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Quantitative and qualitative imaging in marijuana users and smokers 大麻使用者和吸烟者的定量和定性成像。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-26 DOI: 10.1067/j.cpradiol.2025.04.002
Aparna Singh , Ozgu Alcali , Andetta R. Hunsaker, Mark M. Hammer

Objective

To evaluate the effect of marijuana use compared to cigarette smoking on imaging findings in the lungs.

Methods

By searching the electronic medical record, we identified patients who were marijuana users who never smoked; current smokers; and non-marijuana never smokers, who underwent chest CT in our healthcare system in 2019. We generated a random sample of 100 marijuana users as well as 100 each age- and sex-matched controls from the current smoker and never-smoker groups. Patients with extensive airspace disease on CT were excluded. Quantitative CT analysis was performed to measure total lung volume (TLV). A thoracic radiologist reviewed chest CTs in a blinded fashion for the presence of emphysema, centrilobular ground glass opacities, mosaic attenuation, bronchial wall thickening, and coronary calcification.

Results

Our study included 285 participants, comprising 89 non-smokers, 97 smokers, and 99 marijuana users. Despite propensity score matching, the marijuana user group was slightly younger than the smokers and non-smokers (mean age 59 versus 62 and 64 years, respectively, p = 0.04), with similar sex distribution across all groups. TLV was higher in smokers than marijuana users and non-smokers (p<.01 for both). By visual analysis, 62 % of smokers had emphysema versus 4 % of marijuana users (p<.001). Additionally, centrilobular ground glass opacities were more prevalent in smokers (15 %) than in marijuana users (2 %) (p = 0.0008). No significant difference was noted in the occurrence of mosaic attenuation between smokers and marijuana users. In terms of coronary artery calcification, more smokers had moderate to severe coronary artery calcifications compared to marijuana users (43 % versus 25 %, p = 0.01).

Conclusion

While emphysema and hyperinflation were common in smokers, they were rare in marijuana users.
目的:评价吸食大麻与吸烟对肺部影像学表现的影响。方法:通过检索电子病历,我们确定了从不吸烟的大麻使用者;吸烟者;以及从不吸食大麻的人,他们于2019年在我们的医疗系统接受了胸部CT检查。我们随机抽取了100名吸食大麻的人作为样本,同时从吸烟和从不吸烟的人群中抽取了100名年龄和性别匹配的对照组。排除CT上有广泛空域病变的患者。定量CT分析测定肺总容积(TLV)。一位胸科放射科医生以盲法检查胸部ct,发现肺气肿、小叶中心磨玻璃混浊、马赛克衰减、支气管壁增厚和冠状动脉钙化。结果:我们的研究包括285名参与者,其中包括89名不吸烟者,97名吸烟者和99名大麻使用者。尽管倾向得分匹配,但大麻使用者组比吸烟者和非吸烟者稍年轻(平均年龄分别为59岁对62岁和64岁,p = 0.04),所有组的性别分布相似。结论:肺气肿和恶性通货膨胀在吸烟者中很常见,而在大麻使用者中却很少见。
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引用次数: 0
Nationwide survey of benefits provided to radiology residents in the United States 美国放射学住院医师福利的全国性调查。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-19 DOI: 10.1067/j.cpradiol.2025.04.009
Muhammad Y. Hameed , Surbhi Raichandani , Andrew Baker , Evan D. Hicks , Paula K. Roberson , Roopa Ram

Objective

This study aims to comprehensively evaluate key benefits offered by various diagnostic radiology residency programs in the United States, focusing on stipends, research support, educational resources, time-off policies, mini-fellowships, and additional perks. The goal is to offer insights into the diverse landscape of resident compensation, as well as the variety and type of benefits.

Methods

Data collection utilized an anonymous survey of diagnostic radiology residency programs, addressing stipends, research support, educational resources, time-off policies, mini-fellowships, and additional benefits. A structured questionnaire facilitated responses from program representatives which were collected during March-April 2023. The survey employed quantitative and qualitative questions to gather comprehensive information. Descriptive statistics and correlations were subsequently performed to analyze the responses.

Results

Analysis of stipends revealed significant geographic and program-related variations, impacting resident compensation. Analysis of post pandemic era stipends showed that R1 stipends ranged from less than $45,000 to over $65,000, with statistically significant differences across geographic regions (p = 0.01). R1 stipends varied significantly across different Cost-of-Living Index (COLI) groups (p < 0.01). While most programs provide support for educational and research activities, such as conference leave and funding for specialized courses, there was considerable variability in the type and extent of benefits offered, reflecting a lack of standardization among residency programs.

Discussion

The study outcomes prompt actionable considerations for optimizing benefits provided by radiology residency programs. Geographic and program-specific stipend variations underscore the importance of establishing stipend compensation at par with cost-of-living expenses. Comprehensive knowledge of the trends and variation in residency benefits could guide program enhancements, with the overarching goal of supplementing current stipends to enhance resident satisfaction and well-being.
目的:本研究旨在全面评估美国各种诊断放射学住院医师项目提供的主要福利,重点是津贴、研究支持、教育资源、休假政策、小型奖学金和额外津贴。我们的目标是深入了解居民补偿的多样性,以及福利的多样性和类型。方法:数据收集利用诊断放射住院医师计划的匿名调查,解决津贴,研究支持,教育资源,休假政策,小型奖学金和其他福利。在2023年3月至4月期间收集的项目代表的结构化问卷促进了他们的回答。调查采用定量和定性的问题来收集全面的信息。随后进行描述性统计和相关性分析。结果:津贴分析揭示了显著的地理和项目相关差异,影响居民补偿。对大流行后时期津贴的分析表明,R1津贴从不足45 000美元到超过65 000美元不等,各地理区域之间存在显著的统计差异(p = 0.01)。R1津贴在不同生活成本指数(COLI)组之间差异显著(p < 0.01)。虽然大多数项目为教育和研究活动提供支持,如会议休假和专业课程的资助,但所提供的福利类型和程度存在相当大的差异,这反映了住院医师项目缺乏标准化。讨论:研究结果提示了可操作的考虑,以优化放射学住院医师计划提供的好处。地域和具体方案的津贴差异强调了与生活费相等的津贴补偿的重要性。全面了解住院医师福利的趋势和变化可以指导项目的改进,其总体目标是补充当前的津贴,以提高住院医师的满意度和幸福感。
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引用次数: 0
Impact of turnaround time in radiology: The good, the bad, and the ugly 放射学中周转时间的影响:好的,坏的和丑陋的。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-19 DOI: 10.1067/j.cpradiol.2025.04.018
Brandon Ritchie DO, Lesley Summerville MD, Max Sheng MD, Monica Choi BS, Sree Tirumani MD, Nikhil Ramaiya MD
Turnaround time (TAT) has evolved into a complex metric in the current era of diagnostic radiology. Initially monitoring a radiologist’s ability to efficiently generate a report, there is now a hierarchy of stakeholders who are affected by its modern-day interpretation and use. This article explores “more than the metric” and reviews the multi-faceted use and implementation of TAT through the lens of a large academic hospital network. The authors highlight “The Good” of turnaround time as a useful quality metric that guides patient outcomes, organizational performance, and revenue generation, and they discuss how it has been implemented at their institution to positively influence workflow and guide departmental staffing. The “bad” implications of TAT are discussed, which can strain radiology departmental workflows and propagate issues such as delays in finalizing reports for inpatient and outpatient worklists in the setting of rapidly growing imaging volumes. Broader systemic issues of TAT are discussed within “The Ugly” section of this review, which highlights TAT’s negative impact on resident education, physician burnout, and its creation of “New School” and “Old School” radiologist practices. The article provides further discussion of existing strategies and future directions that can mitigate the negative impacts of TAT, including various staffing models, approaches to optimize workflow systems, and methods for re-prioritizing STAT cases using artificial intelligence. The authors conclude with a call for balanced, continued implementation of TAT as a metric but not at the expense of sacrificing the quality of work performed by radiologists and trainees.
周转时间(TAT)已演变成一个复杂的指标,在当今时代的诊断放射学。最初监测放射科医生有效生成报告的能力,现在有一个受其现代解释和使用影响的利益相关者等级。本文探讨了“不仅仅是度量”,并通过大型学术医院网络回顾了TAT的多方面使用和实施。作者强调周转时间的“好处”是一种有用的质量度量,可以指导患者的治疗结果、组织绩效和收入产生,并讨论了如何在他们的机构中实施周转时间,以积极影响工作流程和指导部门人员配置。讨论了TAT的“坏”影响,它可能会使放射科工作流程紧张,并传播诸如在快速增长的成像量背景下最终完成住院和门诊工作清单报告的延迟等问题。本综述的“丑陋”部分讨论了TAT更广泛的系统问题,该部分强调了TAT对住院医师教育的负面影响,医生的职业倦怠,以及它对“新学派”和“旧学派”放射科医生实践的创造。本文进一步讨论了可以减轻TAT负面影响的现有策略和未来方向,包括各种人员配置模型,优化工作流系统的方法,以及使用人工智能重新确定STAT案例优先级的方法。作者最后呼吁平衡地、持续地实施TAT作为一种度量,但不以牺牲放射科医生和受训人员的工作质量为代价。
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引用次数: 0
FDA-approved artificial intelligence products in abdominal imaging: A comprehensive review fda批准的人工智能产品用于腹部成像:全面回顾。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-18 DOI: 10.1067/j.cpradiol.2025.04.011
Pranav Ajmera , Ryan Dillard , Timothy Kline , Andrew Missert , Panagiotis Korfiatis , Ashish Khandelwal

Purpose

This review aims to provide a comprehensive overview of the transformative impact of FDA-approved artificial intelligence (AI) products in abdominal imaging. It explores the evolution of AI in radiology, its rigorous FDA clearance process, and its role in revolutionizing diagnostic and non-diagnostic tasks across various abdominal organs.

Methods

Through a review of literature, this study categorizes AI products based on their applications in liver, prostate, bladder, kidney, and overall abdominal imaging. It analyzes the diagnostic and non-diagnostic functionalities of these AI solutions, elucidating their capabilities in enhancing disease detection, image quality, workflow efficiency, and longitudinal comparison standardization.

Results

The review identifies numerous FDA-approved AI products tailored for abdominal imaging, showcasing their diverse applications, from lesion detection and characterization to volume estimation and quantification of organ health parameters. These AI solutions have demonstrated their efficacy in improving diagnostic accuracy, streamlining radiological workflows, and ultimately optimizing patient care across various abdominal pathologies.

Conclusion

In conclusion, the integration of AI into abdominal imaging represents a paradigm shift in modern radiology. By empowering radiologists with advanced tools for timely diagnosis, precise treatment planning, and improved patient outcomes, FDA-approved AI products herald a new era of innovation in abdominal imaging. Collaboration between developers, regulatory bodies, and the medical community will be paramount in harnessing the full potential of AI to reshape the future of abdominal radiology.
目的:本综述旨在全面概述fda批准的人工智能(AI)产品在腹部成像中的变革性影响。它探讨了人工智能在放射学中的发展,其严格的FDA审批程序,以及它在各种腹部器官的革命性诊断和非诊断任务中的作用。方法:通过查阅文献,对人工智能产品在肝脏、前列腺、膀胱、肾脏和腹部整体成像方面的应用进行分类。分析了这些人工智能解决方案的诊断和非诊断功能,阐明了它们在提高疾病检测、图像质量、工作流程效率和纵向比较标准化方面的能力。结果:该审查确定了许多fda批准的用于腹部成像的人工智能产品,展示了它们的不同应用,从病变检测和表征到器官健康参数的体积估计和量化。这些人工智能解决方案已经证明了它们在提高诊断准确性、简化放射工作流程以及最终优化各种腹部疾病患者护理方面的功效。结论:总之,人工智能与腹部成像的结合代表了现代放射学的范式转变。通过为放射科医生提供及时诊断、精确治疗计划和改善患者预后的先进工具,fda批准的人工智能产品预示着腹部成像创新的新时代。开发者、监管机构和医学界之间的合作对于充分利用人工智能重塑腹部放射学的未来至关重要。
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引用次数: 0
The current state of radiology residency lectures: Requirements, institutional approach, challenges, and solutions 放射科住院医师讲座的现状:要求、制度方法、挑战和解决方案。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-18 DOI: 10.1067/j.cpradiol.2025.04.017
Jack Porrino MD, Syed Ahmad Bokhari MD, Mahan Mathur MD
Radiology residency is a time where trainees are expected to become familiar with an extensive amount of new information as they master their specialty. Lectures are one critical component of the residency training and are an ACGME residency mandate. Implementing a successful lecture series is challenging. We review the current requirements, reflect upon our experience, and discuss the challenges and solutions of radiology resident lectures.
放射科住院医师是受训人员在掌握专业知识的同时熟悉大量新信息的时期。讲座是住院医师培训的一个重要组成部分,也是ACGME的住院医师授权。一个成功的系列讲座是很有挑战性的。我们回顾了当前的需求,反思了我们的经验,并讨论了放射学住院医师讲座的挑战和解决方案。
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引用次数: 0
Malpractice litigation in diagnostic radiology with special focus on cases in the abdomen and pelvis: A comprehensive analysis from a national legal database 诊断放射学中的医疗事故诉讼,特别关注腹部和骨盆的病例:来自国家法律数据库的综合分析。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-18 DOI: 10.1067/j.cpradiol.2025.04.003
Sawyer D. Miller BS , Thomas M Pender MD , Jake Lallo JD , Jonathan Lazarow JD , Frances Lazarow MD

Objective

Diagnostic radiology is regarded as a “high-risk” specialty in the medical malpractice literature. This study examines the causes and patterns and types of medical malpractice litigation and outcomes in radiology in the United States, with a particular focus on diagnostic radiology errors involving the abdomen and pelvis.

Methods

Malpractice suits in which the defendant was a radiologist in the United States from 2008 to 2018 were identified using LexisAdvance, a national legal database. 2775 cases were initially identified, and 1165 cases fit the inclusion criteria.

Results

Diagnostic error was the most prevalent error type, (n = 925, 82.9 %), followed by procedural errors (n = 106, 9.5 %), communication errors (66 cases, 5.9 %), and mixed/other errors (n = 19, 1.7 %). Breast was the most common imaging modality implicated in medical error (n = 211, 26.4 % of total cases), followed by CT (n = 186, 23.3 %), and XR (n = 146, 18.3 %). Out-of-court settlement was the most common outcome (n = 402, 44.5 %), followed by a verdict ruled in favor of the defendant (n = 246, 27.2 %) and case dismissal (n = 131, 14.5 %). The average award in a settlement was $1,500,690 USD (range: $25,000- $10,200,000 USD). The average award in a jury verdict for the plaintiff was $2,857,203 USD (range: $60,000- $31,490,000 USD), and the average award in arbitration for the plaintiff was $1,354,497 USD (range: $200,000- $2,800,000 USD). The gastrointestinal (GI) system and the genitourinary (GU) system accounted for 51.9 % and 25.9 % of errors in the abdomen and pelvis, respectively.

Discussion

Diagnostic error was the most prevalent source of error leading to malpractice litigation. Breast imaging was the most frequently implicated imaging modality in litigations, followed closely by CT and XR. A majority of cases were resolved through out-of-court settlement or with judgments in favor of the defendant radiologists. However, in cases with trial judgments in favor of the plaintiff, average financial awards were higher than out-of-court settlements. Abdomen and pelvic involvement accounted for frequent sources of error.
目的:诊断放射学在医疗事故文献中被视为“高风险”专业。本研究考察了美国放射学中医疗事故诉讼和结果的原因、模式和类型,特别关注涉及腹部和骨盆的放射学诊断错误。方法:使用国家法律数据库LexisAdvance对2008年至2018年被告为美国放射科医生的医疗事故诉讼进行识别。初步确定2775例,1165例符合纳入标准。结果:诊断错误是最常见的错误类型(n = 925, 82.9%),其次是程序错误(n = 106, 9.5%)、沟通错误(n = 66, 5.9%)和混合/其他错误(n = 19, 1.7%)。乳房是与医疗错误相关的最常见的成像方式(n = 211,占总病例的26.4%),其次是CT (n = 186,占23.3%)和XR (n = 146,占18.3%)。庭外和解是最常见的结果(n = 402, 44.5%),其次是有利于被告的判决(n = 246, 27.2%)和案件驳回(n = 131, 14.5%)。和解的平均赔偿金额为1,500,690美元(范围:25,000美元至10,200,000美元)。陪审团裁决中原告的平均裁决金额为2,857,203美元(范围:60,000美元至31,490,000美元),仲裁裁决中原告的平均裁决金额为1,354,497美元(范围:200,000美元至2,800,000美元)。胃肠道(GI)和泌尿生殖系统(GU)分别占腹部和骨盆错误的51.9%和25.9%。讨论:诊断错误是导致医疗事故诉讼的最普遍的错误来源。乳腺影像学是诉讼中最常涉及的影像学方式,其次是CT和x光。大多数案件通过庭外和解或判决有利于被告放射科医生解决。然而,在初审判决有利于原告的案件中,平均经济赔偿高于庭外和解。腹部和骨盆受累是常见的错误来源。
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引用次数: 0
Contrast enhanced mammography - revisiting structured reporting with special focus on suggested modifications 对比增强乳房x光检查-重访结构化报告,特别关注建议的修改。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-18 DOI: 10.1067/j.cpradiol.2025.04.010
Dr Veenu Singla, Dr Pallavi T, Dr Dollphy Garg
Contrast-enhanced mammography (CEM) is an innovative breast imaging technique that combines the strengths of both mammography and MRI. It provides both morphological and functional information, making it a valuable, cost-effective alternative to MRI, especially in resource-limited settings.
In this article, we explore the evolving role of CEM, beginning with a brief discussion of its indications, contraindications, and technical nuances. We have described a structured reporting format based on the ACR BI-RADS® CEM lexicon through a series of illustrative examples, to enhance the reader's familiarity with key descriptors and their clinical implications. Furthermore, we delve into the diagnostic challenges associated with CEM, offering practical guidance to the radiologist for accurate image interpretation. Finally, we propose refinements to the existing ACR BI-RADS® CEM lexicon to enhance its utility in clinical practice.
对比增强乳房x线照相术(CEM)是一种创新的乳房成像技术,结合了乳房x线照相术和MRI的优势。它提供形态和功能信息,使其成为MRI的一种有价值的、具有成本效益的替代方案,特别是在资源有限的情况下。在本文中,我们将从简要讨论CEM的适应症、禁忌症和技术上的细微差别开始,探讨CEM不断发展的作用。我们通过一系列说明性的例子描述了基于ACR BI-RADS®CEM词典的结构化报告格式,以增强读者对关键描述符及其临床意义的熟悉程度。此外,我们深入研究了与CEM相关的诊断挑战,为放射科医生提供准确图像解释的实用指导。最后,我们建议对现有的ACR BI-RADS®CEM词典进行改进,以提高其在临床实践中的实用性。
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引用次数: 0
Radiology for kids: Benefits of early education and workplace volunteerism 儿童放射学:早期教育和工作场所志愿服务的好处。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-18 DOI: 10.1067/j.cpradiol.2025.04.014
Meredith H. Fishleder , Maria Zulfiqar , Sadeer J. Alzubaidi , Cathy L. Hannafin , Martha-Gracia Knuttinen , Lisa M. Ponce , Nelly Tan

Objective

Physician shortages are predicted to affect all fields of health care by 2036. One potential approach to address this shortage is through outreach. We describe how a radiology department developed and hosted a volunteer-driven, immersive educational event for children.

Methods

Staff volunteers were recruited though a department-wide email. Two radiologists organized the program and arranged to obtain imaging equipment for demonstrations. Other volunteers were tasked with overseeing audiovisual equipment use, facilitating workshops, ordering food, and reserving rooms. One staff member was paid to support event logistics. Before and after the event, student participants were asked to complete optional, anonymous surveys that assessed their knowledge, attitudes, and behavior toward radiology.

Results

The half-day radiology educational event consisted of 2 hours of didactic lectures, followed by hands-on experiences in quality improvement, point-of-care ultrasonography, interventional radiology, and interventional oncology. Thirty-two students attended the event (median age, 14 [range, 8-17] years); 21 (66%) were children of allied health employees, and 11 (35%) were children of physicians. The pre-event survey response rate was 94%; the postevent response rate was 63%. The postevent survey showed significant increases in the proportion of students who said they “[understood] what a radiologist does” (from 23% to 55%; P=.01) and “[could] name at least 3 different modalities” (from 33% to 70%; P=.02). Students and their parents gave enthusiastic feedback after the event.

Conclusion

A radiology department–sponsored educational program for young learners was well received and provided multiple volunteer and socialization opportunities for employees.

Summary sentence

Department-sponsored volunteer events, such as an educational event, can meaningfully contribute to student growth and employee engagement and well-being.
目的:预计到2036年,医生短缺将影响卫生保健的所有领域。解决这一短缺的一个潜在方法是通过外联。我们描述了放射科如何开发和主办一个志愿者驱动的,沉浸式的儿童教育活动。方法:通过全部门电子邮件招募员工志愿者。两位放射科医生组织了这个项目,并安排获得成像设备进行演示。其他志愿者的任务是监督视听设备的使用,为讲习班提供便利,订餐和预订房间。支付一名工作人员支助活动后勤。在活动前后,学生参与者被要求完成可选的匿名调查,评估他们对放射学的知识、态度和行为。结果:为期半天的放射学教育活动包括2小时的教学讲座,随后是质量改进、现场超声检查、介入放射学和介入肿瘤学的实践体验。32名学生参加了活动(年龄中位数14岁[范围8-17岁]);其中21例(66%)是专职医疗人员的子女,11例(35%)是医生的子女。活动前调查回复率为94%;事件后反应率为63%。事后调查显示,表示“了解放射科医生的工作”的学生比例显著增加(从23%增加到55%;P= 0.01)和“[能]说出至少3种不同的模式”(从33%到70%;P = .02点)。活动结束后,学生和家长给予了热烈的反馈。结论:放射科发起的青年学习者教育项目获得了良好的反响,并为员工提供了多种志愿者和社交机会。总结句:部门赞助的志愿者活动,比如教育活动,可以对学生的成长和员工的敬业度和幸福感做出有意义的贡献。
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引用次数: 0
A welcoming change: Quality improvement project to improve new radiology residents’ early experiences 一个受欢迎的变化:质量改进项目,以改善新的放射科住院医生的早期体验。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-18 DOI: 10.1067/j.cpradiol.2025.04.004
Scotty McKay M.D., Arif Musa M.D., Hassan Shaban M.Sc, B.iAS, Ali Harb M.D., Mohammed Twam M.D., Alhassan Alhasson M.D., Hassan Alfanharwi M.D., Jacob Turner M.D., Jared Huggins D.O., Gulcin Altinok M.D.

Introduction

Diagnostic radiology residents often face challenges transitioning from medical school and internship to radiology residency. To address this, senior residents in our program developed a Welcoming Committee (WC) to initiate early communication with matched applicants and support incoming radiology residents as they transition.

Methods

A resident-led WC was developed by senior residents to support newly matched applicants. Matched applicants were added to a messaging platform for senior residents to communicate important program updates and answer questions. During the first week of residency, WC members organized workshops to discuss topics that may benefit incoming residents. An anonymous electronic survey was sent to first-year residents, who received WC interventions, and senior residents, who transitioned to radiology residency before the establishment of the WC. Responses were scored using a Likert scale to quantify the level of agreement or disagreement. Standard statistical methods and Mann–Whitney analysis were used to compare the responses between groups.

Results

First-year residents felt they understood expectations for their rotations, felt more comfortable asking questions, felt their questions were more adequately answered, and were more enthusiastic about starting rotations than senior residents, differences that were statistically significant.

Conclusions

The establishment of a resident-led WC to communicate with and advise matched applicants prior to first-year rotations appeared to improve perceptions of firstyear radiology residents regarding preparation, communication, enthusiasm, rotation experiences, and comfort in asking questions. These findings underscore the potential of resident-led interventions to improve the quality of the orientation and onboarding process for first-year radiology residents.
简介:诊断放射住院医师经常面临从医学院和实习过渡到放射住院医师的挑战。为了解决这个问题,我们项目中的老年住院医生建立了一个欢迎委员会(WC),与匹配的申请人进行早期沟通,并在他们过渡时为新来的放射科住院医生提供支持。方法:采用老年住院医师主导的WC,为新配对的申请人提供支持。匹配的申请人被添加到一个信息平台上,供老年居民交流重要的项目更新并回答问题。在住院治疗的第一周,WC成员组织了研讨会,讨论可能使新住院医生受益的话题。一份匿名电子调查被发送给第一年接受WC干预的住院医师,以及在WC建立之前过渡到放射科住院医师的老年住院医师。使用李克特量表对回答进行评分,以量化同意或不同意的程度。采用标准统计学方法和Mann-Whitney分析法比较组间疗效。结果:第一年的住院医生认为他们理解了对他们轮转的期望,觉得问问题更舒服,觉得他们的问题得到了更充分的回答,并且比老年住院医生更热情地开始轮转,差异在统计上是显著的。结论:在第一年轮转之前,建立一个由住院医生领导的WC与匹配的申请人进行沟通和建议,似乎可以提高第一年放射科住院医生对准备、沟通、热情、轮转经验和提问舒适度的看法。这些发现强调了住院医生主导的干预措施的潜力,以提高第一年放射科住院医生的定向和入职过程的质量。
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引用次数: 0
Use of pre-procedure electronic questionnaire to enhance scheduling and safety in interventional radiology procedures with anesthesia care 使用术前电子问卷加强麻醉护理介入放射手术的安排和安全性。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-04-17 DOI: 10.1067/j.cpradiol.2025.04.008
Joanna Serafin PhD , Kara M. Barnett MD, FASA, SAMBA-F , Todd J. Liu MD , Nina M. Maresca DNP, FNP-BC , Patrick J. McCormick MD, MEng , Alan L. Kotin MD
The growth of interventional radiology (IR) procedures with anesthesia team care in increasingly medically complex populations points to the need for effective and efficient pre-procedure screening. We present an ongoing quality improvement project involving a brief online questionnaire disseminated to patients three to ten days before the day of their scheduled IR procedures. The questionnaire was developed by anesthesiologists and a nurse practitioner to increase pre-procedure awareness of relevant medical concerns, guide scheduling of procedures at outpatient versus inpatient locations, and improve patient pre-procedure management. The response rate after one year was 57% and indicated that at least 1 in 10 patient histories required review and discussion by the care team. The most common concerns were shortness of breath (8%), difficult airway (3%) and syncope (3%). Most procedures proceeded as scheduled, however, 18 procedures (0.4% of patients who responded), had to be rescheduled from an outpatient to the inpatient site due to medical concerns. The electronic pre-procedure screening has been feasible to implement at a busy clinical practice and has improved team communication, patient preparedness, and scheduling at appropriate locations. The team has since expanded the questionnaire to other non-operating room anesthesia procedures and added questions about opioids and glucagon-like peptide-1 receptor agonists use. Future work needs to evaluate whether the online pre-screening was associated with decreases in cancelation rates and cost savings.
在越来越多的医疗复杂人群中,麻醉团队护理的介入放射学(IR)手术的增长表明需要有效和高效的术前筛查。我们提出了一项正在进行的质量改进项目,其中包括在预定IR程序当天前3至10天向患者分发简短的在线问卷。问卷是由麻醉师和执业护士开发的,以提高术前对相关医疗问题的认识,指导门诊和住院地点的手术安排,并改善患者术前管理。一年后的应答率为57%,表明至少1 / 10的患者病史需要由护理团队进行回顾和讨论。最常见的问题是呼吸短促(8%)、气道困难(3%)和晕厥(3%)。大多数手术按计划进行,然而,18例手术(0.4%的应答患者)由于医疗问题不得不从门诊重新安排到住院地点。在繁忙的临床实践中实施电子术前筛查是可行的,并改善了团队沟通、患者准备和在适当地点的安排。研究小组已经将调查问卷扩展到其他非手术室麻醉过程,并增加了关于阿片类药物和胰高血糖素样肽-1受体激动剂使用的问题。未来的工作需要评估在线预筛查是否与降低取消率和节省成本有关。
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Current Problems in Diagnostic Radiology
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