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通过放射科住院医师主导的临床咨询服务改善医疗与教育。

Improving Care and Education Through a Radiology Resident-driven Clinical Consultation Service.

作者信息

Salama Gayle R, Sullivan Courtney, Holzwanger Daniel, Giambrone Ashley E, Min Robert J, Hentel Keith D

机构信息

Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.

Department of Radiology, Weill Cornell Medicine, NewYork-Presbyterian, 525 East 68th St, Box 141, New York, NY 10065.

出版信息

Acad Radiol. 2017 Sep;24(9):1175-1181. doi: 10.1016/j.acra.2017.01.023. Epub 2017 Apr 6.

Abstract

RATIONALE AND OBJECTIVE

As health care moves toward bundled payment systems and merit-based incentive models, increasing awareness of the value of the radiologist is essential. A resident-driven clinical imaging rounds (CIR) program initiated at our institution allows radiologists to actively and directly participate in the team-based medical model. A retrospective review of survey data evaluated the qualitative and quantitative effects of CIR on clinical management, communication, and education of referring providers and radiology residents.

MATERIALS AND METHODS

The initial 10 months of a resident-organized CIR were evaluated in a retrospective study. Twenty radiology residents and 150 internal medicine physicians and medical students participated in imaging rounds. An anonymous survey of participants was performed and results were analyzed.

RESULTS

Eighty-five percent of radiology resident participants completed the survey (N = 17). Approximately 30% of internal medicine participants completed the survey (N = 45). There was an overwhelming positive review of imaging rounds, with a large majority of all groups agreeing that imaging rounds improve education, communication, and patient care.

CONCLUSIONS

Resident-driven imaging rounds provide a valuable opportunity to improve communication, education, and patient care. We have created a CIR with a sustainable workflow that allows direct and regularly scheduled imaging-medicine consultation valued by both radiologists and internal medicine physicians, improving the quality of patient care and providing education to our radiology residents in value-based care.

摘要

原理与目的

随着医疗保健向捆绑支付系统和基于绩效的激励模式发展,提高对放射科医生价值的认识至关重要。我们机构发起的一项由住院医师主导的临床影像查房(CIR)项目,使放射科医生能够积极、直接地参与基于团队的医疗模式。对调查数据的回顾性分析评估了CIR对转诊医生和放射科住院医师的临床管理、沟通及教育的定性和定量影响。

材料与方法

在一项回顾性研究中评估了住院医师组织的CIR最初10个月的情况。20名放射科住院医师以及150名内科医生和医学生参加了影像查房。对参与者进行了匿名调查并分析结果。

结果

85%的放射科住院医师参与者完成了调查(N = 17)。约30%的内科参与者完成了调查(N = 45)。对影像查房的评价总体呈积极态度,所有组中的绝大多数人都认为影像查房改善了教育、沟通和患者护理。

结论

由住院医师主导的影像查房为改善沟通、教育和患者护理提供了宝贵机会。我们创建了一个具有可持续工作流程的CIR,该流程允许进行直接且定期安排的影像医学会诊,这受到放射科医生和内科医生的重视,提高了患者护理质量,并为我们的放射科住院医师提供了基于价值医疗的教育。

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