Salama Gayle R, Sullivan Courtney, Holzwanger Daniel, Giambrone Ashley E, Min Robert J, Hentel Keith D
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.
Acad Radiol. 2017 Sep;24(9):1175-1181. doi: 10.1016/j.acra.2017.01.023. Epub 2017 Apr 6.
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.
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.
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.
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.
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。
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。
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。
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。