新冠疫情时代下实习医生和主治医生对远程放射学读片的看法。
Trainee and Attending Perspectives on Remote Radiology Readouts in the Era of the COVID-19 Pandemic.
机构信息
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.
出版信息
Acad Radiol. 2020 Aug;27(8):1147-1153. doi: 10.1016/j.acra.2020.05.019. Epub 2020 May 23.
RATIONALE AND OBJECTIVES
Social distancing mandates due to COVID-19 have necessitated adaptations to radiology trainee workflow and educational practices, including the radiology "readout." We describe how a large academic radiology department achieved socially distant "remote readouts," provide trainee and attending perspectives on this early experience, and propose ways by which "remote readouts" can be used effectively by training programs beyond COVID-19.
MATERIALS AND METHODS
Beginning March 2020, radiologists were relocated to workspaces outside of conventional reading rooms. Information technologies were employed to allow for "remote readouts" between trainees and attendings. An optional anonymous open-ended survey regarding remote readouts was administered to radiology trainees and attendings as a quality improvement initiative. From the responses, response themes were abstracted using thematic analysis. Descriptive statistics of the qualitative data were calculated.
RESULTS
Radiologist workstations from 14 traditional reading rooms were relocated to 36 workspaces across the hospital system. Two models of remote readouts, synchronous and asynchronous, were developed, facilitated by commercially available information technologies. Thirty-nine of 105 (37%) trainees and 42 of 90 (47%) attendings responded to the survey. Main response themes included: social distancing, technology, autonomy/competency, efficiency, education/feedback and atmosphere/professional relationship. One hundred and forty-eight positive versus 97 negative comments were reported. Social distancing, technology, and autonomy/competency were most positively rated. Trainees and attending perspectives differed regarding the efficiency of remote readouts.
CONCLUSION
"Remote readouts," compliant with social distancing measures, are feasible in academic radiology practice settings. Perspectives from our initial experience provide insight into how this can be accomplished, opportunities for improvement and future application, beyond the COVID-19 pandemic.
背景与目的
由于 COVID-19，社会隔离措施要求对放射科受训者的工作流程和教育实践进行调整，包括放射科的“读片”。我们描述了一家大型学术放射科部门如何实现社交距离的“远程读片”，提供受训者和主治医生对此早期经验的看法，并提出了培训计划在 COVID-19 之外有效使用“远程读片”的方法。
材料与方法
从 2020 年 3 月开始，放射科医生被重新安排到传统读片室外的工作空间。信息技术被用于在受训者和主治医生之间实现“远程读片”。作为一项质量改进举措，向放射科受训者和主治医生提供了一份关于远程读片的可选匿名开放式调查。从回复中，使用主题分析方法提取回复主题。对定性数据进行了描述性统计分析。
结果
14 个传统读片室的放射科医生工作站被重新安置到医院系统内的 36 个工作空间。通过商业上可用的信息技术，开发了两种远程读片模式，即同步和异步。105 名受训者中有 39 名（37%）和 90 名主治医生中有 42 名（47%）回复了调查。主要回复主题包括：社交距离、技术、自主权/能力、效率、教育/反馈和氛围/专业关系。报告了 148 条积极意见和 97 条消极意见。社交距离、技术和自主权/能力得到了高度评价。受训者和主治医生对远程读片的效率有不同看法。
结论
在学术放射科实践环境中，符合社交距离措施的“远程读片”是可行的。我们的初步经验提供了如何实现这一目标的见解，以及改进和未来应用的机会，不仅仅是在 COVID-19 大流行期间。
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