Aims and objectives
Postgraduate radiology education should fulfill multiple criteria:
patient safety should be on the first line,
radiologists-in-training are young professionals and learners at the same time - so training programs should meet both expectations,
more experienced professionals should be motivated to pass on knowledge,
legislation and responsibilities should be clear,
protocols,
high quality of service and quality assurance should be operated both in healthcare and education,
there is an emerging need of medical imaging: the number of studies and images areincreasing,
while age and geographical distribution...
Methods and materials
The department provides teleradiology CT reading services for a smaller hospital in the region,
among others.
A web-based PACS (eRad PACS,
eRad Inc.) is used for sharing all patient clinical and imaging data and for reporting.
Emergency cases are reported promptly while elective cases has a longer reporting time (72 hours).
These elective studies are allocated for the peer-review initiative,
has the largest quantity share among all peer-reviewed studies at the department,
therefore has a different workflow.
Workflow
All elective cases are distributed for a...
Results
Some numbers
14 first reader and 7 second readerevaluated 4848 CT studies until the end of 2018 (1221 in the first 4 month in 2017 and 3627 during the whole year in 2018 while altogether 4956 imaging studies were peer-reviewed during the same period).
At the beginning 7 first reader and 4 second reader started the project while some of the participants finished during this period (due to finishing training,
personal issues).
A survey was carried out among participants during May 2018,
on the first...
Conclusion
Evaluating our data,
we can conclude that the first 3-4 months can be referred as the learning period (for both first and second readers) that caused the moderately lower grades during the 2nd-4th month period,
comparing with the first month's or later results.
Aslight increase in performance follwed,
but some changes happened among both first and second readers meanwhile (some stopped,
some newcomers joined).
At the end of 2018 some "senior" first readers left the project and some other newcomers joined that can caused the...
Personal information
Levente István Lánczi,
MD is a radiologist,
participated in the presented project as a first reader (as a radiologist-in-training).
He is the president of Youth Committee of the Hungarian Society of Radiologists (period 2018-2020).
Email:
[email protected]
Ferenc Pusztai,
MD is a radiologst,
participated in the presented project as the coordinator and as a second reader.
Péter Bágyi,
MD is a radiologist,
head of department,
honorary assisstant professor,
participated in the presented project as a second reader.
Project was carried out atDepartment of Central Radiology Diagnostics,...
References
(1) Donnelly LF.
Performance-based assessment of radiology practitioners:
promoting improvement in accordance with the 2007 joint commission standards.
J Am Coll Radiol.
2007 Oct; 4(10):699-703.
PubMed PMID: 17903754.
(2)Fókuszban a jövő orvosgenerációja.
Medical Online.
26.04.2018.
Web: http://medicalonline.hu/eu_gazdasag/cikk/fokuszban_a_jovo_orvosgeneracioja(in Hungarian)
(3) Strickland NH.
Quality assurance in radiology: peer review and peer feedback.
Clin Radiol.
2015 Nov; 70(11):1158-64.
doi: 10.1016/j.crad.2015.06.091.
Epub 2015 Jul 26.
Review.
PubMed PMID: 26223739.
(4) Kaewlai R,
Abujudeh H.
Peer review in clinical radiology practice.
AJR Am J Roentgenol.
2012 Aug;199(2):W158-62.
doi: 10.2214/AJR.11.8143.
Review....