Trainee and Attending Perspectives on Remote Radiology Readouts in the Era of the COVID-19 Pandemic

Matalon, Shanna A.; Souza, Daniel; Gaviola, Glenn C.; Silverman, Stuart G.; Mayo-Smith, William W.; Lee, Leslie K.

doi:10.1016/j.acra.2020.05.019

Cited by 47 publications

(46 citation statements)

References 10 publications

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“…Literature exists examining the value of remote or 'virtual' radiology review among clinicians (in a pediatric ICU setting, for example) and among residents during the COVID-19 pandemic (2,3,4). At one academic center, radiology residents' responses to remote imaging read-outs with supervising faculty were largely positive in regards to social distancing, technology, and autonomy, although remote resident read-outs suffered in regards to efficiency and a loss of camaraderie (3). It should be underscored that the responsibilities of residents, fellows, and faculty on a clinical radiology service differ greatly from an undergraduate medical student's clinical educational experience.…”

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confidence: 99%

Medical Student Engagement and Educational Value of a Remote Clinical Radiology Learning Environment: Creation of Virtual Read-Out Sessions in Response to the COVID-19 Pandemic

et al. 2021

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Rationale and Objectives: The need for social distancing has resulted in rapid restructuring of medical student education in radiology. While students traditionally spend time learning in the reading room, remote clinical learning requires material shared without direct teaching at the radiology workstation. Can remote clinical learning meet or exceed the educational value of the traditional in-person learning experience? Can student engagement be matched or exceeded in a remote learning environment? Materials and Methods: To replace the in-person reading room experience, a small-group learning session for medical students named Virtual Read-Out (VRO) was developed using teleconferencing software. After Institutional Review Board approval, two student groups were anonymously surveyed to assess differences in student engagement and perceived value between learning environments: "Conventional" students participating in the reading room (before the pandemic) and "Remote" students participating in VRO sessions. Students reported perceived frequency of a series of five-point Likert statements. Based on number of respondents, an independent t-test was performed to determine the significance of results between two groups. Results: Twenty-seven conventional and 41 remote students responded. Remote students reported modest but significantly higher frequency of active participation in reviewing radiology exams (p < 0.05). There was significantly lower frequency of reported boredom among Remote students (p < 0.05). There was no significant difference in perceived educational value between the two groups. Conclusion: Students report a high degree of teaching quality, clinical relevance, and educational value regardless of remote or in-person learning format. Remote clinical radiology education can be achieved with equal or greater student interaction and perceived value in fewer contact hours than conventional learning in the reading room.

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Medical Student Engagement and Educational Value of a Remote Clinical Radiology Learning Environment: Creation of Virtual Read-Out Sessions in Response to the COVID-19 Pandemic

et al. 2021

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“…Adjustments were made to readouts so that interactions between trainees and attendings were predominantly virtual over the phone or an online platform. Our experience was recently described by a coauthor's paper that concluded virtual readouts are feasible and preferred given compliance with social distancing measures [ 6 ]. When possible, residents who had completed on-site rotations were subsequently placed on virtual rotations for a minimum of 2 weeks to meet 14-day self-quarantine guidelines in the event that they had unknowingly been exposed to COVID-19.…”

Section: Disruption Of Education During a Public Health Crisismentioning

confidence: 99%

Beyond business as usual: Radiology residency educational response to the COVID-2019 pandemic

Shi¹,

Miskin²,

Dabiri³

et al. 2021

Clinical Imaging

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The COVID-19 pandemic has disrupted standard hospital operations and diagnostic radiology resident education at academic medical centers across the country. Deferment of elective surgeries and procedures coupled with a shift of resources toward increased inpatient clinical needs for the care of COVID-19 patients has resulted in substantially decreased imaging examinations at many institutions. Additionally, both infection control and risk mitigation measures have resulted in minimal on-site staffing of both trainees and staff radiologists at many institutions. As a result, residents have been placed in nonstandard learning environments, including working from home, engaging in a virtual curriculum, and participating in training sessions in preparation for potential reassignment to other patient care settings. Typically, for residents to gain the necessary knowledge, skills, and experience to practice independently upon graduation, radiology training programs must provide an optimal balance between resident education and clinical obligations. We describe our experience adapting to the challenges in educational interruptions and clinical work reassignments of 41 interventional and diagnostic radiology residents at a large academic center. We highlight opportunities for collaboration and teamwork in creatively adjusting and planning for the short and long-term impact of the pandemic on resident education. This experience shows how the residency educational paradigm was shifted during a pandemic and can serve as a template to address future disruptions.

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“…In academic institutions, remote read-out has created new challenges for attending radiologists and trainees. Challenges include modified resident schedules, adapting to virtual platforms for reviewing imaging studies, and teaching and providing feedback to the trainees [5]. Women across all medical fields, including radiology and radiation oncology, are concerned about the impact of COVID-19 on academic productivity.…”

Section: Challenges Faced By Women In Practicementioning

confidence: 99%

“…Some institutions implemented guidelines for the mandatory or voluntary redeployment of residents to help medicine and COVID floors, and non-clinical activities such as distributing masks or assisting with paperwork [4]. Departments that provided a remote system for interpreting imaging studies arranged remote readouts for trainees who worked from home via phone calls or a virtual platform [5]. This necessary transformation of the traditional reading room set up affects junior trainees to a greater degree than the senior residents and fellows.…”

Section: Challenges Of Trainees In Radiologymentioning

confidence: 99%

“…Given the cancelation and postponement of many imaging studies and procedures, both private practice and academic institutions have faced significant economic challenges. These factors have resulted in the possibilities of pay cuts, redeployment, furloughs, transition to part-time employment and remote work [ 5 ]. The economic impact of COVID-19 has disproportionately affected private practices and hospitals of smaller size [ 6 ].…”

Section: Challenges Faced By Women In Practicementioning

confidence: 99%

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Challenges faced by women in radiology during the pandemic - A summary of the AAWR Women's Caucus at the ACR 2020 annual meeting

Lee

Kelly

et al. 2020

Clinical Imaging

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Trainee and Attending Perspectives on Remote Radiology Readouts in the Era of the COVID-19 Pandemic

Cited by 47 publications

References 10 publications

Medical Student Engagement and Educational Value of a Remote Clinical Radiology Learning Environment: Creation of Virtual Read-Out Sessions in Response to the COVID-19 Pandemic

Medical Student Engagement and Educational Value of a Remote Clinical Radiology Learning Environment: Creation of Virtual Read-Out Sessions in Response to the COVID-19 Pandemic

Beyond business as usual: Radiology residency educational response to the COVID-2019 pandemic

Challenges faced by women in radiology during the pandemic - A summary of the AAWR Women's Caucus at the ACR 2020 annual meeting

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