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Abuzaid MM, Elshami W. Voices from the field: A qualitative exploration of sonography professionals in the United Arab Emirates through focus group discussions. Radiography (Lond) 2024; 30:834-839. [PMID: 38552563 DOI: 10.1016/j.radi.2024.03.008] [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: 02/09/2024] [Revised: 03/12/2024] [Accepted: 03/18/2024] [Indexed: 05/18/2024]
Abstract
INTRODUCTION The practice of sonography in the United Arab Emirates is evolving rapidly. This study explores the professional landscape and challenges of sonography practice in the United Arab Emirates, focusing on identifying areas for improvement in education, practice scope, and professional development. METHODS Employing qualitative methodologies, using focus group discussions and thematic analysis, this research gathers insights from practicing sonographers across various healthcare settings in the UAE to assess current practices, educational needs, and workplace challenges. RESULTS Findings reveal a consensus among sonographers on the need for a structured professional framework, standardized education pathways, and clear career progression routes. Additionally, the study highlights a desire among sonographers for an expanded scope of practice, particularly in specialized areas, amidst challenges such as workload and equipment quality. CONCLUSIONS The study concludes that enhancing the sonography profession in the UAE requires a comprehensive approach that includes developing a regulatory framework, improving access to specialized training, and recognizing sonographers' advanced practice roles. IMPLICATIONS OF PRACTICE Recommendations include establishing accredited educational programs, developing a formal competency framework, and advocating for role expansion and professional recognition. These steps are essential for meeting the evolving needs of the healthcare system and improving patient care outcomes.
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Affiliation(s)
- M M Abuzaid
- University of Sharjah, College of Health Sciences, Medical Diagnostic Imaging Department, Sharjah, United Arab Emirates; Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - W Elshami
- University of Sharjah, College of Health Sciences, Medical Diagnostic Imaging Department, Sharjah, United Arab Emirates; Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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Anudjo MNK, Vitale C, Elshami W, Hancock A, Adeleke S, Franklin JM, Akudjedu TN. Reply to Letter to the Editor regarding Anudjo et al. 'Considerations for environmental sustainability in clinical radiology and radiotherapy practice: A systematic literature review and recommendations for a greener practice'. Radiography (Lond) 2024; 30:257. [PMID: 38035442 DOI: 10.1016/j.radi.2023.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Affiliation(s)
- M N K Anudjo
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - C Vitale
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK; IRCCS San Raffaele Hospital, Milan, Italy
| | - W Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - A Hancock
- Department of Medical Imaging, University of Exeter, Exeter, UK
| | - S Adeleke
- School of Cancer & Pharmaceutical Sciences, King's College London, Queen Square, London WC1N 3BG, UK; High Dimensional Neurology, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, UK
| | - J M Franklin
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK.
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Anudjo MNK, Vitale C, Elshami W, Hancock A, Adeleke S, Franklin JM, Akudjedu TN. Considerations for environmental sustainability in clinical radiology and radiotherapy practice: A systematic literature review and recommendations for a greener practice. Radiography (Lond) 2023; 29:1077-1092. [PMID: 37757675 DOI: 10.1016/j.radi.2023.09.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [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: 06/21/2023] [Revised: 09/01/2023] [Accepted: 09/11/2023] [Indexed: 09/29/2023]
Abstract
INTRODUCTION Environmental sustainability (ES) in healthcare is an important current challenge in the wider context of reducing the environmental impacts of human activity. Identifying key routes to making clinical radiology and radiotherapy (CRR) practice more environmentally sustainable will provide a framework for delivering greener clinical services. This study sought to explore and integrate current evidence regarding ES in CRR departments, to provide a comprehensive guide for greener practice, education, and research. METHODS A systematic literature search and review of studies of diverse evidence including qualitative, quantitative, and mixed methods approach was completed across six databases. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and the Quality Assessment Tool for Studies with Diverse Designs (QATSDD) was used to assess the included studies. A result-based convergent data synthesis approach was employed to integrate the study findings. RESULTS A total of 162 articles were identified. After applying a predefined exclusion criterion, fourteen articles were eligible. Three themes emerged as potentially important areas of CRR practice that contribute to environmental footprint: energy consumption and data storage practices; usage of clinical consumables and waste management practices; and CRR activities related to staff and patient travel. CONCLUSIONS Key components of CRR practice that influence environmental impact were identified, which could serve as a framework for exploring greener practice interventions. Widening the scope of research, education and awareness is imperative to providing a holistic appreciation of the environmental burden of healthcare. IMPLICATIONS FOR PRACTICE Encouraging eco-friendly travelling options, leveraging artificial Intelligence (AI) and CRR specific policies to optimise utilisation of resources such as energy and radiopharmaceuticals are recommended for a greener practice.
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Affiliation(s)
- M N K Anudjo
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - C Vitale
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK; IRCCS San Raffaele Hospital, Milan, Italy
| | - W Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - A Hancock
- Department of Medical Imaging, University of Exeter, Exeter, UK
| | - S Adeleke
- School of Cancer & Pharmaceutical Sciences, King's College London, Queen Square, London WC1N 3BG, UK; High Dimensional Neurology, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, UK
| | - J M Franklin
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK.
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Elshami W, Abuzaid M, Gibril M, Sulieman A, Bradley D. Impact of high kilo-voltage peak technique on radiation dose for neonates undergoing chest radiography: Experimental study. Radiat Phys Chem Oxf Engl 1993 2022. [DOI: 10.1016/j.radphyschem.2022.110327] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Elshami W, Abuzaid MM, McConnell J, Floyd M, Hughes D, Stewart S, McFadden S. The impact of COVID-19 on the clinical experience and training of undergraduate Student radiographers internationally: The clinical tutors' perspective. Radiography (Lond) 2022; 28 Suppl 1:S59-S67. [PMID: 35987883 PMCID: PMC9385275 DOI: 10.1016/j.radi.2022.07.012] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 06/30/2022] [Accepted: 07/20/2022] [Indexed: 11/24/2022]
Abstract
Introduction The impact on the clinical training and education of healthcare students by COVID-19 has been documented. However, the thoughts and experiences of clinical tutors (CTs) about radiography students attending for clinical training and education during this now elongated period beyond first recognition of the virus has not been explored. This paper will discuss data collected from CTs in the UK Devolved Nations (UKDN) and the United Arab Emirates (UAE) who were compared because of their similarities in delivery based on individual ‘rules of engagement’ devised by their various health departments. Aim The purpose of this study was to examine the clinical tutors' thoughts and experiences of supervising radiography students attending clinical placement during the COVID-19 pandemic. Methods The UK Devolved Nations (UKDN) and the United Arab Emirates (UAE) were selected for comparison on an international level as they are geographically distinct with a comparable population and education accredited/acknowledged by the Society and College of Radiographers (SCoR). Data was collected data from CTs across the UKDN and the UAE. The study used an online questionnaire (Google Forms) with closed questions in four themes including: students' experiences, impact on students' clinical placement, attitude of the clinical staff and the potential effects of COVID-19 on future graduates’ skills and competencies. Further data was gathered on the experience of CTs mentoring students during the COVID-19 pandemic. Results Data were collected from 59 CTs (81%, n = 48) from UKDN and (19%, n = 11) UAE. Twenty-seven (46%) respondents reported that COVID-19 had a negative impact on clinical practical experience. However, 32 (54%) identified that COVID-19 had no impact on student supervision/feedback or on clinical achievements. Eleven (19%) respondents thought that students should not have been on clinical placement during the pandemic but a further 51% (n = 30) were happy with the students on placement and expressed willingness to delegate work to students. Interestingly, 58% (n = 34) of CTs suggested that future graduates may need a longer preceptorship after they graduate due to receiving decreased clinical experience during the pandemic. Overall, 78% (n = 46) of respondents thought that students improved their clinical confidence by working directly with COVID-19 positive patients. Conclusion The current study has identified conflicting opinions across CTs in different clinical departments. Whilst some felt that students should not be in the hospital during the pandemic, others reported that working directly with COVID-19 patients had a positive impact on students as it improved their clinical confidence. Despite the challenges presented by COVID-19, CTs were able to provide direct clinical supervision and feedback to students on clinical placement throughout the pandemic. Nevertheless, future graduates may need a longer preceptorship period due to decreased clinical experience during the pandemic. Implications for practice Clinical placements should continue during subsequent COVID-19 waves of infection or future pandemics to ensure development of skills in resilience and adaptability. Underdeveloped skills due to a decreased range of examinations can be rectified when any wave of the infection subsides by providing tailored training based on individual student's needs.
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Affiliation(s)
- W Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | | | | | | | | | - S McFadden
- Diagnostic Radiography and Imaging School of Health Sciences, University of Ulster Shore Road Newtownabbey Co. Antrim, BT37 OQB, UK
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Abuzaid MM, Elshami W, Kadhom M, McConnell J, Mc Fadden S. The changing concept of radiographer's role in UAE: An analysis of radiologists' opinions and acceptance. Radiography (Lond) 2022; 28:1042-1049. [PMID: 35969941 DOI: 10.1016/j.radi.2022.07.010] [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: 02/08/2022] [Revised: 07/13/2022] [Accepted: 07/20/2022] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The role of radiographers in the United Arab Emirates (UAE) is currently focused on image acquisition. However, many advances have been made in different countries in recent years whereby radiographers who receive appropriate education and training, can provide image interpretation/reports. When implemented, this role development has enabled a more cost effective and efficient service delivery whilst relieving the burden off radiologists, allowing them to concentrate on more complex imaging examinations. This role development is commonplace in many countries but not in the UAE. AIM This study aims to investigate the radiologists' opinions, perceptions, and willingness to accept the advanced practice role of reporting radiographers in the UAE and determine their level of support for implementing these roles. METHODS Data was collected utilizing a mixed-methods study design that included a survey and focus group discussions (FGD). Study participants included radiologists who currently work in UAE public and private health organizations. The survey link was emailed directly to the radiologists, together with a covering letter and participants' information sheet outlining the study's aim. Participants indicated on the survey if they wanted to participate in FGD. Two online FGD were conducted using Zoom software (Zoom Video Communications Inc., San Jose, California, United States) and aimed to explore possible reasons for participant's opinions. Ethical approval was obtained from the Ministry of Health, and all methods were performed as per study protocol. RESULTS A total of 69 radiologists participated in the survey, 48 males and 21 females aged between 41 and 60 years and with between 11 and 16 years of experience. Most participants (n = 54, 78.2%) believe that radiographers should only perform advanced tasks in image interpretation after obtaining adequate training and under the supervision of a radiologist. According to 55% of radiologists, the development of the radiographer role could draw more UAE nationals to the field. Six participants were recruited to FGD and declared mixed opinions that emphasized the need to improve the radiographers knowledge and experience to enable role development. CONCLUSION Radiologists' worries about radiographer engagement in image interpretation may be alleviated if they participate in education and training for new responsibilities. In addition, this could boost the confidence of radiologists and improve trust in radiographer competency and training. IMPLICATIONS FOR PRACTICE Guidelines and work standards must be developed jointly by radiologists and radiographers to ensure the governance and acceptability of new radiographer reporting roles. Some radiologists perceive that radiographer reporting is possible in UAE when radiographers are trained to set guidelines and with supervision from radiologists. Change is taking place, and many radiologists express optimism for the future, though the rate of change will be determined by a willingness to change attitudes and perceptions.
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Affiliation(s)
- M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - W Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - M Kadhom
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - J McConnell
- Radiology Department, NHS Greater Glasgow and Clyde, Scotland, UK
| | - S Mc Fadden
- Diagnostic Radiography and Imaging, School of Health Sciences, University of Ulster, Ireland
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Tekin HO, Almisned F, Erguzel TT, Abuzaid MM, Elshami W, Ene A, Issa SAM, Zakaly HMH. Utilization of artificial intelligence approach for prediction of DLP values for abdominal CT scans: A high accuracy estimation for risk assessment. Front Public Health 2022; 10:892789. [PMID: 35968466 PMCID: PMC9366721 DOI: 10.3389/fpubh.2022.892789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 07/05/2022] [Indexed: 11/13/2022] Open
Abstract
Purpose This study aimed to evaluate Artificial Neural Network (ANN) modeling to estimate the significant dose length product (DLP) value during the abdominal CT examinations for quality assurance in a retrospective, cross-sectional study. Methods The structure of the ANN model was designed considering various input parameters, namely patient weight, patient size, body mass index, mean CTDI volume, scanning length, kVp, mAs, exposure time per rotation, and pitch factor. The aforementioned examination details of 551 abdominal CT scans were used as retrospective data. Different types of learning algorithms such as Levenberg-Marquardt, Bayesian and Scaled-Conjugate Gradient were checked in terms of the accuracy of the training data. Results The R-value representing the correlation coefficient for the real system and system output is given as 0.925, 0.785, and 0.854 for the Levenberg-Marquardt, Bayesian, and Scaled-Conjugate Gradient algorithms, respectively. The findings showed that the Levenberg-Marquardt algorithm comprehensively detects DLP values for abdominal CT examinations. It can be a helpful approach to simplify CT quality assurance. Conclusion It can be concluded that outcomes of this novel artificial intelligence method can be used for high accuracy DLP estimations before the abdominal CT examinations, where the radiation-related risk factors are high or risk evaluation of multiple CT scans is needed for patients in terms of ALARA. Likewise, it can be concluded that artificial learning methods are powerful tools and can be used for different types of radiation-related risk assessments for quality assurance in diagnostic radiology.
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Affiliation(s)
- H. O. Tekin
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Computer Engineering Department, Faculty of Engineering and Natural Sciences, Istinye University, Istanbul, Turkey
- H. O. Tekin
| | - Faisal Almisned
- Department Information Systems, College of Computer and Information Sciences, King Saud University, Riyadh, Saudi Arabia
| | - T. T. Erguzel
- Department of Software Engineering, Faculty of Engineering and Natural Sciences, Uskudar University, Istanbul, Turkey
| | - Mohamed M. Abuzaid
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - W. Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Antoaneta Ene
- Department of Chemistry, Physics and Environment, Faculty of Sciences and Environment, INPOLDE Research Center, Dunarea de Jos University of Galati, Galati, Romania
- Antoaneta Ene
| | - Shams A. M. Issa
- Physics Department, Faculty of Science, Al-Azhar University, Assiut, Egypt
- Physics Department, Faculty of Science, University of Tabuk, Tabuk, Saudi Arabia
| | - Hesham M. H. Zakaly
- Physics Department, Faculty of Science, Al-Azhar University, Assiut, Egypt
- Experimental Physics Department, Institute of Physics and Technology, Ural Federal University, Ekaterinburg, Russia
- *Correspondence: Hesham M. H. Zakaly
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Elshami W, Abuzaid MM, McConnell J, Baird M. Changing the model of radiography practice: Challenges of role advancement and future needs for radiographers working in the UAE. Radiography (Lond) 2022; 28:949-954. [PMID: 35841689 DOI: 10.1016/j.radi.2022.06.019] [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: 02/01/2022] [Revised: 06/04/2022] [Accepted: 06/24/2022] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The radiographers' role in the United Arab Emirates (UAE) is focused on image acquisition with a willingness to accept advanced practice roles after appropriate education and training. Radiographers working in the UAE are highly motivated and ambitious to achieve those internationally identified levels of professional recognition and opportunities for role advancement. This study investigates the radiographers' perspectives, perceptions and hopes for role advancement in the UAE. METHODS A qualitative research study design using Focus Group Discussions (FGD) was used to elicit the perceptions of radiographers. Participants were radiographers working in the hospitals and clinics supervised by the Ministry of Health and Prevention. Participants were asked about the recognized tasks defined as advancement roles, needs for roles clinically, challenges and requirements to prepare radiographers to participate in extended/developed roles. The discussions were audio recorded and later transcribed by an independent research assistant. Thematic analysis was used for data analysis RESULTS: 29 radiographers participated in the FGDs, and 83% (n = 24) were interested in role advancement. FGD revealed that their current practice showed some informal extended role that may promote career progression. The most significant challenges identified by participants was their knowledge level as provided by the current curriculum and the need for education and licensing body support to accommodate change. CONCLUSION The study identified a need for education and licensing body support to enable change in roles by radiographers, through improving radiographer knowledge and experience for role advancement. IMPLICATIONS FOR PRACTICE To sustain role advancement, formal intense training and education are necessary, normally above bachelor's degree level. Furthermore, establishing standards, licensing organizations/professional bodies should be part of the transformation of the profession to enable internationally recognized models to be followed.
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Affiliation(s)
- W Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - J McConnell
- Yorkshire Imaging Collaborative, United Kingdom.
| | - M Baird
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
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Akudjedu T, Mishio N, Elshami W, Culp M, Lawal O, Botwe B, Wuni AR, Julka-Anderson N, Shanahan M, Totman J, Franklin J. The global impact of the COVID-19 pandemic on clinical radiography practice: A systematic literature review and recommendations for future services planning. Radiography (Lond) 2021; 27:1219-1226. [PMID: 34303601 PMCID: PMC8272968 DOI: 10.1016/j.radi.2021.07.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 06/29/2021] [Accepted: 07/03/2021] [Indexed: 12/12/2022]
Abstract
INTRODUCTION Worldwide, reports and experiences indicate that there has been extensive re-organisation within diagnostic imaging and radiotherapy departments in response to the COVID-19 pandemic. This was necessary due to changes in workload and working practice guidelines that have evolved during the pandemic. This review provides a comprehensive summary of the global impact of the COVID-19 pandemic on radiography practice, service delivery and workforce wellbeing. METHODS A systematic review methodology was adopted to obtain data from primary studies of qualitative, quantitative, and mixed methods designs from databases (PubMed, Science Direct, Cumulative Index of Nursing and Allied Health Literature [CINAHL], and SCOPUS: all 2020 to present). The included articles were subjected to information extraction and results-based convergent synthesis. RESULTS The electronic database search yielded 10,420 articles after removal of duplicates. Of these, 31 articles met the final inclusion criteria with some (n = 8) fully focussed on radiotherapy workforce and service delivery. The pandemic impact on radiography practice is broadly themed around: training, communication, and information dissemination; infrastructure, technology, and clinical workflow; and workforce mental health and well-being. CONCLUSION Globally, most radiographers received inadequate training for managing COVID-19 patients during the initial acute phase of the pandemic. Additionally, there were significant changes to clinical practice, working patterns and perceived increase in workload due to surges in COVID-19 patients and the consequent strict adherence to new infection protocols. These changes, coupled with fear emanating from the increased risk of the workforce to contracting the infection, contributed to anxiety and workplace-related stress during the pandemic. IMPLICATIONS FOR PRACTICE Local pandemic response strategies must be appropriately developed from standard protocols in readiness for safe clinical practice and well-being management training of practitioners.
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Affiliation(s)
- T.N. Akudjedu
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK,Corresponding author. Institute of Medical Imaging & Visualisation, Bournemouth University, Bournemouth Gateway Building, St Paul's Lane, Bournemouth, BH8 8GP, UK
| | - N.A. Mishio
- Department of Psychology, University of Ghana, Ghana
| | - W. Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - M.P. Culp
- Department of Radiology, School of Medicine, The University of North Carolina at Chapel Hill, USA
| | - O. Lawal
- Department of Allied Health Professions, Midwifery and Social Work, School of Health and Social Work, University of Hertfordshire, UK
| | - B.O. Botwe
- Department of Radiography, School of Biomedical & Allied Health Sciences, College of Health Sciences, University of Ghana, Ghana
| | - A.-R. Wuni
- Department of Imaging Technology & Sonography, University of Cape Coast, Ghana
| | | | - M. Shanahan
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - J.J. Totman
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - J.M. Franklin
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
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Abuzaid MM, Tekin HO, Reza M, Elhag IR, Elshami W. Assessment of MRI technologists in acceptance and willingness to integrate artificial intelligence into practice. Radiography (Lond) 2021; 27 Suppl 1:S83-S87. [PMID: 34364784 DOI: 10.1016/j.radi.2021.07.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 06/21/2021] [Accepted: 07/01/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION The integration of AI in medical imaging has tremendous exponential growth, especially in image production, image processing and image interpretation. It is expected that radiographers working across all imaging modalities have adequate knowledge as they are part of the end-user team. The current study aimed to investigate the knowledge, willingness and challenges facing the Magnetic Resonance Imaging (MRI) technologists in the integration of Artificial Intelligence (AI) into MRI practice. METHODS Total of 120 participants were recruited using a snowball sampling technique. A two-phase study was undertaken using survey and focus group discussion (FGD) to capture participants' knowledge, interpretations, needs and obstacles toward AI integrations in MRI practice. The survey and FGD provided the base to understand the participant's' knowledge, acceptance and needs for AI. RESULTS Results showed medium to high knowledge, excitement about AI integration without disturbance of MRI practice. Participants thought that AI can improve MRI protocol selection (91.8%), reduce the scan time (65.3%), and improve image post-processing (79.5%). Education and learning resources concerning AI were the main obstacles facing MRI technologists. CONCLUSION MRI technologists have the knowledge and possess basic technical information. The application of AI in MRI practice might greatly influence and improve MRI technologist's work. A structured and professional program should be integrated in both undergraduate and continuous education to prepare for effective AI implementation. IMPLICATIONS FOR PRACTICE Application of AI in MRI can be used in many aspects, such as optimize image quality and avoidance of image artifacts. Moreover, AI can play an important role in patient's safety at the MRI unit to reduce incidents. Education, infrastructure, and knowledge of end-users are keys for the incorporation of AI use, development and optimisation.
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Affiliation(s)
- M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - H O Tekin
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - M Reza
- Shaikh Shakeboat Medical City, Radiology Department, AbuDhabi, United Arab Emirates
| | - I R Elhag
- Shaikh Shakeboat Medical City, Radiology Department, AbuDhabi, United Arab Emirates
| | - W Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
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McConnell J, McFadden S, Floyd M, Elshami W, Abuzaid MM, Leishman L, Eckloff K. Late non-physiological impacts of Covid-19 on radiography education. Radiography (Lond) 2021; 27:987-988. [PMID: 33926790 PMCID: PMC8055157 DOI: 10.1016/j.radi.2021.04.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 04/08/2021] [Accepted: 04/12/2021] [Indexed: 12/04/2022]
Affiliation(s)
| | | | | | - W Elshami
- University of Sharjah, United Arab Emirates
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Elshami W, Akudjedu TN, Abuzaid M, David LR, Tekin HO, Cavli B, Issa B. The radiology workforce's response to the COVID-19 pandemic in the Middle East, North Africa and India. Radiography (Lond) 2021; 27:360-368. [PMID: 33032889 PMCID: PMC7510634 DOI: 10.1016/j.radi.2020.09.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [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: 07/10/2020] [Revised: 09/15/2020] [Accepted: 09/16/2020] [Indexed: 12/15/2022]
Abstract
INTRODUCTION This study aimed to investigate the response of the radiology workforce to the impact of the coronavirus disease 2019 (COVID-19) pandemic on professional practice in India and eight other Middle Eastern and North African countries. It further investigated the levels of fear and anxiety among this workforce during the pandemic. METHODS A quantitative cross-sectional study was conducted using an online survey from 22 May-2 June 2020 among radiology workers employed during the COVID-19 pandemic. The survey collected information related to the following themes: (1) demographic characteristics, (2) the impact of COVID-19 on radiology practice, and (3) fear and (4) anxiety emanating from the global pandemic. RESULTS We received 903 responses. Fifty-eight percent had completed training on infection control required for handling COVID-19 patients. A large proportion (79.5%) of the respondents strongly agreed or agreed that personal protective equipment (PPE) was adequately available at work during the pandemic. The respondents reported experiences of work-related stress (42.9%), high COVID-19 fear score (83.3%) and anxiety (10%) during the study period. CONCLUSION There was a perceived workload increase in general x-ray and Computed Tomography imaging procedures because they were the key modalities for the initial and follow-up investigations of COVID-19. However, there was adequate availability of PPE during the study period. Most radiology workers were afraid of being infected with the virus. Fear was predominant among workers younger than 30 years of age and also in temporary staff. Anxiety occurred completely independent of gender, age, experience, country, place of work, and work status. IMPLICATIONS FOR PRACTICE It is important to provide training and regular mental health support and evaluations for healthcare professionals, including radiology workers, during similar future pandemics.
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Affiliation(s)
- W Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates.
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - M Abuzaid
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - L R David
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - H O Tekin
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | | | - B Issa
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
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Botwe BO, Akudjedu TN, Antwi WK, Rockson P, Mkoloma SS, Balogun EO, Elshami W, Bwambale J, Barare C, Mdletshe S, Yao B, Arkoh S. The integration of artificial intelligence in medical imaging practice: Perspectives of African radiographers. Radiography (Lond) 2021; 27:861-866. [PMID: 33622574 DOI: 10.1016/j.radi.2021.01.008] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Revised: 01/29/2021] [Accepted: 01/31/2021] [Indexed: 02/07/2023]
Abstract
INTRODUCTION The current technological developments in medical imaging are centred largely on the increasing integration of artificial intelligence (AI) into all equipment modalities. This survey assessed the perspectives of African radiographers on the integration of AI in medical imaging in order to offer unique recommendations to support the training of the radiography workforce. METHODS An exploratory cross-sectional online survey of radiographers working within Africa was conducted from March to August 2020. The survey obtained data about their demographics and perspectives on AI implementation and usage. Data obtained were analysed using both descriptive and inferential statistics. RESULTS A total of 1020 valid responses were obtained. Majority of the respondents (n = 883,86.6%) were working in general X-ray departments. Of the respondents, 84.9% (n = 866) indicated that AI technology would improve radiography practice and quality assurance for efficient diagnosis and improved clinical care. Fear of job losses following the implementation of AI was a key concern of most radiographers (n = 625,61.3%). CONCLUSION Generally, radiographers were delighted about the integration of AI into medical imaging, however; there were concerns about job security and lack of knowledge. There is an urgent need for stakeholders in medical imaging infrastructure development and practices in Africa to start empowering radiographers through training programmes, funding, motivational support, and create clear roadmaps to guide the adoption and integration of AI in medical imaging in Africa. IMPLICATION FOR PRACTICE The current study offers unique suggestions and recommendations to support the training of the African radiography workforce and others in similar resource-limited settings to provide quality care using AI-integrated imaging modalities.
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Affiliation(s)
- B O Botwe
- Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Box KB143, Korle Bu, Accra, Ghana.
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK.
| | - W K Antwi
- Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Box KB143, Korle Bu, Accra, Ghana.
| | - P Rockson
- Department of Medical Imaging, University of Health and Allied Sciences, Ho, Ghana.
| | | | - E O Balogun
- National Orthopaedic Hospital, Igbobi, Lagos, Nigeria.
| | - W Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates.
| | - J Bwambale
- Society of Radiography of Uganda, Uganda.
| | - C Barare
- Kenyatta National Hospital, Kenya.
| | - S Mdletshe
- University of Auckland, Faculty of Medical and Health Sciences, Department of Anatomy and Medical Imaging, Auckland, New Zealand.
| | - B Yao
- National Institute for Health Technologists' Training (INFAS) Côte d'Ivoire, Department of Medical Imaging and Radiotherapy, Côte d'Ivoire.
| | - S Arkoh
- Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Box KB143, Korle Bu, Accra, Ghana.
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Elshami W, McConnell J, Abuzaid M, Noorajan Z. Radiography doctorates in Arabia: Current position and opportunities to transform research practice in the Middle East. Radiography (Lond) 2021; 27:142-149. [DOI: 10.1016/j.radi.2020.07.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 07/06/2020] [Accepted: 07/10/2020] [Indexed: 10/23/2022]
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Abuzaid M, Elshami W, McConnell J, Baird M. Changing the model of radiography practice in the UAE: A snapshot of a profession in transition. Radiography (Lond) 2021; 27:54-58. [DOI: 10.1016/j.radi.2020.05.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 05/21/2020] [Accepted: 05/29/2020] [Indexed: 11/30/2022]
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Abuzaid MM, Elshami W, Steelman C. MEASUREMENTS OF RADIATION EXPOSURE OF RADIOGRAPHY STUDENTS DURING THEIR CLINICAL TRAINING USING THERMOLUMINESCENT DOSIMETRY. Radiat Prot Dosimetry 2018; 179:244-247. [PMID: 29186490 DOI: 10.1093/rpd/ncx261] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Accepted: 10/28/2017] [Indexed: 06/07/2023]
Abstract
Radiation dose monitoring for radiography students during clinical training is necessary to demonstrate the extent of radiation protection issues present, as well as to instill in them an awareness of safe practices that they will carry with them throughout their careers. The study assess the radiation dose incurred by the undergraduate during clinical training. 312 students were monitored using (thermoluminescence dosimetry) between 2009 and 2015. The results establish that the radiation dose received by the students is well below the dose recommended by national and international authorities. Findings indicate that the dose did not reach the value of 1 mSv, which indicate that current radiation protection measures are acceptable and there was no risk of overexposure, as well as reinforces the importance of nuturing a culture of radiation protection and provides evidence to students that their future as professionals will be a safe one.
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Affiliation(s)
- M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences University of Sharjah, United Arab Emirates
| | - W Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences University of Sharjah, United Arab Emirates
| | - Christopher Steelman
- School of Invasive Cardiovascular Technology, The Hoffman Heart and Vascular Institute of Connecticut, Saint Francis Hospital and Medical Center, Hartford, CT, USA
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Abuzaid M, Elshami W, David L, Stevens B. Perceptions of E-portfolio Use in Lifelong Learning and Professional Development Among Radiology Professionals. Curr Med Imaging 2017. [DOI: 10.2174/1573405613666170105153425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- M.M. Abuzaid
- University of Sharjah, Medical Diagnostic Imaging Department, Sharjah, P.O. Box: 27272, United Arab Emirates
| | - W. Elshami
- Medical Diagnostic Imaging Department, University of Sharjah, Sharjah, P.O. Box: 27272, United Arab Emirates
| | - L. David
- Medical Diagnostic Imaging Department, University of Sharjah, Sharjah, P.O. Box: 27272, United Arab Emirates
| | - Barry Stevens
- SOR Accredited Advanced Practitioner, Walsall Healthcare NHS Trust, Walsall Manor Hospital, Moat Road, Walsall West-Midlands, WS2 9PS, United Kingdom
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Elshami W, Abdalla ME. Diagnostic radiography students' perceptions of formative peer assessment within a radiographic technique module. Radiography (Lond) 2016; 23:9-13. [PMID: 28290352 DOI: 10.1016/j.radi.2016.06.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 06/01/2016] [Accepted: 06/01/2016] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Assessment is a central part of student learning. Student involvement in peer assessment leads to significant improvement in students' performance, supports students' learning, promotes the development of evaluation skills and encourages reflection. AIM The aim of this study is to assess perceptions of the Formative Peer Assessment (FPA) initiative within a higher education setting for undergraduate radiography students. METHODS Qualitative action research was conducted. Students were allowed to anonymously assess each other's assignments using a standardized evaluation sheet that they had been trained to use. Participants' perceptions were assessed through focus group discussion. RESULTS The findings showed that students' experiences with peer assessment were positive. Students acknowledged that they received valuable feedback and learned from assessing their peers. Students recommended the need for training and suggested using more than one evaluator. CONCLUSION The FPA initiative in the study institution believed to be succeed as the students had a positive experience with the FPA. Students learnt from PA and from self-assessment. Implementation of PA will promote reflection and critical thinking and problem solving skills, that are important traits in radiography graduate profile as in radiography clinical practice the professional require to modify imaging techniques and critique images to ensure the quality of care.
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Affiliation(s)
- W Elshami
- University of Sharjah, College of Health Sciences, Medical Diagnostic Imaging Department, Sharjah, United Arab Emirates.
| | - M E Abdalla
- University of Sharjah, College of Medicine, United Arab Emirates
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Elshami W, Elamrdi A, Alyafie S, Abuzaid M. Continuing professional development in radiography: practice, attitude and barriers. ACTA ACUST UNITED AC 2016. [DOI: 10.5958/2319-5886.2016.00015.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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