Ryan A G, Slijepčević B, Cannavale A, Krokidis M, Chun J Y, de Baere T, Dezman R, Duvnjak S, Ruffino M A, Urbano J, Mahnken A H
University Hospital Waterford and Royal College of Surgeons in Ireland, Waterford, Ireland.
Cardiovascular and Interventional Radiological Society of Europe, Vienna, Austria.
Cardiovasc Intervent Radiol. 2024 Dec;47(12):1795-1800. doi: 10.1007/s00270-024-03858-y. Epub 2024 Oct 9.
Engaging in clinical service development is a prerequisite for Interventional Radiology (IR) to prosper as a full clinical discipline. The CIRSE Clinical Services in IR Task Force conducted a survey of CIRSE members worldwide to assess the current status of their clinical practice and to identify areas of practice requiring further support.
An online questionnaire with 63 structured items was sent to 7,501 CIRSE members in November 2023. The survey was closed in January 2024 and a statistical data analysis was performed.
A total of 520 complete responses were collected. 49.6% of respondents have an IR outpatient clinic, 34.5% have a dedicated IR day-case ward and 19.8% have dedicated inpatient beds. While 62% of respondents treat patients as the primary consultant responsible for their patients' care, 40.3% of respondents currently without their own beds have admitting rights to the hospital. Clinical practice activities are itemised in the work schedule of 41.3% of respondents and 45% routinely perform ward rounds. A total of 40% feel very positive with their personal clinical practice competency.
With half of responding IRs having primary patient access and clinical services in place, the results are encouraging; however further engagement by those who are not yet involved is required. The authors advocate a step-wise approach towards clinical services starting with ward rounds, and subsequently taking increasing responsibility for each step in the IR patient pathway.
开展临床服务发展是介入放射学(IR)作为一门完整的临床学科蓬勃发展的先决条件。IRSE介入放射学临床服务特别工作组对全球IRSE成员进行了一项调查,以评估他们临床实践的现状,并确定需要进一步支持的实践领域。
2023年11月,向7501名IRSE成员发送了一份包含63个结构化条目的在线问卷。调查于2024年1月结束,并进行了统计数据分析。
共收集到520份完整回复。49.6%的受访者设有IR门诊,34.5%设有专门的IR日间病房,19.8%设有专门的住院床位。虽然62%的受访者作为主要顾问负责患者护理,但目前没有自己床位的受访者中有40.3%拥有医院的收治权。41.3%的受访者在工作时间表中列出了临床实践活动,45%的受访者定期进行查房。共有40%的人对自己的个人临床实践能力非常满意。
半数回复的介入放射科拥有直接接触患者和临床服务,结果令人鼓舞;然而,尚未参与的人员需要进一步参与。作者提倡采用逐步推进临床服务的方法,从查房开始,随后在介入放射学患者诊疗路径的每一步承担更多责任。