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Sheng M, Ritchie B, Ramaiya N, Mohamed I. Rewinding the Clock: Preparing the Next Generation of Radiology Residents for Oral Boards. Acad Radiol 2024:S1076-6332(24)00374-X. [PMID: 38944631 DOI: 10.1016/j.acra.2024.06.016] [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: 05/05/2024] [Revised: 05/26/2024] [Accepted: 06/11/2024] [Indexed: 07/01/2024]
Abstract
The replacement of the ABR in-person oral examination with the DR certifying examination affected approximately 15,000 radiologists, spanning from 2013 to 2027. This decision was motivated by better aligning with the timing of other American Board of Medical Specialty (ABMS) members, more closely reflecting real-world practice of radiology and narrowing training geared towards the trainee's subspecialty preference. However, in retrospect, this change may have subtracted from the quality and value of diagnostic radiology training as a whole with the de-emphasis on competence in general radiology, communication skills, and cognitive reasoning. In this paper, the authors lay out a blueprint necessary in order to rewind the clock of how diagnostic radiology programs can prepare their trainees for the new DR oral examination. Such a change will require substantial redactions affecting all designations, including radiology faculty, education teams, departmental leadership, academic institutions, ACGME, and ABR. The authors believe that implementing these modifications will not only effectively equip radiology candidates for the new DR oral examination but will also augment the significance of radiologists as indispensable members of multidisciplinary teams. The authors also outline the challenges that could emerge from these changes and speculate on the anticipated role of AI in future oral board examinations.
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Affiliation(s)
- Max Sheng
- Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, Ohio 44106, USA.
| | - Brandon Ritchie
- Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, Ohio 44106, USA
| | - Nikhil Ramaiya
- Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, Ohio 44106, USA
| | - Inas Mohamed
- Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, Ohio 44106, USA
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Rosenkrantz A. The Yellow Journal: A Look Back at 2023. AJR Am J Roentgenol 2024; 222:e2330657. [PMID: 38090809 DOI: 10.2214/ajr.23.30657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
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Doo FX, Cook TS, Siegel EL, Joshi A, Parekh V, Elahi A, Yi PH. Exploring the Clinical Translation of Generative Models Like ChatGPT: Promise and Pitfalls in Radiology, From Patients to Population Health. J Am Coll Radiol 2023; 20:877-885. [PMID: 37467871 DOI: 10.1016/j.jacr.2023.07.007] [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: 04/24/2023] [Revised: 06/22/2023] [Accepted: 07/05/2023] [Indexed: 07/21/2023]
Abstract
Generative artificial intelligence (AI) tools such as GPT-4, and the chatbot interface ChatGPT, show promise for a variety of applications in radiology and health care. However, like other AI tools, ChatGPT has limitations and potential pitfalls that must be considered before adopting it for teaching, clinical practice, and beyond. We summarize five major emerging use cases for ChatGPT and generative AI in radiology across the levels of increasing data complexity, along with pitfalls associated with each. As the use of AI in health care continues to grow, it is crucial for radiologists (and all physicians) to stay informed and ensure the safe translation of these new technologies.
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Affiliation(s)
- Florence X Doo
- Director of Innovation, University of Maryland Medical Intelligent Imaging Center (UM2ii), Baltimore, Maryland; Member, Committee on Economics in Academic Radiology, under the ACR Commission on Economics.
| | - Tessa S Cook
- Vice Chair for Practice Transformation, Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Fellowship Director, Imaging Informatics, and Chief, 3-D and Advanced Imaging, Department of Radiology, Penn Medicine, Philadelphia, Pennsylvania; Chair, Society for Imaging Informatics in Medicine; and Vice Chair, ACR Commission on Patient- and Family-Centered Care; Chair, RAHSR Affinity Group. https://twitter.com/asset25
| | - Eliot L Siegel
- Vice Chair, Research Information Systems, University of Maryland, Baltimore, Maryland; Lead, Radiology and Nuclear Medicine Diagnostics, US Department of Veterans Affairs Veterans Integrated Services Network; Chief, Imaging, US Department of Veterans Affairs Maryland Healthcare System; Radiology AI Senior Consultant. https://twitter.com/EliotSiegel
| | - Anupam Joshi
- Oros Family Professor and Chair, Computer Science and Electrical Engineering, University of Maryland, Baltimore, Maryland; Director, University of Maryland, Baltimore County, Center for Cybersecurity; Director, CyberScholars Program; Associate Editor, IEEE Transactions on Dependable and Secure Computing
| | - Vishwa Parekh
- Technical Director, University of Maryland Medical Intelligent Imaging (UM2ii) Center, Baltimore, Maryland; Review Editor, Frontiers in Oncology. https://twitter.com/vishwa_parekh
| | - Ameena Elahi
- University of Pennsylvania, Philadelphia, Pennsylvania; Application Manager, Information Services, Penn Medicine, Philadelphia, Pennsylvania; Informatics Operations Director, RAD-AID International. https://twitter.com/AmeenaElahi
| | - Paul H Yi
- Director, University of Maryland Medical Intelligent Imaging (UM2ii) Center, Baltimore, Maryland; Vice Chair, Society of Imaging Informatics in Medicine Program Planning Committee; Associate Editor, Radiology: Artificial Intelligence. https://twitter.com/PaulYiMD
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