Impact of PACS on the Education of Radiology Residents

Mullins, Mark E.; Mehta, Amit; Patel, Hiren; McLoud, Theresa C.; Novelline, Robert A.

doi:10.1016/s1076-6332(03)80745-6

Cited by 24 publications

(6 citation statements)

References 17 publications

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“…Many articles examine the types of technology that can be used to assist in teaching radiology to both undergraduate medical students and residents. These articles began appearing around the early 1970s, 21 and the technologies discussed range from the traditional textbook, 22 videodisc, 23 , 24 analogue film teaching files, 25 interactive games, 26 digital/picture archiving and communication systems and Digital Imaging and Communications in Medicine–based teaching files, 27 , 28 , 29 , 30 , 31 , 32 computer instruction, 33 and handheld computers or personal digital assistants, 34 , 35 to radiologic Web sites 36 such as Web-based tutorials, 37 , 38 , 39 Web-based teaching files, 40 , 41 , 42 , 43 Web-based radiology information sites, 44 , 45 open-source, social network virtual learning environments, 46 blended learning, 47 and intranet-based assessment tools. 48 …”

Section: Discussionmentioning

confidence: 99%

Pedagogical Approaches to Diagnostic Imaging Education: A Narrative Review of the Literature

Linaker

2015

Journal of Chiropractic Humanities

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ObjectiveThe purpose of this study was to examine literature on how radiology is taught and learned by both radiology residents and undergraduates in the health professions.MethodsA review of the literature was performed using relevant key words. Articles were retrieved through December 2012 using PubMed, ScienceDirect, ERIC, Proquest, and ICL databases along with a manual review of references.ResultsOf the 4716 unique abstracts reviewed by the author, 91 were found to be relevant to the purpose of this study. The literature retrieved reported pedagogical approaches to teaching radiology including the following: problem solving, technology as teacher, independent learning tools, visiting lectureships, case based teaching, and conferences. There was some exploration of the relative effectiveness of educational formats. Suggestions for future research identify 7 areas of relative consistency.ConclusionRadiology is a clinical skill that requires integration science, clinical information, clinical experiences, and information recorded on diagnostic imaging studies. The research in this area focuses on problem solving, the use of algorithm/scripts, introducing uncertainty in clinical scenarios, incorporating technology in learning environments, active learning techniques, and methods of independent learning. Although the literature in this area is still in its infancy, the research examining the relative effectiveness of these various educational formats is often contradictory, suggesting that this is a complex area of study with numerous factors influencing student learning.

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Section: Discussionmentioning

confidence: 99%

Pedagogical Approaches to Diagnostic Imaging Education: A Narrative Review of the Literature

Linaker

2015

Journal of Chiropractic Humanities

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“…Their survey concentrated on medical staff and on the availability of images and reports before and after the PACS installation [3]. There have been several studies which have attempted to demonstrate the benefits of PACS to users, but many of these have concentrated on particular groups of users such as radiology trainees, users in a particular department or have been more focused in their approach [4][5][6]. The present study concentrates on the impact that PACS has made to the working of the hospital as a whole and on the working lives of individual clinicians in many different disciplines.…”

Section: Observationsmentioning

confidence: 99%

Picture Archiving and Communication System (PACS): Clinician’s Perspective About Filmless Imaging

Jorwekar¹,

Dandekar²,

Baviskar³

2013

Indian J Surg

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Picture archiving and communication systems (PACS) are most appropriate means of acquiring, archiving, and communicating all forms of radiology imaging. The present study is to decide applicability of PACS, its exact role in patient care, and benefit as a teaching tool. To compare conventional imaging with picture archiving and communication system from user's point of view, impact of PACS on patient care and teaching. This was a single center, observational study over a period of 4 weeks from 15 January 2010 to 15 February 2010 carried out in Pravara Rural Hospital. For the present study, 100 users from various clinical disciplines were included who routinely use PACS. A pretested questionnaire related to various aspects of PACS was devised considering its advantage to clinicians, role in patient care, and as tool for teaching. Out of 100 users, 85 % users reported PACS easy to very easy for handle. Ninety-four percent users reported PACS as useful tool for the hospital. Fifty-one percent of users found image quality at image review workstation to be good to very good against 49 % found it poor to very poor. There have been several studies to demonstrate the benefits of PACS to users, but many of these have concentrated on radiology trainees, users in a particular department. Present study concentrates on the impact that PACS has made to the working of the clinicians in many different disciplines. The perceived benefits of PACS outnumbered the disadvantages and reflected the widely documented benefits of PACS in the literature.

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“…Because a PACS eliminates workload by reducing the number of hard-copy films produced (also saving money), is as reliable as a hard-copy environment, and decreases the number of lost film images, it has found a high acceptance rate in radiology departments (5,11,12). Several studies (1,5,11,(13)(14)(15)(16)(17) have shown an apparent reduction in the time of image delivery to the radiologist, retrieval of images, interpretation, and total report turnaround with use of a PACS. Integration of a PACS into the hospital information system and RIS has an additional positive impact on report turnaround time and communication between physicians (18 -20).…”

Section: Discussionmentioning

confidence: 99%

Impact of Pager Notification on Report Verification Times

Oğuz¹,

Yousem²,

Deluca³

et al. 2002

Academic Radiology

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verification times of each physician were collected for 3 months in the years before and after initiation of the PNS. Radiologists enrolled in the PNS and those who were not were assigned into two groups for analysis. Mean TOVs for the two sets of 3 months and for the two groups were calculated and differences recorded. Two-tailed t tests were used to assess for statistical differences between the groups.Results. Twenty-nine of 37 radiologists voluntarily enrolled in the PNS (group 1). Mean TOV was 26.75 hours (standard deviation [SD] ϭ 17.76) for these physicians before and 14.48 hours (SD ϭ 11.86) after the PNS was employed (P Ͻ .01). For those physicians who did not enroll in the PNS, mean TOV was 11.53 hours (SD ϭ 5.55) before and 9.77 hours (SD ϭ 9.86) after the PNS was employed (P ϭ .33). Both the absolute and percentage reductions in TOVs were significantly greater for those physicians enrolled in the PNS than for those who were not (P ϭ .035). Twenty-three of 29 (79%) physicians who used the PNS showed a reduction in their report turnaround times. Conclusion.Linking the PNS with the radiology information system to notify physicians of unsigned reports was effective in reducing report verification times.Key Words. Clinical operations, radiology reporting, economics. © AUR, 2002Improving turnaround times for radiology reports has been one of the major concerns in a practice. In addition to improving communication between physicians by producing an official report more rapidly, a reduction in turnaround times can also produce increased revenue because of the fewer days during which charges are in accounts receivable (1-8). Report turnaround times are also one of the standards regulated by the American College of Radiology (Standard for Communication-Diagnostic Radiology), accreditation organizations, utilization review panels, and some managed care organizations. From a medicolegal standpoint, a single untoward event resulting from a delay in transcription and report verification could lead to a monetary settlement that far outweighs the cost of extra transcriptionists or information technology solutions.As some departments have evolved from paper production of radiology reports to a complete electronic patient record, use of electronic signatures in radiology reports has become common. Previously, transcribed paper reports could be placed at the radiologist's location for immediate signature after a transcriptionist concluded a parcel of work. Whether those reports actually were signed immediately, were edited and retyped, or were left for Acad Radiol 2002; 9:954 -959

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Impact of PACS on the Education of Radiology Residents

Cited by 24 publications

References 17 publications

Pedagogical Approaches to Diagnostic Imaging Education: A Narrative Review of the Literature

Pedagogical Approaches to Diagnostic Imaging Education: A Narrative Review of the Literature

Picture Archiving and Communication System (PACS): Clinician’s Perspective About Filmless Imaging

Impact of Pager Notification on Report Verification Times

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