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Nuno FMTF, Gradim AC, da Costa Dias AA, Polónia DF. Value-Based Healthcare and Radiology: How can Value be Measured? JOURNAL OF HEALTH MANAGEMENT 2022. [DOI: 10.1177/09720634221128075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The concept of value-based healthcare (VBH) emerges as a response to traditional models of healthcare system management. More specifically, in radiology, the transition from volume to value has been discussed by its main associations, having as the main concern regarding the role of the specialty in a more integrated healthcare context. Through a qualitative study, this work aims to analyse and evaluate how this new concept can be implemented in radiology by identifying obstacles and mapping the technical and procedural improvements necessary for its correct implementation in the national context of healthcare provision. Through interviews with different elements of the healthcare sector (from doctors to industry partners and researchers), it was possible to draw a set of metrics for measuring the value of radiology, alongside the implementation of a VBH strategy. As the main conclusion, the implementation of a strategic agenda for the creation of value in radiology at the national level should be based on the reduction of variability and the identification of best practices in terms of adequacy, quality, safety and efficiency, aiming to satisfy the needs of requesting doctors and patients.
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Affiliation(s)
| | - Adriana Coutinho Gradim
- Department of Economics, Management, Industrial Engineering and Tourism, Campus Universitário de Santiago, Aveiro, Portugal
| | - Ana Alexandra da Costa Dias
- Department of Economics, Management, Industrial Engineering and Tourism, Campus Universitário de Santiago, Aveiro, Portugal
- GovCOPP (Governance, Competitiveness and Public Policies) Research Group, Campus Universitário de Santiago, Aveiro, Portugal
| | - Daniel Ferreira Polónia
- Department of Economics, Management, Industrial Engineering and Tourism, Campus Universitário de Santiago, Aveiro, Portugal
- GovCOPP (Governance, Competitiveness and Public Policies) Research Group, Campus Universitário de Santiago, Aveiro, Portugal
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Rainford L, Santos J, Alves F, Figueiredo JP, Hoeschen C, Damilakis J, Frija G, Andersson J, McNulty J, Foley S, Bacher K, Nestle U, Hierath M, Paulo G. Education and training in radiation protection in Europe: an analysis from the EURAMED rocc-n-roll project. Insights Imaging 2022; 13:142. [PMID: 36057698 PMCID: PMC9440860 DOI: 10.1186/s13244-022-01271-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Accepted: 07/09/2022] [Indexed: 11/17/2022] Open
Abstract
Background A Strengths, weaknesses, opportunities and threats analysis was performed to understand the status quo of education and training in radiation protection (RP) and to develop a coordinated European approach to RP training needs based on stakeholder consensus and existing activities in the field. Fourteen team members represented six European professional societies, one European voluntary organisation, two international healthcare organisations and five professions, namely: Medical Physicists; Nuclear Medicine Physicians; Radiologists; Radiation Oncologists and Radiographers. Four subgroups analysed the “Strengths”, “Weaknesses”, “Opportunities” and “Threats” related to E&T in RP developed under previous European Union (EU) programmes and on the Guidelines on Radiation Protection Education and Training of Medical Professionals in the EU.
Results Consensus agreement identified four themes for strengths and opportunities, namely: (1) existing structures and training recommendations; (2) RP training needs assessment and education & training (E&T) model(s) development; (3) E&T dissemination, harmonisation, and accreditation; (4) financial supports. Weaknesses and Threats analysis identified two themes: (1) awareness and prioritisation at a national/global level and (2) awareness and prioritisation by healthcare professional groups and researchers. Conclusions A lack of effective implementation of RP principles in daily practice was identified. EuRnR strategic planning needs to consider processes at European, national and local levels. Success is dependent upon efficient governance structures and expert leadership. Financial support is required to allow the stakeholder professional agencies to have sufficient resources to achieve a pan European radiation protection training network which is sustainable and accredited across multiple national domains.
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Affiliation(s)
- Louise Rainford
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Room A201, UCD Health Science Centre, Belfield Campus, Dublin 4, Ireland.
| | - Joana Santos
- Instituto Politécnico de Coimbra, ESTESC - Coimbra Health School, Medical Imaging and Radiotherapy, Coimbra, Portugal
| | - Francisco Alves
- Instituto Politécnico de Coimbra, ESTESC - Coimbra Health School, Medical Imaging and Radiotherapy, Coimbra, Portugal
| | - João Paulo Figueiredo
- Instituto Politécnico de Coimbra, ESTESC - Coimbra Health School, Medical Imaging and Radiotherapy, Coimbra, Portugal
| | - Christoph Hoeschen
- Institute of Medical Technology, Otto-Von-Guericke University Magdeburg, Magdeburg, Germany
| | | | | | - Jonas Andersson
- Department of Radiation Sciences, Radiation Physics, Umeå, Sweden
| | - Jonathan McNulty
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Room A201, UCD Health Science Centre, Belfield Campus, Dublin 4, Ireland
| | - Shane Foley
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Room A201, UCD Health Science Centre, Belfield Campus, Dublin 4, Ireland
| | - Klaus Bacher
- Division of Medical Physics, Department of Human Structure and Repair, Ghent University, Ghent, Belgium
| | - Ursula Nestle
- Department of Radiation Oncology, Kliniken Maria Hilf, Moenchengladbach, Germany.,Department of Radiation Oncology, University Hospital Freiburg, Freiburg im Breisgau, Germany
| | - Monika Hierath
- European Institute for Biomedical Imaging Research (EIBIR), Vienna, Austria
| | - Graciano Paulo
- Instituto Politécnico de Coimbra, ESTESC - Coimbra Health School, Medical Imaging and Radiotherapy, Coimbra, Portugal
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Do-It-Yourself Business Intelligence for the Radiologist-Lessons Learned From 10-Year Trends in an Abdominal Imaging Division at a Tertiary Medical Center. J Am Coll Radiol 2021; 19:329-335. [PMID: 34852270 DOI: 10.1016/j.jacr.2021.10.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 10/08/2021] [Indexed: 12/26/2022]
Abstract
"Big data" has changed the way businesses operate in finance, insurance, communications, manufacturing, and logistics, with companies reporting successful outcomes from the implementation of data-driven analytics. Health care has slowly started leveraging big data analysis to identify more cost-efficient and effective care for patients. Business intelligence software aims to help with this transition, converting large data sets into useful, actionable information. Radiology practices have used business intelligence toolkits in the past to increase reading room productivity, scanner efficiency, and patient throughput. Although these tactics have driven down costs and increased volumes, an essential aspect of radiology practice growth-consumer satisfaction-remains largely unexplored. The first commandment of marketing is "know thy customer," which is the key to increasing radiology's value to referring clinicians who use our services. Our article explores the business case behind a basic business intelligence model, giving any radiologist the instruments to access and draw business conclusions from their radiology information system data.
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Catanzano TM, Slanetz P, Schaefer PW, Chetlen AL, Naeger DM, Mohammed TL, Agarwal V, Mullins ME. Vice Chair for Education: Twelve Roles to Provide a Framework for Success. Acad Radiol 2021; 28:1010-1017. [PMID: 32247724 DOI: 10.1016/j.acra.2020.02.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 02/08/2020] [Accepted: 02/09/2020] [Indexed: 12/30/2022]
Abstract
RATIONALE AND OBJECTIVES An increase in the administrative work in our healthcare system has led to an increase in the number of administrative positions in radiology departments. Many of these are Vice Chair roles, including Vice Chair for Education (VCEd). The responsibility of this position has expanded, often far beyond the original definition. This article defines the role and expectations of the Vice Chair for Education and provides suggestions for success. MATERIALS AND METHODS This article will review 12 vital roles that a Vice Chair for Education must play to be an effective advocate for radiology education within a department. RESULTS Key attributes of an educational leader are delineated, divided into 12 areas or roles. CONCLUSION This article summarizes key leadership skills needed by Vice Chairs for Education in order for them to be effective in their role.
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Affiliation(s)
- Tara M Catanzano
- Office of Faculty Affairs at the University of Massachusetts Medical School-Baystate in Springfield, Springfield, Massachusetts.
| | - Priscilla Slanetz
- Department of Radiology at the Boston University School of Medicine in Boston, Massachusetts
| | | | - Alison L Chetlen
- Department of Radiology, Division of Breast Imaging at Penn State Health, Hershey Medical Center, Hershey, Pennsylvania
| | - David M Naeger
- University of Colorado School of Medicine in Denver, Denver, Colorado
| | | | - Vikas Agarwal
- Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Mark E Mullins
- Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia
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Narayan AK, Schaefer PW, Daye D, Alvarez C, Chonde DB, McLoud TC, Flores EJ, Brink JA. Practical Tips for Creating a Diversity, Equity, and Inclusion Committee: Experience From a Multicenter, Academic Radiology Department. J Am Coll Radiol 2021; 18:1027-1037. [PMID: 33915120 DOI: 10.1016/j.jacr.2021.03.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 03/14/2021] [Accepted: 03/16/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE Coronavirus disease 2019 and the publicly documented deaths of countless Black individuals have highlighted the need to confront systemic racism, address racial/ethnic disparities, and improve diversity and inclusion in radiology. Several radiology departments have begun to create diversity, equity, and inclusion (DEI) committees to systematically address DEI issues in radiology. However, there are few articles that provide departments with guidance on how to create DEI committees to comprehensively address DEI issues in radiology. The purpose of this review is to provide readers with a framework and practical tips for creating a comprehensive, institutionally aligned radiology DEI committee. METHODS The authors describe key components of the strategic planning process and lessons learned in the creation of a radiology DEI committee, on the basis of the experience of an integrated, academic northeastern radiology department. RESULTS A hospital-based strategic planning process defining the DEI vision, mission, goals, and strategies was used to inform the formation of the radiology department DEI committee. The radiology department performed gap analyses by conducting internal and external research. Strengths, weaknesses, opportunities, and threats analyses were performed on the basis of consultations with institutional and other departmental DEI leaders as well as DEI leaders from other academic medical centers. This framework served as the basis for the creation of the radiology departmental DEI committee, including a steering committee and four task forces (education, research, patient experience, and workforce development), each charged with addressing specific institutional goals and strategies. CONCLUSIONS This review provides academic radiology departments with a blueprint to create a comprehensive, institutionally aligned radiology DEI committee.
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Affiliation(s)
- Anand K Narayan
- Assistant Professor, Harvard Medical School Quality and Safety Officer, Division of Breast Imaging, Co-Chair, Diversity, Equity and Inclusion Committee, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
| | - Pamela W Schaefer
- Vice Chair, Post Graduate Education and Fellowship Training, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Dania Daye
- Co-Chair, Diversity Committee, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Carmen Alvarez
- Program Director, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Daniel B Chonde
- Co-Chair, Education Subcommittee, MGH Radiology Diversity Committee, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Theresa C McLoud
- Program Director, MGH Radiology Residency Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Efren J Flores
- Community Health Officer, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - James A Brink
- Chair, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Kruskal JB, Rosen MP, Hara AK, Canon C, Wald C. Enabling Your Radiology Business to Thrive Strategic Lessons Learned During the Initial and Subsequent Surges of the Covid-19 Pandemic. Acad Radiol 2021; 28:393-401. [PMID: 33455861 DOI: 10.1016/j.acra.2021.01.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 01/06/2021] [Accepted: 01/06/2021] [Indexed: 01/07/2023]
Abstract
The Covid-19 pandemic surges of 2020 resulted in major operational, personal, and financial impacts on US radiology practices. In response, a series of strategic and intentional operational changes were implemented, varying by practice size, structure and model. In reviewing the many business lessons that we learned during the pandemic, it became clear that for a business to be successful, a host of additional supportive factors are necessary. In addition to timely expense reductions, optimizing revenue capture and close monitoring and management of cash and reserves available for use, we also consider effective leadership and communication strategies, maintenance of a healthy and adequately staffed team, support for a remote work environment and flexible staffing models. Other ingredients include effectively embracing digital media for communications, careful attention to current and new stakeholders and the service delivered to them, understanding federal and state regulatory changes issued in response to the pandemic, close collaboration with the Human Resources office, and an early focus on redesigning your future practice structure and function, including disaster and downtime planning. This review aims to share lessons to enable leaders of an imaging enterprise to be better prepared for similar and future surges.
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Affiliation(s)
- Jonathan B Kruskal
- Department of Radiology, Beth Israel Deaconess Medical Center, One Deaconess Road, Boston, MA 02215.
| | - Max P Rosen
- Department of Radiology, University of Massachusetts Medical School, Worcester, Massachusetts
| | - Amy K Hara
- Department of Radiology, Mayo Clinic, Phoenix, Arizona
| | - Cheri Canon
- Department of Radiology, The University of Alabama at Birmingham, Birmingham, Alabama
| | - Christoph Wald
- Department of Radiology, Lahey Hospital and Medical Center, Burlington, Massachusetts
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Wiggins WF, Caton MT, Magudia K, Glomski SHA, George E, Rosenthal MH, Gaviola GC, Andriole KP. Preparing Radiologists to Lead in the Era of Artificial Intelligence: Designing and Implementing a Focused Data Science Pathway for Senior Radiology Residents. Radiol Artif Intell 2020; 2:e200057. [PMID: 33937848 DOI: 10.1148/ryai.2020200057] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 06/30/2020] [Accepted: 07/07/2020] [Indexed: 02/06/2023]
Abstract
Artificial intelligence and machine learning (AI-ML) have taken center stage in medical imaging. To develop as leaders in AI-ML, radiology residents may seek a formative data science experience. The authors piloted an elective Data Science Pathway (DSP) for 4th-year residents at the authors' institution in collaboration with the MGH & BWH Center for Clinical Data Science (CCDS). The goal of the DSP was to provide an introduction to AI-ML through a flexible schedule of educational, experiential, and research activities. The study describes the initial experience with the DSP tailored to the AI-ML interests of three senior radiology residents. The authors also discuss logistics and curricular design with common core elements and shared mentorship. Residents were provided dedicated, full-time immersion into the CCDS work environment. In the initial DSP pilot, residents were successfully integrated into AI-ML projects at CCDS. Residents were exposed to all aspects of AI-ML application development, including data curation, model design, quality control, and clinical testing. Core concepts in AI-ML were taught through didactic sessions and daily collaboration with data scientists and other staff. Work during the pilot period led to 12 accepted abstracts for presentation at national meetings. The DSP is a feasible, well-rounded introductory experience in AI-ML for senior radiology residents. Residents contributed to model and tool development at multiple stages and were academically productive. Feedback from the pilot resulted in establishment of a formal AI-ML curriculum for future residents. The described logistical, planning, and curricular considerations provide a framework for DSP implementation at other institutions. Supplemental material is available for this article. © RSNA, 2020.
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Affiliation(s)
- Walter F Wiggins
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - M Travis Caton
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - Kirti Magudia
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - Sha-Har A Glomski
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - Elizabeth George
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - Michael H Rosenthal
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - Glenn C Gaviola
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
| | - Katherine P Andriole
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (W.F.W., M.T.C., K.M., S.A.G., E.G., M.H.R., G.C.G., K.P.A.); and MGH & BWH Center for Clinical Data Science, Boston, Mass (W.F.W., M.T.C., K.M., K.P.A.)
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Parikh JR, Kalambo M. Integration of the Community-Based Academic Radiologist With the Academic Radiology Department: A Strategic Imperative. J Am Coll Radiol 2020; 17:304-308. [DOI: 10.1016/j.jacr.2019.07.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 07/16/2019] [Accepted: 07/24/2019] [Indexed: 01/31/2023]
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9
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Herrera D, Serrano L. Creating Value through Incremental Innovation. Radiology 2019; 290:576-577. [DOI: 10.1148/radiol.2018182117] [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)
- Daniel Herrera
- Department of Radiology, Fundación Santa Fe de Bogotá, Carrera 7 No. 117-15, Bogotá 110246, Colombia
| | - Luis Serrano
- Department of Radiology, Fundación Santa Fe de Bogotá, Carrera 7 No. 117-15, Bogotá 110246, Colombia
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Afriyie SO, Kong Y, Danso PO, Ibn Musah AA, Akomeah MO. Do corporate governance mechanisms and internal control systems matter in reducing mortality rates? Int J Health Plann Manage 2019; 34:744-760. [PMID: 30657198 DOI: 10.1002/hpm.2732] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 12/17/2018] [Accepted: 12/18/2018] [Indexed: 01/26/2023] Open
Abstract
Internal controls are critical to guarding an institution against fraud, error, and devastation. They are effective tools for preventing losses and achieving organizational goals. However, internal control mechanisms need to be relevant, because the organization cannot comprehend the effectiveness of the system if they are out-of-touch with the operation. Health care control practices are not exceptionally different from what pertains in other industries. The health care organizations require effective corporate governance mechanisms to uphold their operations and performances. These practices assist health care organizations to exhume cynical practices that generate unproductive results and also factors militating against the hospital's goals or objectives. This study revealed that practices such as enhanced Board diligence, Health Professionals on board, financial prudence, and effective communication have the tendency of reducing mortality, if well executed.
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Affiliation(s)
| | - Yusheng Kong
- School of Finance and Economics, Jiangsu University, Zhenjiang, Jiangsu, China
| | - Patrick Obeng Danso
- School of Finance and Economics, Jiangsu University, Zhenjiang, Jiangsu, China
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11
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Kruskal JB, Shanafelt T, Eby P, Meltzer CC, Rawson J, Essex LN, Canon C, West D, Bender C. A Road Map to Foster Wellness and Engagement in Our Workplace-A Report of the 2018 Summer Intersociety Meeting. J Am Coll Radiol 2018; 16:869-877. [PMID: 30559039 DOI: 10.1016/j.jacr.2018.10.025] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 10/26/2018] [Accepted: 10/26/2018] [Indexed: 11/18/2022]
Abstract
The 2018 radiology Intersociety Committee reviewed the current state of stress and burnout in our workplaces and identified approaches for fostering engagement, wellness, and job satisfaction. In addition to emphasizing the importance of personal wellness (the fourth aim of health care), the major focus of the meeting was to identify strategies and themes to mitigate the frequency, manifestations, and impact of stress. Strategies include reducing the stigma of burnout, minimizing isolation through community building and fostering connectivity, utilizing data and benchmarking to guide effectiveness of improvement efforts, resourcing and training "wellness" committees, acknowledging value contributions of team members, and improving efficiency in the workplace. Four themes were identified to prioritize organizational efforts: (1) collecting, analyzing, and benchmarking data; (2) developing effective leadership; (3) building high-functioning teams; and (4) amplifying our voice to increase our influence.
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Affiliation(s)
- Jonathan B Kruskal
- Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
| | - Tait Shanafelt
- Department of Medicine, Stanford University, Stanford, California
| | - Peter Eby
- Department of Radiology, Virginia Mason Medical Center, Seattle, Washington
| | - Carolyn C Meltzer
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - James Rawson
- Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | | | - Cheri Canon
- Department of Radiology, University of Alabama School of Medicine, Birmingham, Alabama
| | - Derek West
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Claire Bender
- Department of Radiology, Mayo Clinic, Rochester, Minnesota
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12
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Mullins ME, Anavim A, Deitte LA, McLoud TC, Resnik CS. Diagnostic Radiology Resident Recruitment Part II: Advice to Applicants From Vice Chairs for Education. Acad Radiol 2018; 25:774-779. [PMID: 29573935 DOI: 10.1016/j.acra.2017.11.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 10/23/2017] [Accepted: 11/05/2017] [Indexed: 10/17/2022]
Abstract
Applicants to diagnostic radiology residencies often obtain advice regarding the process, typically from local individuals. Materials available on the Internet contribute to this process as well. We are a group of current and former Diagnostic Radiology Residency Program Directors and current Vice Chairs for Education who commonly advise medical students, including regarding radiology as a career. This work is meant to provide a "plain talk" resource for those considering a career in radiology via a radiology residency, written from the point of view of an advisor with lots of experience.
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Affiliation(s)
- Mark E Mullins
- Department of Radiology and Imaging Sciences, Emory University and Emory Healthcare, 1364 Clifton Rd NE, Atlanta, GA 30322.
| | - Arash Anavim
- Department of Radiological Sciences, Irvine School of Medicine, University of California, Irvine, California
| | - Lori A Deitte
- Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Theresa C McLoud
- Massachusetts General Hospital Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
| | - Charles S Resnik
- Department of Diagnostic Radiology & Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland
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13
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Moores BM. THE PSYCHOLOGY OF DECISION MAKING AND ITS RELEVANCE TO RADIATION PROTECTION OF THE PATIENT IN MEDICINE. RADIATION PROTECTION DOSIMETRY 2018; 178:245-253. [PMID: 28981859 DOI: 10.1093/rpd/ncx103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 07/12/2017] [Indexed: 06/07/2023]
Abstract
An analysis and review of the fundamental psychological basis of decision making has been undertaken in respect of radiation protection of the patient in medicine. Both clinical and scientific aspects of patient protection have been considered. Every stage of the clinical process of radiological examinations, from referral through to diagnostic outcome, has been shown to be subject to proven psychological effects including biases, framing, anchoring and prospect theory, which deals with perceived gains and losses. Such factors also influence the scientific aspects of radiation protection of the patient. Justification for the use of single dose reference level (DRL) values has employed framing with substitution or manipulation by accessibility in order to promote their usefulness. The use of DRLs as presently proposed constrains a diverse patient population to a reference or representative person. This approach is shown to represent a public health initiative that largely ignores the ethical basis of patient protection inherent in the Hippocratic Oath.
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Affiliation(s)
- B Michael Moores
- Integrated Radiological Services Ltd, Unit 188, Century Building, Brunswick Business Park, Liverpool, UK
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Hamilton JL, Foxcroft S, Moyo E, Cooke-Lauder J, Spence T, Zahedi P, Bezjak A, Jaffray D, Lam C, Létourneau D, Milosevic M, Tsang R, Wong R, Liu FF. Strategic planning in an academic radiation medicine program. Curr Oncol 2017; 24:e518-e523. [PMID: 29270061 DOI: 10.3747/co.24.3725] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background In this paper, we report on the process of strategic planning in the Radiation Medicine Program (rmp) at the Princess Margaret Cancer Centre. The rmp conducted a strategic planning exercise to ensure that program priorities reflect the current health care environment, enable nimble responses to the increasing burden of cancer, and guide program operations until 2020. Methods Data collection was guided by a project charter that outlined the project goal and the roles and responsibilities of all participants. The process was managed by a multidisciplinary steering committee under the guidance of an external consultant and consisted of reviewing strategic planning documents from close collaborators and institutional partners, conducting interviews with key stakeholders, deploying a program-wide survey, facilitating an anonymous and confidential e-mail feedback box, and collecting information from group deliberations. Results The process of strategic planning took place from December 2014 to December 2015. Mission and vision statements were developed, and core values were defined. A final document, Strategic Roadmap to 2020, was established to guide programmatic pursuits during the ensuing 5 years, and an implementation plan was developed to guide the first year of operations. Conclusions The strategic planning process provided an opportunity to mobilize staff talents and identify environmental opportunities, and helped to enable more effective use of resources in a rapidly changing health care environment. The process was valuable in allowing staff to consider and discuss the future, and in identifying strategic issues of the greatest importance to the program. Academic programs with similar mandates might find our report useful in guiding similar processes in their own organizations.
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Affiliation(s)
- J L Hamilton
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network
| | - S Foxcroft
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network
| | - E Moyo
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network
| | - J Cooke-Lauder
- Health Industry Management Practice, Schulich School of Business, York University, and
| | - T Spence
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network
| | - P Zahedi
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network
| | - A Bezjak
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network
| | - D Jaffray
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
| | - C Lam
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
| | - D Létourneau
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
| | - M Milosevic
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
| | - R Tsang
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
| | - R Wong
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
| | - F F Liu
- Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network.,Department of Radiation Oncology, University of Toronto, Toronto, ON
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15
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Itri JN, Mithqal A, Krishnaraj A. Funds Flow in the Era of Value-Based Health Care. J Am Coll Radiol 2017; 14:818-824. [DOI: 10.1016/j.jacr.2017.01.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2016] [Revised: 01/02/2017] [Accepted: 01/09/2017] [Indexed: 10/20/2022]
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16
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Lavelle LP, Dunne RM, Carroll AG, Malone DE. Evidence-based Practice of Radiology. Radiographics 2016; 35:1802-13. [PMID: 26466187 DOI: 10.1148/rg.2015150027] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Current health care reform in the United States is producing a shift in radiology practice from the traditional volume-based role of performing and interpreting a large number of examinations to providing a more affordable and higher-quality service centered on patient outcomes, which is described as a value-based approach to the provision of health care services. In the 1990 s, evidence-based medicine was defined as the integration of current best evidence with clinical expertise and patient values. When these methods are applied outside internal medicine, the process is called evidence-based practice (EBP). EBP facilitates understanding, interpretation, and application of the best current evidence into radiology practice, which optimizes patient care. It has been incorporated into "Practice-based Learning and Improvement" and "Systems-based Practice," which are two of the six core resident competencies of the Accreditation Council for Graduate Medical Education and two of the 12 American Board of Radiology milestones for diagnostic radiology. Noninterpretive skills, such as systems-based practice, are also formally assessed in the "Quality and Safety" section of the American Board of Radiology Core and Certifying examinations. This article describes (a) the EBP framework, with particular focus on its relevance to the American Board of Radiology certification and maintenance of certification curricula; (b) how EBP can be integrated into a residency program; and (c) the current value and likely place of EBP in the radiology information technology infrastructure. Online supplemental material is available for this article.
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Affiliation(s)
- Lisa P Lavelle
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland (L.P.L., A.G.C., D.E.M.); and Department of Radiology, Brigham and Women's Hospital, Boston, Mass (R.M.D.)
| | - Ruth M Dunne
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland (L.P.L., A.G.C., D.E.M.); and Department of Radiology, Brigham and Women's Hospital, Boston, Mass (R.M.D.)
| | - Anne G Carroll
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland (L.P.L., A.G.C., D.E.M.); and Department of Radiology, Brigham and Women's Hospital, Boston, Mass (R.M.D.)
| | - Dermot E Malone
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland (L.P.L., A.G.C., D.E.M.); and Department of Radiology, Brigham and Women's Hospital, Boston, Mass (R.M.D.)
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17
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Strategic Expansion Models in Academic Radiology. J Am Coll Radiol 2016; 13:329-34. [DOI: 10.1016/j.jacr.2015.11.014] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 11/11/2015] [Accepted: 11/14/2015] [Indexed: 11/18/2022]
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18
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DeQuesada IM, Chokshi FH, Mullins ME, Duszak R. Practice Management and Health Policy Education in Radiology: An Emerging Imperative. J Am Coll Radiol 2015; 12:1085-92. [DOI: 10.1016/j.jacr.2015.04.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2015] [Accepted: 04/02/2015] [Indexed: 10/23/2022]
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