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Velez-Florez MC, Dougherty S, Ginader A, Hailu T, Bodo N, Poznick L, Retrouvey M, Reid JR, Gokli A. Hands-On Ultrasound Training for Radiology Residents: The Impact of an Ultrasound Scanning Curriculum. Acad Radiol 2023; 30:2059-2066. [PMID: 36914500 DOI: 10.1016/j.acra.2023.01.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Revised: 01/18/2023] [Accepted: 01/20/2023] [Indexed: 03/13/2023]
Abstract
RATIONALE AND OBJECTIVES Radiologists are responsible for interpreting ultrasound (US) images accurately, troubleshooting, aiding sonographers, and advancing technology and research. Despite this, most radiology residents do not feel confident performing US independently. The purpose of this study is to evaluate the impact of an abdominal US scanning rotation and digital curriculum on radiology residents' confidence and skills in performing US. MATERIALS AND METHODS All residents who were rotating in pediatric US at our institution for the first time were included (PGY 3-5). Those who agreed to participate were recruited sequentially from July 2018 to 2021 into (A) control and (B) intervention. B had a 1-week US scanning rotation and US digital course. Both groups completed a pre-and post-confidence self-assessment. Pre-and post-skills were objectively assessed by an expert technologist while participants scanned a volunteer. At completion, B completed an evaluation of the tutorial. Descriptive statistics summarized the demographics and closed questions. Pre-and post-test results were compared using paired-T tests, and effect size (ES) with Cohen's d. Open-ended questions were thematically analyzed. RESULTS PGY-3 and 4 residents participated, and were enrolled in A (N = 39) and B (N = 30). Scanning confidence significantly improved in both groups, with a greater ES in B (p < 0.01). Scanning skills significantly improved in B (p < 0.01) but not A. Eighty per cent of questionnaire responders used the integrative US tutorial and found it helpful. Free text responses were grouped into themes: 1) Technical issues, 2) Didn't complete course, 3) Didn't understand project, 4) Course was detailed and thorough. CONCLUSIONS Our scanning curriculum improved residents' confidence and skills in pediatric US and may encourage consistency in training, thus promoting stewardship of high-quality US.
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Affiliation(s)
- Maria Camila Velez-Florez
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104.
| | - Shauna Dougherty
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Abigail Ginader
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Tigist Hailu
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Nicole Bodo
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Laura Poznick
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Michele Retrouvey
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Janet R Reid
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Ami Gokli
- Staten Island University Hospital, Department of Radiology, Staten Island, New York
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Pichardo MS, Irwin ML, Sanft T, Ferrucci LM, Ginader A, Nguyen TH, Esserman D, Cartmel B, Molina Y. A qualitative study identifying challenges resulting from complex evidence on lifestyle factors and cancer: perspectives from Black and Latina cancer survivors and healthcare providers. Support Care Cancer 2023; 31:111. [PMID: 36633678 PMCID: PMC9912693 DOI: 10.1007/s00520-022-07539-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 12/10/2022] [Indexed: 01/13/2023]
Abstract
PURPOSE Most breast cancer survivors have challenges with adopting healthy lifestyle behaviors. This may be due to contextual challenges that result from the complex nature of the evidence. To address this gap, we explored the experiences of breast cancer survivors of color and oncology healthcare providers. METHODS Content analysis with inductive and deductive approaches was used for semi-structured interviews with 26 female breast cancer survivors and 10 oncology healthcare providers from Greater New Haven, Connecticut. RESULTS Survivors identified substantial confusion on the evidence regarding lifestyle behaviors and breast cancer, stemming from inadequate healthcare provider counseling and an overreliance on informal sources of information. Providers identified lack of evidence-based knowledge as a barrier to counseling on these topics. There was a mixed perspective regarding the consistency of evidence, stemming from a combination of gaps in the available evidence and accessing evidence-based knowledge from a wide range of professional resources. Some providers perceived the guidelines as consistent; others felt guidelines were constantly changing, impacting how and on what they counseled. Therefore, many healthcare providers in oncology care relied on generic messaging on lifestyle behaviors after a cancer diagnosis. CONCLUSIONS Inconsistent information sources, the rapidly changing evidence, and gaps in the current evidence contribute to generic messaging about lifestyle behaviors and may inhibit a survivor's ability to engage in behavior change. Consistent and uniform healthy lifestyle guidelines for cancer outcomes may address both provider and patient level barriers to knowledge.
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Affiliation(s)
- Margaret S Pichardo
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA.
- Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Maloney 4, PA, 19104, Philadelphia, USA.
| | - Melinda L Irwin
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
- Yale Cancer Center, New Haven, CT, USA
| | - Tara Sanft
- Yale Cancer Center, New Haven, CT, USA
- Department of Medical Oncology, Yale School of Medicine, New Haven, CT, USA
| | - Leah M Ferrucci
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
- Yale Cancer Center, New Haven, CT, USA
| | - Abigail Ginader
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
| | - Thai Hien Nguyen
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
| | - Denise Esserman
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA
| | - Brenda Cartmel
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
- Yale Cancer Center, New Haven, CT, USA
| | - Yamile Molina
- Division of Community Health Sciences, School of Public Health, University of Illinois Chicago, IL, Chicago, USA
- University of Illinois Cancer Center, Chicago, IL, USA
- Mile Square Health Center, Chicago, IL, USA
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Larsen EP, Hailu T, Sheldon L, Ginader A, Bodo N, Dewane D, Degnan AJ, Finley J, Sze RW. Optimizing Radiology Reading Room Design: The Eudaimonia Radiology Machine. J Am Coll Radiol 2021; 18:108-120. [PMID: 33065075 PMCID: PMC7553105 DOI: 10.1016/j.jacr.2020.09.041] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 09/09/2020] [Accepted: 09/10/2020] [Indexed: 11/25/2022]
Abstract
Physical and mental stressors on radiologists can result in burnout. Although current efforts seek to target the issues of burnout and stress for radiologists, the impact of their physical workspace is often overlooked. By combining evidence-based design, human factors, and the architectural concept of the Eudaimonia Machine, we have developed a redesign of the radiology reading room that aims to create an optimal workspace for the radiologist. Informed by classical principles of well-being and contemporary work theory, Eudaimonia integrates concerns for individual wellness and efficiency to create an environment that fosters productivity. This layout arranges a work environment into purposeful spaces, each hosting tasks of varying degrees of intensity. The improved design addresses the radiologist's work requirements while also alleviating cognitive and physical stress, fatigue, and burnout. This new layout organizes the reading room into separate areas, each with a distinct purpose intended to support the range of radiologists' work, from consultation with other health care providers to reading images without interruption. The scientific principles that undergird evidence-based design and human factors considerations ensure that the Eudaimonia Radiology Machine is best suited to support the work of the radiologists and the entire radiology department.
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Affiliation(s)
- Ethan P Larsen
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Center for Healthcare Quality and Analytics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
| | - Tigist Hailu
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Lydia Sheldon
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Abigail Ginader
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Nicole Bodo
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | | | - Andrew J Degnan
- Department of Radiology, Abington Hospital-Jefferson Health, Abington, Pennsylvania
| | - John Finley
- Facilities Project Management and Construction, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Raymond W Sze
- Associate Radiologist in Chief, Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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