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Radikė M, Ntouskou M. Long-term quality improvement in radiology specialty training at a tertiary cardiothoracic centre. Curr Probl Diagn Radiol 2024:S0363-0188(24)00156-7. [PMID: 39181728 DOI: 10.1067/j.cpradiol.2024.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2024] [Accepted: 08/11/2024] [Indexed: 08/27/2024]
Abstract
OBJECTIVES This quality improvement project (QIP) aimed to foster radiology training at a regional tertiary cardiothoracic centre that had very low trainee satisfaction rankings. METHODS To study the problem and intervene timely, multiple methods were applied, including a local feedback survey, placement reorganisation, consultant encouragement to train as accredited supervisors, followed by departmental education portal creation and start of externally funded Visiting Fellowships and salaried Clinical Fellowships. The regional rating was monitored. The local feedback survey was distributed and analysed using descriptive statistics. Alongside the QIP, service expansion occurred. RESULTS The site regionally ranked 9/19 in 2 years. Local survey responses (53) showed continuous improvement; cardiothoracic subspecialty interest (+39%) and audit/academic involvement (+36%) increased. Multiple Fellowships were completed; internationally reputable placements were agreed upon. Most consultants trained as supervisors. Per increased demand, compulsory deanery posts were changed to motivation-based, and an additional salaried position was offered. Five fellows stayed in the region as subspecialist consultants. Unexpected challenges included space and workstation loss with service expansion, lack of regional surveys since 2019, and the global pandemic. Regardless, the results were positive with subspecialty interest and projected reputational effect increase. Local long-term survey provided sustainable data in detecting improvement areas. CONCLUSIONS Given the national radiologist shortage, this quality improvement project shows a possible positive impact of similar interventions, including workforce retention/recruitment and thus improving patient care. ADVANCES IN KNOWLEDGE Continuous feedback and quality improvement maintenance are valuable to enhance training quality locally and beyond.
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Affiliation(s)
- Monika Radikė
- Department of Radiology, Liverpool Heart and Chest NHS Foundation Trust, Thomas Drive, Liverpool, England, United Kingdom; Liverpool Centre for Cardiovascular Science, United Kingdom.
| | - Marousa Ntouskou
- Department of Radiology, Liverpool Heart and Chest NHS Foundation Trust, Thomas Drive, Liverpool, England, United Kingdom
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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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3
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Isaac O, Awan OA. Global Medical Education and Its Value to Radiology. Acad Radiol 2023; 30:2222-2224. [PMID: 37524618 DOI: 10.1016/j.acra.2023.06.014] [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: 06/16/2023] [Accepted: 06/17/2023] [Indexed: 08/02/2023]
Affiliation(s)
| | - Omer A Awan
- University of Maryland School of Medicine, 655 W Baltimore St, Baltimore, MD 21201 (O.A.A.).
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Quaia E. Electronic platform-based education for radiology residents: results of a two-year survey. BMC MEDICAL EDUCATION 2023; 23:202. [PMID: 36998067 PMCID: PMC10062241 DOI: 10.1186/s12909-023-04190-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 03/23/2023] [Indexed: 06/19/2023]
Abstract
BACKGROUND Electronic platform based-learning for residents is increasing. The aim of this study was to identify the most reliable predictor variables related to the usage of electronic platform-based educational material for radiology residents which can predict a successful multiple-choice test during the academic year. METHODS A two year survey was conducted based on the records of electronic platform-based educational material for radiology residents. Radiology resident education was based on the educational content of two educational electronic platform databases named RADPrimer and STATdx (Elsevier, Amsterdam) consisting in evidence-based and expert-vetted summary information to support learning and diagnosing in radiology. A pool of multiple-choice questions was addressed in RADPrimer by each resident after 6 months from the beginning of each academic year, and at the end of the respective residency year as part of end of the year assessment. A per-resident analysis was performed to analyze the correlation between the amount of electronic platform content accessed by residents (measured by total login times, login frequency per month, and the number of per-topic addressed questions) in preparation for the electronic test during the academic year (predictor variables) and per-resident average percentage of correct answers on electronic test (outcome variable). Statistical significance (p < 0.05) was determined using logistic regression and correlation analysis. RESULTS Total login times (OR, 3; 95% CI, 2.2 -4), login frequency per month (OR, 4; 95% CI, 3.1-5.3), the number of per-topic addressed questions (OR, 3; 95% CI, 2.2 -4), and the number of topic-verified correct answers to multiple choice test (OR, 30.5; 95% CI, 12.8-80.9) all showed a statistically significant correlation with final percentage of correct answers on final year electronic test. CONCLUSION The number of correct answers to multiple choice test was related to the number and frequency of login access, the number of per-topic addressed questions and the number of topic-verified correct answers to multiple choice test. The electronic-based educational material contributes significantly to a successful radiology residency program.
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Affiliation(s)
- Emilio Quaia
- Department of Radiology, University of Padova, Via Giustiniani 2, Padova, 35128, Italy.
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Wang Y, Ng TSC, Palmer EL. Reflections on radiology education: Keeping up with the future. Clin Imaging 2023; 98:8-10. [PMID: 36965378 DOI: 10.1016/j.clinimag.2023.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 02/17/2023] [Accepted: 03/13/2023] [Indexed: 03/27/2023]
Affiliation(s)
- Yingbing Wang
- Massachusetts General Hospital, Department of Radiology, 55 Fruit Street, Boston, MA 02114, United States of America.
| | - Thomas S C Ng
- Massachusetts General Hospital, Department of Radiology, 55 Fruit Street, Boston, MA 02114, United States of America
| | - Edwin L Palmer
- Massachusetts General Hospital, Department of Radiology, 55 Fruit Street, Boston, MA 02114, United States of America
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Wahab RA, Patel M, McLaughlin C, Kulkarni K, Nair B, Mullen L, Vijapura C. Breast Imaging Fellowship Consortium: Developing a Comprehensive Virtual Educational Platform for Breast Imaging Fellows. JOURNAL OF BREAST IMAGING 2023; 5:203-208. [PMID: 38416929 DOI: 10.1093/jbi/wbac089] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Indexed: 03/01/2024]
Abstract
Creating a comprehensive didactic curriculum for breast imaging fellows can be a demanding undertaking, especially considering that most breast practices are understaffed because of the COVID-19 pandemic and amid rising clinical volumes. This leaves little time for didactic education. In this article, we present our approach to creating a collaborative weekly multidisciplinary didactic lecture series involving multiple institutions, using the Society of Breast Imaging's suggested fellowship curriculum as the foundation. We discuss the advantages for both trainees and faculty, including fostering camaraderie, networking, and engagement among breast imaging fellows. Faculty have the opportunity for professional development by leveraging their clinical expertise through selecting didactic topics in their niche. This creates a pathway for speaking faculty to be recognized as regional and national experts.
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Affiliation(s)
- Rifat A Wahab
- University of Cincinnati Medical Center, Department of Radiology, Cincinnati, OH, USA
| | - Mitva Patel
- Department of Radiology, Ohio State University Medical Center, Columbus, OH, USA
| | - Carol McLaughlin
- University of Michigan Health Systems, Department of Radiology, Ann Arbor, MI, USA
| | - Kirti Kulkarni
- University of Chicago Pritzker School of Medicine, Department of Radiology, Chicago, IL, USA
| | - Bronwyn Nair
- University of Pittsburgh Medical Center, Department of Radiology, Pittsburgh, PA, USA
| | - Lisa Mullen
- Johns Hopkins Medicine, Department of Radiology, Baltimore, MD, USA
| | - Charmi Vijapura
- University of Cincinnati Medical Center, Department of Radiology, Cincinnati, OH, USA
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Kanne JP, Chung JH. A Case for Academic Teleradiology. J Am Coll Radiol 2022; 19:1177-1179. [PMID: 35985634 PMCID: PMC9417289 DOI: 10.1016/j.jacr.2022.06.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 06/17/2022] [Accepted: 06/24/2022] [Indexed: 11/10/2022]
Affiliation(s)
- Jeffrey P Kanne
- Chief of Thoracic Imaging and Vice Chair of Quality and Safety in the Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
| | - Jonathan H Chung
- Chief of Cardiopulmonary Imaging and Vice Chair of Quality in the Department of Radiology, University of Chicago, Chicago, Illinois
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Elsayes KM, Kamel S, Wang MX. Turning Radiology Educational Challenges into Opportunities: The Digital Frontier. Radiographics 2022; 42:E6-E8. [PMID: 34990318 DOI: 10.1148/rg.210203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Khaled M Elsayes
- From the Department of Abdominal Radiology (K.M.E.) and Department of Lymphoma and Myeloma (S.K.), The University of Texas MD Anderson Cancer Center, 1400 Pressler St, Houston, TX 77030; and Department of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, Houston, Tex (M.X.W.)
| | - Serageldin Kamel
- From the Department of Abdominal Radiology (K.M.E.) and Department of Lymphoma and Myeloma (S.K.), The University of Texas MD Anderson Cancer Center, 1400 Pressler St, Houston, TX 77030; and Department of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, Houston, Tex (M.X.W.)
| | - Mindy X Wang
- From the Department of Abdominal Radiology (K.M.E.) and Department of Lymphoma and Myeloma (S.K.), The University of Texas MD Anderson Cancer Center, 1400 Pressler St, Houston, TX 77030; and Department of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, Houston, Tex (M.X.W.)
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Chavhan GB, Podberesky DJ. Working from home in pediatric radiology: to be or not to be, it's not a simple question. Pediatr Radiol 2022; 52:1199-1201. [PMID: 35441837 PMCID: PMC9018246 DOI: 10.1007/s00247-022-05343-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 02/14/2022] [Accepted: 02/25/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Govind B. Chavhan
- Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Ave., ON M5G 1X8 Toronto, Canada ,Medical Imaging, University of Toronto, Toronto, ON Canada
| | - Daniel J. Podberesky
- Department of Radiology, Nemours Children’s Health, Nemours Children’s Hospital, Orlando, FL USA
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Awan OA. Invited Commentary: The Need for Interactive Radiology Education. Radiographics 2021; 41:E117-E118. [PMID: 34197256 DOI: 10.1148/rg.2021200219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Omer A Awan
- From the Department of Radiology, University of Maryland School of Medicine, 655 W Baltimore St, Baltimore, MD 21201
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