Radiology Report Comparator: A Novel Method to Augment Resident Education (original) (raw)
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Journal of Digital Imaging, 2015
A radiology teaching file (TF) is a system containing a collection of cases with teaching value. Given the wide variety of TF solutions available, we conducted a national survey to better understand the need for TFs, TF features desired by users and their current implementation. A 28question survey was created which explored TF implementation, utilization, and preferences among respondents. The survey was emailed to residents and faculty throughout the USA, with a request for program coordinators to forward the survey to their departments. The survey was completed by 396 respondents from 115 different institutions. These respondents included 60 % residents, 21 % attendings (non-program directors), 12 % program directors, 5 % fellows, and 1 % medical students. TFs were assigned to one of three categories: personal TFs, shared in-house TFs, and public TFs. Seventy-six percent of respondents kept a personal TF using a variety of media, and 67 % used a shared in-house TF. Of the public TFs used, the most popular were those requiring paid subscriptions. The features respondents valued most provided efficient querying of cases, simulated basic PACS functionality, enabled self-directed learning, and facilitated case submissions. There is a trend toward utilizing electronic media for TFs. The media utilized should be understood and reviewed to ensure PHI is properly secured. Contemporary users demand a high degree of functionality from TF solutions, and use both in-house and commercial products to meet their needs.
XReport: An online structured reporting platform for radiologists
SoftwareX, 2022
Currently the most widespread way of reporting in radiology is dictation mainly due to performance benefits. The 30 output of this method is plain text, which varies in style (structure, nomenclature, abbreviations, etc.) and content 31 between doctors even when reporting the exact same case. Templated radiology provides a structure for reporting and aims to help in generating more unified reports. We propose a web-based system for creating and using 33 radiological structured reporting templates. 34 We developed our software based on web technologies. We wrote the system with modular design in mind. We 35 have separate libraries for the different functionalities: a rendering library which renders the templates based on a 36 schema, an editor library which handles template creation, and an evaluator library, which parses, and executes 37 our custom domain specific language, FormScript, which enables dynamic behaviour in our templates. We also 38 developed a Single Page Application to create, browse, use and share templating reports. The backend of the 39 application is powered by Firebase from Google.
Chart-stimulated Recall as a Learning Tool for Improving Radiology Residents' Reports
Academic Radiology, 2017
Bristol Radiology Report Assessment Tool CSR chart-stimulated recall CG control group IG intervention group WPBA workplace-based assessment Rationale and Objectives: Workplace-based assessments gauge the highest tier of clinical competence. Chart-stimulated recall (CSR) is a workplace-based assessment method that complements chart audit with an interview based on the residents' notes. It allows evaluation of the residents' knowledge and heuristics while providing opportunities for feedback and self-reflection. We evaluated the utility of CSR for improving the radiology residents' reporting skills. Materials and Methods: Residents in each year of training were randomly assigned to an intervention group (n = 12) or a control group (n = 13). Five pre-intervention and five post-intervention reports of each resident were independently evaluated by three blinded reviewers using a modified Bristol Radiology Report Assessment Tool. The study intervention comprised a CSR interview tailored to each individual resident's learning needs based on the pre-intervention assessment. The CSR process focused on the clinical relevance of the radiology reports. Student's t test (P < .05) was used to compare preand post-intervention scores of each group. Results: A total of 125 pre-intervention and 125 post-intervention reports were evaluated (total 750 assessments). The Cronbach's alpha for the study tool was 0.865. A significant improvement was seen in the cumulative 19-item score (66% versus 73%, P < .001) and the global rating score (59% versus 72%, P < .001) of the intervention group after the CSR. The reports of the control group did not demonstrate any significant improvement. Conclusion: CSR is a feasible workplace-based assessment method for improving reporting skills of the radiology residents.
A framework for improving radiology reporting
Journal of the American College of Radiology, 2005
The interpretative reports rendered by radiologists are the only tangible manifestation of their expertise, training, and experience. These documents are very often the primary means by which radiologists provide patient care. Radiology reports are extremely variable in form, content, and quality. The authors propose a framework for conceptualizing the reporting process and how it might be improved. This consists of standard language, a structured format, and consistent content. These attributes will be realized by modifying the clinical reporting process, including the creation, storage, transmission, and review of interpretative documents. The authors also point out that changes in training and evaluation must be a part of the process, because they are complementary to purely technical solutions.
The Future of the Radiology Information System
American Journal of Roentgenology, 2013
R adiology departments were among the first clinical departments in health care to implement electronic systems as part of their clinical workflow, with the first such systems to assist radiology reporting processes appearing as early as the mid-1960s [1]. The early systems were information islands used to manage the operations of radiology independently of the hospital. This included managing the patient identification database and the ordering physician database, as well as tracking the patient through the steps of acquiring the images and tracking report interpretation. The advancements in radiology informatics to date, including integration of PACS and the radiology information system (RIS) into department workflow, have done much to increase departmental efficiency. Multiple groups have highlighted the decreased number of steps within the standard workflow when using these systems compared with traditional film-and-paper-based systems; this has led to departmental efficiency (higher volume of studies being performed and interpreted), improved customer service (via faster report turnaround time and ready availability of images for clinician review), and decreased costs. The fundamental advantages of these systems lie in their ability to keep massive amounts of data (of all types, including images, demographic and
The Time Has Come: a Paradigm Shift in Diagnostic Radiology Education via Simulation Training
Journal of Digital Imaging, 2020
Current radiology training for medical students and residents predominantly consists of reviewing teaching files, attending lectures, reading textbooks and online sources, as well as one-on-one teaching at the workstation. In the case of medical schools, radiology training is quite passive. In addition, the variety of important and high-yield cases that trainees are exposed to may be limited in scope. We utilized an open-source dcm4chee-based Picture Archiving and Communication System (PACS) named "Weasis" in order to simulate a radiologist's practice in the real world, using anonymized report-free complete cases that could easily be uploaded live during read-outs for training purposes. MySQL was used for database management and JBOSS as application server. In addition, we integrated Weasis into a web-based reporting system through Java programming language using the MyEclipse development environment. A freeware, platform-independent, image database was established to simulate a real-world PACS. The sever was implemented on a dedicated non-workstation PC connected to the hospital secure network. As the client access is through a webpage, the cases can be viewed from any computer connected to the hospital network. The reporting system allows for evaluation purposes and providing feedback to the trainees. Brief survey results are available. Implementation of such a low-cost, versatile, and customizable tool provides a new opportunity for training programs in offering medical students with an active and more realistic radiology experience, junior radiology residents with potentially better preparation for independent call, and senior resident and fellows with the ability to fine-tune high-level specialty-level knowledge.
Case-oriented computer-based-training in radiology: concept, implementation and evaluation
BMC medical education, 2001
Providing high-quality clinical cases is important for teaching radiology. We developed, implemented and evaluated a program for a university hospital to support this task. The system was built with Intranet technology and connected to the Picture Archiving and Communications System (PACS). It contains cases for every user group from students to attendants and is structured according to the ACR-code (American College of Radiology) 2. Each department member was given an individual account, could gather his teaching cases and put the completed cases into the common database. During 18 months 583 cases containing 4136 images involving all radiological techniques were compiled and 350 cases put into the common case repository. Workflow integration as well as individual interest influenced the personal efforts to participate but an increasing number of cases and minor modifications of the program improved user acceptance continuously. 101 students went through an evaluation which showed ...
Computer-based logbook for surgical registrars
ANZ Journal of Surgery, 2002
Background: The documentation and monitoring of operative experience is an important component of advanced surgical training. The Royal Australasian College of Surgeons (RACS) monitors the adequacy of training by use of the surgical logbook. The logbook has been a paper-based record that does not permit longitudinal evaluation of the progress of an individual trainee or comparison of different surgical units. Methods: An electronic logbook has been developed in FileMaker Pro version 5.03 (FileMaker, Santa Clara, California, USA). Results: The electronic logbook has been employed for 1 year and has been used on both Windows and Macintosh platforms without difficulty. Appropriate summaries of the training experience were provided for the RACS at the conclusion of each rotation. Conclusions: The use of a relational database for logbook purposes provides trainees with a convenient and versatile record of their experience while meeting RACS requirements for documentation of surgical experience.
Introduction: Hist orically, t here has been no obj ect ive m et hod of m easuring t he t im e required for radiologist s t o produce report s during norm al work. We have creat ed a t echnique for sem i-aut om at ed m easurem ent of radiologist report ing t im e, and t hrough it produced a robust set of absolut e t im e require-m ent s and relat ive value unit s for consult ant report ing of diagnost ic exam i-nat ions in our hospit al. Methods: A large sam ple of report ing t im es, recorded aut om at ically by t he Radiology I nform at ion Syst em (COMRAD, Soft ware I nnovat ions, Christ-church, New Zealand) along wit h t he descript ion of each exam inat ion being report ed, was placed in a dat abase. Analysis was confi ned t o diagnost ic report ing by consult ant radiologist s. A spreadsheet was produced, list ing t he t ot al num ber and t he frequency of report ing t im es of each dist inct exam ina-t ion. Out liers wit h except ionally long report t im es (m ore t han 10 m in for plain radiography, 30 m in for ult rasound, or 60 m in for CT or MRI wit h som e except ions) were culled; t his rem oved 9.5% of t he t ot al. Com plex CTs requiring separat e workst at ion t im e were assigned t im es by consensus. The m edian t im e for t he rem ainder of each sam ple was t he assigned absolut e report ing t im e in m inut es and seconds. Relat ive value unit s were calculat ed using t he report ing t im e for a single view depart m ent chest X-ray of 1 m in 38 s including verifying a report m ade using speech recognit ion soft ware. Results: A schedule of absolut e and relat ive values, based on over 179 000 report s, form s Table 2 of t his paper. Conclusions: The t echnique provides a schedule of report ing t im es wit h reduced subj ect ive input , which is m ore robust t han exist ing syst em s for m easuring report ing t im e.