitable for remote work. Most respondents believed barriers for remote work were inability to perform US (80%) and high monitor price (78%). Seventy-six percent of respondents believed remote work improves work-life balance and reduces burnout. Work model preferences were significantly associated with gender (P = .048) and perceived work-related impacts (P <.001). Women were more likely to prefer hybrid work than men (82% vs 73%). Compared to those who preferred in-person work, respondents who preferred hybrid work were more likely to believe remote work improves efficiency (89% vs 3%) and reduces burnout (88% vs 6%) while not negatively affecting career growth (88% vs 3%) or communication (87% vs 4%). CONCLUSION Hybrid work is the preferred model among SBI survey respondents. However, a minority have the option for remote work in current practice. Perceived benefits of remote work are efficiency and reduced burnout among breast imaging radiologists while not negatively affecting career growth or communication.
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Affiliation(s)
- Zi Zhang
- Department of Radiology, Jefferson Einstein Hospital, Philadelphia, PA, US
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Salhöfer L, Haubold J, Gutt M, Hosch R, Umutlu L, Meetschen M, Schuessler M, Forsting M, Nensa F, Schaarschmidt BM. The importance of educational tools and a new software solution for visualizing and quantifying report correction in radiology training. Sci Rep 2024; 14:1172. [PMID: 38216664 PMCID: PMC10786897 DOI: 10.1038/s41598-024-51462-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 01/05/2024] [Indexed: 01/14/2024] Open
Abstract
A novel software, DiffTool, was developed in-house to keep track of changes made by board-certified radiologists to preliminary reports created by residents and evaluate its impact on radiological hands-on training. Before (t0) and after (t2-4) the deployment of the software, 18 residents (median age: 29 years; 33% female) completed a standardized questionnaire on professional training. At t2-4 the participants were also requested to respond to three additional questions to evaluate the software. Responses were recorded via a six-point Likert scale ranging from 1 ("strongly agree") to 6 ("strongly disagree"). Prior to the release of the software, 39% (7/18) of the residents strongly agreed with the statement that they manually tracked changes made by board-certified radiologists to each of their radiological reports while 61% were less inclined to agree with that statement. At t2-4, 61% (11/18) stated that they used DiffTool to track differences. Furthermore, we observed an increase from 33% (6/18) to 44% (8/18) of residents who agreed to the statement "I profit from every corrected report". The DiffTool was well accepted among residents with a regular user base of 72% (13/18), while 78% (14/18) considered it a relevant improvement to their training. The results of this study demonstrate the importance of providing a time-efficient way to analyze changes made to preliminary reports as an additive for professional training.
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Affiliation(s)
- Luca Salhöfer
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
- Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany.
| | - Johannes Haubold
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
- Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany
| | - Maurice Gutt
- Central IT Services, University Hospital Essen, Essen, Germany
| | - René Hosch
- Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany
| | - Lale Umutlu
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
| | - Mathias Meetschen
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
- Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany
| | - Maximilian Schuessler
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
- Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany
| | - Michael Forsting
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
| | - Felix Nensa
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
- Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany
| | - Benedikt Michael Schaarschmidt
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany
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Oppenheimer DC, Mohajeri S, Proffitt EK, Shiau MC, Harvey JA. Embracing Remote Academic Radiologists. Acad Radiol 2024; 31:286-293. [PMID: 37863780 DOI: 10.1016/j.acra.2023.09.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 09/12/2023] [Accepted: 09/23/2023] [Indexed: 10/22/2023]
Abstract
Over the past two years at our large academic center, we successfully developed a formal remote academic radiologist division - composed of permanent fully remote radiologists across multiple subspecialties, living geographically distant from our institution. In this article, we share our experience implementing a remote radiologist division, review the benefits and challenges of this approach, discuss expectations of academic remote radiologists as clinicians, educators, and scholars, and provide tips for success.
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Affiliation(s)
- Daniel C Oppenheimer
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA.
| | - Sarah Mohajeri
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
| | - Elizabeth Kate Proffitt
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
| | - Maria C Shiau
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
| | - Jennifer A Harvey
- University of Rochester Medical Center, Department of Imaging Sciences, 601 Elmwood Ave, Rochester, New York 14642, USA
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Fawzy NA, Tahir MJ, Saeed A, Ghosheh MJ, Alsheikh T, Ahmed A, Lee KY, Yousaf Z. Incidence and factors associated with burnout in radiologists: A systematic review. Eur J Radiol Open 2023; 11:100530. [PMID: 37920681 PMCID: PMC10618688 DOI: 10.1016/j.ejro.2023.100530] [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: 05/04/2023] [Revised: 09/24/2023] [Accepted: 10/08/2023] [Indexed: 11/04/2023] Open
Abstract
Rationale and objectives Burnout among physicians has a prevalence rate exceeding 50%. The radiology department is not immune to the burnout epidemic. Understanding and addressing burnout among radiologists has been a subject of recent interest. Thus, our study aims to systematically review studies reporting the prevalence of burnout in physicians in the radiology department while providing an overview of the factors associated with burnout among radiologists. Materials and methods The search was conducted from inception until November 13th, 2022, in PubMed, Embase, Education Resources Information Center, PsycINFO, and psycArticles. Studies reporting the prevalence of burnout or any subdimensions among radiology physicians, including residents, fellows, consultants, and attendings, were included. Data on study characteristics and estimates of burnout syndrome or any of its subdimensions were collected and summarized. Results After screening 6379 studies, 23 studies from seven countries were eligible. The number of participants ranged from 26 to 460 (median, 162; interquartile range, 91-264). In all, 18 studies (78.3%) employed a form of the Maslach Burnout Inventory. In comparison, four studies (17.4%) used the Stanford Professional Fulfillment Index, and one study (4.3%) used a single-item measure derived from the Zero Burnout Program survey. Overall burnout prevalence estimates were reported by 14 studies (60.9%) and varied from 33% to 88%. High burnout prevalence estimates were reported by only five studies (21.7%) and ranged from 5% to 62%. Emotional exhaustion and depersonalization prevalence estimates were reported by 16 studies (69.6%) and ranged from 11%-100% and 4%-97%, respectively. Furthermore, 15 studies (65.2%) reported low personal accomplishment prevalence, ranging from 14.7% to 84%. There were at least seven definitions for overall burnout and high burnout among the included studies, and there was high heterogeneity among the cutoff scores used for the burnout subdimensions. Conclusion Burnout in radiology is increasing globally, with prevalence estimates reaching 88% and 62% for overall and high burnout, respectively. A myriad of factors has been identified as contributing to the increased prevalence. Our data demonstrated significant variability in burnout prevalence estimates among radiologists and major disparities in burnout criteria, instrument tools, and study quality.
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Affiliation(s)
- Nader A. Fawzy
- College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia
| | - Muhammad Junaid Tahir
- Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore 54000, Pakistan
| | - Abdullah Saeed
- Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore 54000, Pakistan
| | | | - Tamara Alsheikh
- College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia
| | - Ali Ahmed
- School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Subang Jaya, Selangor, Malaysia
| | - Ka Yiu Lee
- Swedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, Sweden
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Kuo Y, Lee KL, Chen YL, Weng CY, Chang FC, Chen TJ, Wu HM, Wu CH. Working from home: Changes in radiologist reporting behavior in response to the COVID-19 pandemic. J Chin Med Assoc 2023; 86:859-864. [PMID: 37462444 DOI: 10.1097/jcma.0000000000000962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/20/2023] Open
Abstract
BACKGROUND Remote reporting is an important preventive measure against coronavirus disease 2019 (COVID-19) for radiology departments; it reduces the chance of cross-infections between coworkers. The purpose of this study was to evaluate how the preferred locations that radiologists filed reports from changed in response to COVID-19 by measuring the use of internal teleradiology workstations. METHODS Data were obtained from the radiological information system (RIS) database at our institution, which recorded the reporting workstation for each radiological examination. The reporting activities in 2021 were divided into computed radiography (CR) and computed tomography (CT)/magnetic resonance imaging (MRI) groups. The Wilcoxon signed-rank test was used to measure differences in the use of off-site workstations in prepandemic, midpandemic, and postpandemic periods. RESULTS There were statistically significant increases in the number of reports filed from off-site workstations for each attending physician from the prepandemic period to the midpandemic period in both the CR (15.1%-25.4%, p = 0.041) and CT/MRI (18.9%-28.7%, p = 0.006) groups. There was no significant difference noted between the prepandemic and postpandemic periods for either the CR (15.1% vs 18.4%, p = 0.727) or CT/MRI group (18.9% vs 23.3%, p = 0.236). CONCLUSION In response to the COVID-19 outbreak, radiologists used internal teleradiology to report CR and CT/MRI examinations significantly more frequently. In contrast to the predictions of previous studies, the use of internal teleradiology returned to baseline levels after the pandemic was under control.
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Affiliation(s)
- Yu Kuo
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Kang-Lung Lee
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Department of Radiology, University of Cambridge, Cambridge, United Kingdom
| | - Yi-Lun Chen
- Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
| | - Ching-Yao Weng
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Feng-Chi Chang
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Tzeng-Ji Chen
- Office of the Superintendent, Taipei Veterans General Hospital, Hsinchu Branch, Hsinchu, Taiwan, ROC
| | - Hsiu-Mei Wu
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Chia-Hung Wu
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
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Neitzel E, vanSonnenberg E, Markovich D, Parris D, Tarrant J, Casola G, Mamlouk MD, Simeone JF. The New Normal or a Return to Normal: Nationwide Remote Radiology Reading Practices After 2 Years of the COVID-19 Pandemic. J Am Coll Radiol 2023; 20:804-808. [PMID: 37385518 PMCID: PMC10299947 DOI: 10.1016/j.jacr.2023.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 04/07/2023] [Accepted: 04/14/2023] [Indexed: 07/01/2023]
Affiliation(s)
- Easton Neitzel
- University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.
| | - Eric vanSonnenberg
- Department of Radiology and Department of Student Affairs, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona
| | - David Markovich
- Office of Strategy Management and Foresight, American College of Radiology, Reston, Virginia
| | - Dominick Parris
- Office of Strategy Management and Foresight, American College of Radiology, Reston, Virginia
| | - Jo Tarrant
- Office of Strategy Management and Foresight, American College of Radiology, Reston, Virginia; and Director, ACR Environmental Intelligence & Foresight
| | - Giovanna Casola
- Department of Radiology, University of California San Diego, San Diego, California
| | - Mark D Mamlouk
- Department of Radiology, The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, California, and the Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California
| | - Joseph F Simeone
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Kaplowitz M, Fishman EK, Rowe SP, Chu LC, Lugo-Fagundo E. The Future of Work: Opportunities for Dynamic Growth. J Am Coll Radiol 2023:S1546-1440(23)00120-5. [PMID: 36736546 PMCID: PMC9983820 DOI: 10.1016/j.jacr.2022.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 12/03/2022] [Indexed: 02/05/2023]
Affiliation(s)
| | - Elliot K Fishman
- Division Chief, Diagnostic Division, The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Steven P Rowe
- The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Linda C Chu
- Associate Division Chief, Diagnostic Division, The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.
| | - Elias Lugo-Fagundo
- The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Al-Dahery ST, Alsharif WM, Alamri FH, Nawawi SA, Mofti WK, Alhazmi FH, Alshamrani KM, Suliman AG, Qurashi AA. The role of teleradiology during COVID-19 outbreak: Saudi radiologists' perspectives. Saudi Med J 2023; 44:202-210. [PMID: 36773982 PMCID: PMC9987691 DOI: 10.15537/smj.2023.44.2.20220793] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 01/10/2023] [Indexed: 02/13/2023] Open
Abstract
OBJECTIVES To evaluate the role of teleradiology during the COVID-19 pandemic from Saudi radiologists' perspectives to improve the radiology quality service. METHODS A cross-sectional study was carried out in Saudi Arabia among radiologists working at local hospitals from October to November 2021. It contains 21 questions involved demographic information; general information on teleradiology services; and the impact of teleradiology during COVID-19. One-way ANOVA was used to compare demographic groups. Chi-square test was used to compare demographic groups regarding their distribution of responses. All tests were carried out <0.05 level of significance. RESULTS A total of 102 radiologists participated in this study (56% males, 44% females), 58.8% of them were sub-specialized in chest radiology. Regarding the general status of teleradiology, 69.6% of participants believed that teleradiology is a helpful tool for imaging interpretation. However, 44% of them were uncertain on the impact of teleradiology on patients' confidentiality. Approximately 87% of participants agreed that there is a positive contribution of teleradiology during COVID-19, which enables decreasing risk of infection and workload. There was a significant difference between professional degrees and overall participant responses (p<0.05). Academicians agreed that it enhances radiology departments' work (mean=17.78, SD=1.86). CONCLUSION Concerns raised on complicated cases that require physical presence of patients, cannot be performed by teleradiology. Additionally, it might provide insufficient communication with other professionals to discuss images.
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Affiliation(s)
- Shrooq T. Al-Dahery
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
- Address correspondence and reprint request to: Dr. Shrooq T. Al-Dahery, Department of Applied Radiologic Technology, College of Applied Medical Sciences, University of Jeddah, Jeddah, Kingdom of Saudi Arabia. E-mail: ORCID ID: https://orcid.org/0000-0003-2241-0011
| | - Walaa M. Alsharif
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Fatima H. Alamri
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Shahad A. Nawawi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Wed K. Mofti
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Fahad H. Alhazmi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Khalid M. Alshamrani
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Awadia G. Suliman
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Abdulaziz A. Qurashi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
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Work From Home in Academic Radiology Departments: Advantages, Disadvantages and Strategies for the Future. Acad Radiol 2022; 30:585-589. [PMID: 36577604 PMCID: PMC9791330 DOI: 10.1016/j.acra.2022.11.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/06/2022] [Accepted: 11/08/2022] [Indexed: 12/27/2022]
Abstract
To achieve necessary social distancing during the Covid-19 pandemic, working from home was introduced at most if not all academic radiology departments. Although initially thought to be a temporary adaptation, the popularity of working from home among faculty has made it likely that it will remain a component of radiology departments for the long term. This paper will review the potential advantages and disadvantages of working from home for an academic radiology department and suggest strategies to try to preserve the advantages and minimize the disadvantages.
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Petscavage-Thomas JM, Hardy S, Chetlen A. Mitigation Tactics Discovered During COVID-19 with Long-Term Report Turnaround Time and Burnout Reduction Benefits. Acad Radiol 2022; 29:1786-1791. [PMID: 35585013 PMCID: PMC9023354 DOI: 10.1016/j.acra.2022.04.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/13/2022] [Accepted: 04/15/2022] [Indexed: 01/26/2023]
Abstract
RATIONALES AND OBJECTIVES The purpose is to describe a hybrid teleradiology solution utilized in an academic medical center and its outcomes on radiology report turnaround time (RTAT) and physician wellness. MATERIALS AND METHODS During coronavirus disease 2019, we utilized an alternating teleradiology solution with procedural and education attendings working in the hospital and other faculty remote to keep the worklist clean. RTAT data was collected for remote vs. in house emergency department (ED) and inpatient cases over a 6-month period. Pre and post implementation burnout surveys were administered. RESULTS RTAT significantly improved for ED and inpatient MR and CT, and inpatient US and radiographs when interpreted remotely compared to in-hospital. Physician wellness scores improved and open-ended comments reflected positive feedback about the hybrid work solution. 74% enjoyed the autonomy and flexibility, and 51% said the solution positively influences my desire to remain in my current institution and improves their clinical and/or academic productivity. CONCLUSION Hybrid work from home solutions allow faculty autonomy and flexibility with work-life balance, improving wellness. It is important to alternate the at-home faculty to maintain interdepartmental relations, particularly for junior faculty, and prevent isolation. The hybrid solution also demonstrated improved patient care metrics, possibly due to decreased distractions at home compared to the reading room.
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Agrawal A. Emergency Teleradiology-Past, Present, and, Is There a Future? FRONTIERS IN RADIOLOGY 2022; 2:866643. [PMID: 37492686 PMCID: PMC10365018 DOI: 10.3389/fradi.2022.866643] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 05/16/2022] [Indexed: 07/27/2023]
Abstract
Emergency radiology has evolved into a distinct radiology subspecialty requiring a specialized skillset to make a timely and accurate diagnosis of acutely and critically ill or traumatized patients. The need for emergency and odd hour radiology coverage fuelled the growth of internal and external teleradiology and the "nighthawk" services to meet the increasing demands from all stakeholders and support the changing trends in emergency medicine and trauma surgery inclined toward increased reliance on imaging. However, the basic issues of increased imaging workload, radiologist demand-supply mismatch, complex imaging protocols are only partially addressed by teleradiology with the promise of workload balancing by operations to scale. Incorporation of artificially intelligent tools helps scale manifold by the promise of streamlining the workflow, improved detection and quantification as well as prediction. The future of emergency teleradiologists and teleradiology groups is entwined with their ability to incorporate such tools at scale and adapt to newer workflows and different roles. This agility to adopt and adapt would determine their future.
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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: 10] [Impact Index Per Article: 5.0] [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.
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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
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15
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Sher A, Salman R, Seghers V, Desai N, Sammer M. Performance of Pediatric Neuroradiologists Working from Home during a Pandemic at a Quaternary Pediatric Academic Hospital. AJNR Am J Neuroradiol 2022; 43:474-477. [PMID: 35086800 PMCID: PMC8910801 DOI: 10.3174/ajnr.a7411] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 11/20/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE As a result of the coronavirus disease 2019 (COVID-19) pandemic, many radiology departments shifted to working a portion of clinical assignments from home. To determine the effect of working from home on performance, productivity, quality, and safety, we evaluated turnaround time, volume of studies, and error rates on rotations worked from home compared with in the hospital. MATERIALS AND METHODS The number of studies interpreted per day for each neuroradiologist, turnaround times, and error rates reported to peer learning was identified from April 1, 2020, through September 30, 2020. For each neuroradiologist, mean turnaround times and volumes per day at home versus in the hospital were compared. Similar comparison was performed for STAT studies. RESULTS During the time period, 2597 CTs (1897 at home, 700 in the hospital) and 3685 MRIs (2601 at home, 1084 in the hospital) were read. By individual neuroradiologists, 57% (4/7) had shorter turnaround time at home and 57% (4/7) demonstrated an increase in the mean number of studies per day read at home. No statistically significant difference was noted in the neuroradiologists' performance while reading STAT studies. Reported error rates were not found to be higher at home, with statistically significantly lower rates when working at home (P = .018). CONCLUSIONS Variable productivity and performance of neuroradiologists when working from home versus in the hospital were found, being 57% faster and/or more productive while working at home without an increase in error rates. The decision to work at home versus in the hospital may best be based on local factors, balancing the variability among individual neuroradiologist's and the institution's needs, recognizing that working from home is not a one-size-fits-all phenomenon but requires adaptability for successful implementation.
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Affiliation(s)
- A.C. Sher
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - R. Salman
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - V.J. Seghers
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - N.K. Desai
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
| | - M.B.K. Sammer
- From the Edward B. Singleton Department of Radiology, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas
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Freeman CW, Dhanaliwala A, Moore S, Kunchala S, Scanlon MH. Homeward Bound: A Comparison of Resident Case Volume on Home-Read Workstations and On-Site during the COVID-19 Pandemic. J Am Coll Radiol 2022; 19:476-479. [PMID: 35123956 PMCID: PMC8786630 DOI: 10.1016/j.jacr.2021.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 12/04/2021] [Accepted: 12/08/2021] [Indexed: 12/03/2022]
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17
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Chen JY, Vedantham S, Lexa FJ. Burnout and work-work imbalance in radiology- wicked problems on a global scale. A baseline pre-COVID-19 survey of US neuroradiologists compared to international radiologists and adjacent staff. Eur J Radiol 2022; 155:110153. [DOI: 10.1016/j.ejrad.2022.110153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 12/27/2021] [Accepted: 01/04/2022] [Indexed: 11/03/2022]
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18
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Lai YK, Kuo BJ, Lim KC, Lim CY, Low ASC, Png MA. Results of a study of remote reporting over virtual applications and using visually calibrated monitors. PROCEEDINGS OF SINGAPORE HEALTHCARE 2021. [DOI: 10.1177/20101058211066135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives The purpose of this study is to examine differences in image quality, discrepancy rates, productivity and user experience between remote reporting over Virtual Application (VA) using visually calibrated monitors, and reporting using diagnostic grade workstations in hospital premises. Methods Three specialist accredited radiologists examined and provisionally reported outpatient CT and MR studies over PACS delivered as a VA, using visually calibrated monitors from their homes. They then proceeded to view the same studies within hospital premises and issue a final report. Surveys were filled out for each imaging study. Discrepancies were reviewed and assigned RADPEER scores. Results A total of 51 outpatient CT and MRIs were read. Relative to hospital premise reporting, on a Likert scale of 5 (the higher the better), average image quality was 3.9, speed of loading and image manipulation was 4.4 and productivity was 4.1. Remote reporting user experience did not differ significantly between CT versus MRI studies. Complete concordance rate was 80.4% (41/51) and only one of the studies had a significant discrepancy, which may have been due to extra time given to interpretation. All three radiologists reported factors influencing image display and quality as the top factor impacting remote reporting throughput. Conclusions Remote reporting over VA with visually calibrated monitors for CT and MR can be useful in periods of staffing difficulty to augment on-site radiologists, though attention must be paid to its limitations and policies defined by local leadership with reference to relevant national position
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Affiliation(s)
- Yusheng Keefe Lai
- Department of Diagnostic Radiology, Singapore General Hospital, Singapore
| | | | - Kheng Choon Lim
- Department of Diagnostic Radiology, Singapore General Hospital, Singapore
| | - Chee Yeong Lim
- Department of Diagnostic Radiology, Singapore General Hospital, Singapore
| | | | - Meng Ai Png
- Department of Diagnostic Radiology, Singapore General Hospital, Singapore
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Gibney BT, Roberts JM, D'Ortenzio RM, Sheikh AM, Nicolaou S, Roberge EA, O'Neill SB. Preventing and Mitigating Radiology System Failures: A Guide to Disaster Planning. Radiographics 2021; 41:2111-2126. [PMID: 34723695 DOI: 10.1148/rg.2021210083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Disaster planning is a core facet of modern health care practice. Owing to complex infrastructure requirements, radiology departments are vulnerable to system failures that may occur in isolation or during a disaster event when the urgency for and volume of imaging examinations increases. Planning for systems failures helps ensure continuity of service provision and patient care during an adverse event. Hazards to which a radiology department is vulnerable can be identified by applying a systematic approach with recognized tools such as the Hazard, Risk, and Vulnerability Analysis. Potential critical weaknesses within the department are highlighted by the Failure Mode and Effects Analysis tool. Recognizing the potential latent conditions and active failures that may impact systems allows implementation of strategies to prevent failure or to build resilience and mitigate the effects if they happen. Inherent system resilience to an adverse event can be estimated, and the ability of a department to operate during a disaster and the subsequent recovery can be predicted. The main systems at risk in a radiology department are staff, structure, stuff (supplies and/or equipment), and software, although individual issues and solutions within these are department specific. When medical imaging or examination interpretation needs cannot be met in the radiology department, the use of portable imaging modalities and teleradiology can augment the disaster response. All phases of disaster response planning should consider both sustaining operations and the transition back to normal function. Online supplemental material and the slide presentation from the RSNA Annual Meeting are available for this article. Work of the U.S. Government published under an exclusive license with the RSNA.
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Affiliation(s)
- Brian T Gibney
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - James M Roberts
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Robert M D'Ortenzio
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Adnan M Sheikh
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Savvas Nicolaou
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Eric A Roberge
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Siobhán B O'Neill
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
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20
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Su WC, Srinivasan S, Cleffi C, Bhat A. Short report on research trends during the COVID-19 pandemic and use of telehealth interventions and remote brain research in children with autism spectrum disorder. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2021; 25:1816-1822. [PMID: 33836625 DOI: 10.1177/13623613211004795] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
LAY ABSTRACT The COVID-19 pandemic has caused disruption in F2F healthcare delivery and neuroimaging research, especially when involving vulnerable populations such as children with autism spectrum disorder. Given the easy access to multiple video conferencing platforms, many healthcare services have moved to an online delivery format (i.e. telehealth). It is important to monitor the behavioral and neural effects of telehealth interventions and resume neuroimaging research while adopting public health safety protocols to control the risk of COVID-19 transmission. We summarize existing safety protocols and our own experience from in-person functional near-infrared spectroscopy neuroimaging data collection (on-site, at home, and in outdoor settings), as well as potential opportunities of using online data sharing and low-cost, remote neuroimaging/electrophysiological techniques to continue brain research during the pandemic.
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21
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Yacoub JH, Swanson CE, Jay AK, Cooper C, Spies J, Krishnan P. The Radiology Virtual Reading Room: During and Beyond the COVID-19 Pandemic. J Digit Imaging 2021; 34:308-319. [PMID: 33620622 PMCID: PMC7901504 DOI: 10.1007/s10278-021-00427-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 01/08/2021] [Accepted: 01/18/2021] [Indexed: 12/24/2022] Open
Abstract
The COVID-19 pandemic has disrupted the radiology reading room with a potentially lasting impact. This disruption could introduce the risk of obviating the need for the reading room, which would be detrimental to many of the roles of radiology that occur in and around the reading room. This disruption could also create the opportunity for accelerated evolution of the reading room to meet the strategic needs of radiology and health care through thoughtful re-design of the virtual reading room. In this article, we overview the impact of the COVID-19 pandemic on radiology in our institution and across the country, specifically on the dynamics of the radiology reading room. We introduce the concept of the virtual reading room, which is a redesigned alternative to the physical reading room that can serve the diverse needs of radiology and healthcare during and beyond the pandemic.
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Affiliation(s)
- Joseph H Yacoub
- Medstar Georgetown University Hospital, 3800 Reservoir Rd NW Washington, 20007, Georgetown, DC, USA.
| | - Carl E Swanson
- Medstar Georgetown University Hospital, 3800 Reservoir Rd NW Washington, 20007, Georgetown, DC, USA
| | - Ann K Jay
- Medstar Georgetown University Hospital, 3800 Reservoir Rd NW Washington, 20007, Georgetown, DC, USA
| | - Cirrelda Cooper
- Medstar Georgetown University Hospital, 3800 Reservoir Rd NW Washington, 20007, Georgetown, DC, USA
| | - James Spies
- Medstar Georgetown University Hospital, 3800 Reservoir Rd NW Washington, 20007, Georgetown, DC, USA
| | - Pranay Krishnan
- Medstar Georgetown University Hospital, 3800 Reservoir Rd NW Washington, 20007, Georgetown, DC, USA
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22
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Chang G, Doshi A, Chandarana H, Recht M. Impact of COVID-19 Workflow Changes on Patient Throughput at Outpatient Imaging Centers. Acad Radiol 2021; 28:297-306. [PMID: 33516590 PMCID: PMC7831631 DOI: 10.1016/j.acra.2020.12.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 12/20/2020] [Accepted: 12/22/2020] [Indexed: 01/04/2023]
Abstract
Rationale and Objectives To determine the impact of COVID-19 workflow changes on patient throughput at the outpatient imaging facilities of a large healthcare system in New York City. Materials and Methods COVID-19 workflow changes to permit social distancing and patient and staff safety included screening at the time of scheduling, encouraging patients to use our digital platform to complete registration/safety forms prior to appointments, stationing screeners at all entrances, limiting waiting room capacity, implementing a texting system to notify patients of delays, limiting dressing room use by encouraging patients to wear exam-appropriate clothing, and accelerating MRI protocols without reducing image quality. We assessed patients’ pre-exam wait times, MR exam times, overall time spent on site, and registration for and use of the digital portal before (February 2020) and after (June 2020) implementation of these measures. Results Across 17 outpatient imaging centers, workflow changes resulted in a 23.1% reduction (-6.8 minutes) in all patients’ pre-exam wait times (p <0.00001). Pre-exam wait times for MRI, CT, ultrasound, x-ray, and mammography decreased 28.4% (-10.3 minutes), 16.5% (-6.7 minutes), 25.3% (-7.7 minutes), 22.8% (-3.7 minutes), and 23.9% (-5.0 minutes), respectively (p < 0.00001 for all). MR exam times decreased 9.7% (-3.5 minutes) and patients’ overall time on site decreased 15.2% (-8.0 minutes). The proportions of patients actively using the digital patient portal (56.1%–70.1%) and completing forms electronically prior to arrival (24.9%–47.1%) increased (p < 0.0001 for both). Conclusion Workflow changes necessitated by the COVID-19 pandemic to ensure safety of patients and staff have permitted higher outpatient throughput.
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23
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Liao JM. Using Innovation to Navigate Waves of COVID-19 Resurgence. J Am Coll Radiol 2020; 18:759-761. [PMID: 33378702 PMCID: PMC7733681 DOI: 10.1016/j.jacr.2020.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 12/04/2020] [Indexed: 11/28/2022]
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24
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Zeinalnezhad M, Chofreh AG, Goni FA, Klemeš JJ, Sari E. Simulation and Improvement of Patients' Workflow in Heart Clinics during COVID-19 Pandemic Using Timed Coloured Petri Nets. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E8577. [PMID: 33227940 PMCID: PMC7699255 DOI: 10.3390/ijerph17228577] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/12/2020] [Accepted: 11/17/2020] [Indexed: 12/14/2022]
Abstract
The COVID-19 epidemic has spread across the world within months and creates multiple challenges for healthcare providers. Patients with cardiovascular disease represent a vulnerable population when suffering from COVID-19. Most hospitals have been facing difficulties in the treatment of COVID-19 patients, and there is a need to minimise patient flow time so that staff health is less endangered, and more patients can be treated. This article shows how to use simulation techniques to prepare hospitals for a virus outbreak. The initial simulation of the current processes of the heart clinic first identified the bottlenecks. It confirmed that the current workflow is not optimal for COVID-19 patients; therefore, to reduce waiting time, three optimisation scenarios are proposed. In the best situation, the discrete-event simulation of the second scenario led to a 62.3% reduction in patient waiting time. This is one of the few studies that show how hospitals can use workflow modelling using timed coloured Petri nets to manage healthcare systems in practice. This technique would be valuable in these challenging times as the health of staff, and other patients are at risk from the nosocomial transmission.
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Affiliation(s)
- Masoomeh Zeinalnezhad
- Department of Industrial Engineering, West Tehran Branch, Islamic Azad University, Tehran 1468763785, Iran
| | - Abdoulmohammad Gholamzadeh Chofreh
- Sustainable Process Integration Laboratory–SPIL, NETME Centre, Faculty of Mechanical Engineering, Brno University of Technology, VUT Brno, Technická 2896/2, 61669 Brno, Czech Republic; (A.G.C.); (F.A.G.); (J.J.K.)
| | - Feybi Ariani Goni
- Sustainable Process Integration Laboratory–SPIL, NETME Centre, Faculty of Mechanical Engineering, Brno University of Technology, VUT Brno, Technická 2896/2, 61669 Brno, Czech Republic; (A.G.C.); (F.A.G.); (J.J.K.)
- Department of Management, Faculty of Business and Management, Brno University of Technology, VUT Brno, Kolejni 2906/4, 61200 Brno, Czech Republic
| | - Jiří Jaromír Klemeš
- Sustainable Process Integration Laboratory–SPIL, NETME Centre, Faculty of Mechanical Engineering, Brno University of Technology, VUT Brno, Technická 2896/2, 61669 Brno, Czech Republic; (A.G.C.); (F.A.G.); (J.J.K.)
| | - Emelia Sari
- Department of Industrial Engineering, Faculty of Industrial Technology, Universitas Trisakti, Kyai Tapa No 1, Grogol, Jakarta Barat 11440, Indonesia;
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25
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Moriarity AK, Friedberg E, Pyatt RS, Everett C, McAdams C. What Might Your Practice Look Like Post-Peak COVID-19? J Am Coll Radiol 2020; 17:1053-1055. [PMID: 32592661 PMCID: PMC7294279 DOI: 10.1016/j.jacr.2020.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 06/10/2020] [Indexed: 11/24/2022]
Affiliation(s)
- Andrew K Moriarity
- Advanced Radiology Services, Grand Rapids, Michigan, and the Division of Radiology and Biomedical Imaging, Michigan State University College of Human Medicine, Grand Rapids, Michigan.
| | - Eric Friedberg
- Division of Community Radiology Specialists, Emory University School of Medicine, Atlanta, Georgia
| | - Robert S Pyatt
- Radiology Department, Wellspan Health-Summit, Chambersburg, Pennsylvania
| | | | - Christopher McAdams
- Department of Radiology, Emory University School of Medicine, Atlanta, Georgia
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26
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Rosen MP, Norbash A, Kruskal J, Meltzer CC, Yee J, Thrall J. Impact of Coronavirus Disease 2019 (COVID-19) on the Practice of Clinical Radiology. J Am Coll Radiol 2020; 17:1096-1100. [PMID: 32721410 PMCID: PMC7346805 DOI: 10.1016/j.jacr.2020.07.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 06/30/2020] [Accepted: 07/01/2020] [Indexed: 12/17/2022]
Abstract
The speed at which coronavirus disease 2019 (COVID-19) spread quickly fractured the radiology practice model in ways that were never considered. In March 2020, most practices saw an unprecedented drop in their volume of greater than 50%. The profound changes that have interrupted the arc of the radiology narrative may substantially dictate how health care and radiology services are delivered in the future. We examine the impact of COVID-19 on the future of radiology practice across the following domains: employment, compensation, and practice structure; location and hours of work; workplace environment and safety; activities beyond the "usual scope" of radiology practice; and CME, national meetings, and professional organizations. Our purpose is to share ideas that can help inform adaptive planning.
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Affiliation(s)
- Max P Rosen
- Chair of Radiology, Department of Radiology, UMass Memorial Medical Center & UMass Medical School, Worcester, Massachusetts.
| | - Alexander Norbash
- Chair of Radiology, UCSD School of Medicine and UC San Diego Health, San Diego, California
| | - Jonathan Kruskal
- Chair of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - Carolyn C Meltzer
- Chair of Radiology, Emory University School of Medicine, Atlanta, Georgia
| | - Judy Yee
- Chair of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York
| | - James Thrall
- Massachusetts General Hospital, Boston, Massachusetts
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27
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Carlos RC. Defining the Recovery. J Am Coll Radiol 2020; 17:828-829. [PMID: 32622534 PMCID: PMC7327448 DOI: 10.1016/j.jacr.2020.05.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 05/22/2020] [Indexed: 12/05/2022]
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