scholarly journals Challenges and opportunities to delivering cardiac imaging training: a national survey by the Italian college of cardiac radiology

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Marco Gatti ◽  
Carlo Liguori ◽  
Giuseppe Muscogiuri ◽  
Riccardo Faletti ◽  
Serena Dell’Aversana ◽  
...  
Keyword(s):  
Cardiac Imaging ◽  
Training Programs ◽  
Coronary Computed Tomography Angiography ◽  
Training Curriculum ◽  
Ct Scanner ◽  
University Hospitals ◽  
Web Based ◽  
Technical Requirements ◽  
Challenges And Opportunities ◽  
Imaging Training

Abstract Background Delivering consistent levels of training in cardiac imaging to radiologist is of pivotal importance because of the increasing clinical indications to coronary computed tomography angiography (CCTA) and cardiac magnetic resonance (CMR). Our study sought to capture the heterogeneity of cardiac imaging training programs and to explore residents’ vision on cardiac imaging both in the present and in the future. Methods Two web-based surveys were created. The first was administered to all chief residents from the 42 University Hospitals within Italy, aiming to explore the local educational offer in cardiac imaging. The second was administered via social media to all Italian residents, including questions about their overall vision regarding cardiac imaging. Results 42/42 University Hospitals responded to the first survey and 235 residents to the second. There was at least a 64-slice CT scanner and a 1.5 T MR scanner per center. In the majority of sites, the weekly routine consisted of more than 10 CCTA and more than 5 CMR. Approximately, half of the centers used advanced CCTA and CMR techniques. The majority of the interviewed resident (94%) perceived cardiac imaging training to be moderately to very important, while requirement for external educational resources was advocated in 25% of the cases. Conclusion Our survey highlighted a significant awareness of radiology residents regarding the importance of cardiac imaging in their training curriculum. All centers met the technical requirements for cardiac imaging, limiting its use to basic applications in around half of cases. Implementation of an educational network might be the key for supporting the growth of this subspecialty field.

Effective doses in subjects undergoing computed tomography cardiac imaging with the 256-multislice CT scanner

2008 ◽  
Vol 65 (3) ◽  
pp. 442-448 ◽  
Author(s):  
Shinichiro Mori ◽  
Kanae Nishizawa ◽  
Chisato Kondo ◽  
Mari Ohno ◽  
Keiichi Akahane ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cardiac Imaging ◽  
Multislice Ct ◽  
Ct Scanner ◽  
Effective Doses

Herramientas digitales para recolección, procesamiento y presentación de datos de campo como instrumento para afrontar la contingencia COVID-19

2021 ◽  
Vol 5 ◽  
pp. 96-104
Author(s):  
Didier Haid Alvarado Acosta
Keyword(s):  
Learning Curve ◽  
Training Programs ◽  
Communication Technologies ◽  
Field Work ◽  
Web Based ◽  
Face To Face ◽  
The Past ◽  
Online Platforms ◽  
Virtual Libraries ◽  
Different Types

In March of 2020, the COVID-19 outbreak forced people to lock themselves inside their homes and begin the process of transitioning from face-to-face activities at work, schools and universities to a 100 % virtual method. Even when Communication Technologies (ICT) and online platforms have seen growth over the past two decades, including various virtual libraries developed by database publishers or web-based training programs that appear to shorten the learning curve (Lee, Hong y Nian, 2002), many people were unprepared for this transition and all of them are now dedicated to entering the new reality. In this order of ideas, the activities that have traditionally required the assistance of the staff have had to adapt with the use of new tools, which meet daily needs. A clear example is the field work collection tasks. In this group, there are different types such as surveys, photographs, reviews or on-site inspections. The current work presents the use of tools for collecting, validating, analysing and presenting data remotely and in real time. All of them based on the ArcGIS Online platform.

scholarly journals Web-Based Simulation Environment for Vehicular Electrical Networks

Energies ◽  
2021 ◽  
Vol 14 (19) ◽  
pp. 6087
Author(s):  
Xavier Dominguez ◽  
Paola Mantilla-Pérez ◽  
Nuria Gimenez ◽  
Islam El-Sayed ◽  
Manuel Alberto Díaz Díaz Millán ◽  
...  
Keyword(s):  
Visual Analytics ◽  
Distribution Systems ◽  
Software Tool ◽  
Automatic Generation ◽  
Electrical Networks ◽  
Web Based ◽  
Electrical Distribution Systems ◽  
Technical Requirements ◽  
Information Interaction

For the validation of vehicular Electrical Distribution Systems (EDS), engineers are currently required to analyze disperse information regarding technical requirements, standards and datasheets. Moreover, an enormous effort takes place to elaborate testing plans that are representative for most EDS possible configurations. These experiments are followed by laborious data analysis. To diminish this workload and the need for physical resources, this work reports a simulation platform that centralizes the tasks for testing different EDS configurations and assists the early detection of inadequacies in the design process. A specific procedure is provided to develop a software tool intended for this aim. Moreover, the described functionalities are exemplified considering as a case study the main wire harness from a commercial vehicle. A web-based architecture has been employed in alignment with the ongoing software development revolution and thus provides flexibility for both, developers and users. Due to its scalability, the proposed software scheme can be extended to other web-based simulation applications. Furthermore, the automatic generation of electrical layouts for EDS is addressed to favor an intuitive understanding of the network. To favor human–information interaction, utilized visual analytics strategies are also discussed. Finally, full simulation workflows are exposed to provide further insights on the deployment of this type of computer platforms.

scholarly journals Physicians’ requirements and expectations of future Artificial Intelligence applications for healthcare – a web-based survey in German university hospitals (Preprint)

2020 ◽  
Author(s):  
Oliver Maassen ◽  
Sebastian Fritsch ◽  
Julia Gantner ◽  
Saskia Deffge ◽  
Julian Kunze ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Clinical Practice ◽  
Patient Care ◽  
Biomedical Research ◽  
Positive Attitude ◽  
Patient Data ◽  
University Hospitals ◽  
Web Based ◽  
Wide Range ◽  
Medical Disciplines

BACKGROUND The increasing development of artificial intelligence (AI) systems in medicine driven by researchers and entrepreneurs goes along with enormous expectations for medical care advancement. AI might change the clinical practice of physicians from almost all medical disciplines and in most areas of healthcare. While expectations for AI in medicine are high, practical implementations of AI for clinical practice are still scarce in Germany. Moreover, physicians’ requirements and expectations of AI in medicine and their opinion on the usage of anonymized patient data for clinical and biomedical research has not been investigated widely in German university hospitals. OBJECTIVE Evaluate physicians’ requirements and expectations of AI in medicine and their opinion on the secondary usage of patient data for (bio)medical research e.g. for the development of machine learning (ML) algorithms in university hospitals in Germany. METHODS A web-based survey was conducted addressing physicians of all medical disciplines in 8 German university hospitals. Answers were given on Likert scales and general demographic responses. Physicians were asked to participate locally via email in the respective hospitals. RESULTS 121 (39.9%) female and 173 (57.1%) male physicians (N=303) from a wide range of medical disciplines and work experience levels completed the online survey. The majority of respondents either had a positive (130/303, 42.9%) or a very positive attitude (82/303, 27.1%) towards AI in medicine. A vast majority of physicians expected the future of medicine to be a mix of human and artificial intelligence (273/303, 90.1%) but also requested a scientific evaluation before the routine implementation of AI-based systems (276/303, 91.1%). Physicians were most optimistic that AI applications would identify drug interactions (280/303, 92.4%) to improve patient care substantially but were quite reserved regarding AI-supported diagnosis of psychiatric diseases (62/303, 20.5%). 82.5% of respondents (250/303) agreed that there should be open access to anonymized patient databases for medical and biomedical research. CONCLUSIONS Physicians in stationary patient care in German university hospitals show a generally positive attitude towards using most AI applications in medicine. Along with this optimism, there come several expectations and hopes that AI will assist physicians in clinical decision making. Especially in fields of medicine where huge amounts of data are processed (e.g., imaging procedures in radiology and pathology) or data is collected continuously (e.g. cardiology and intensive care medicine), physicians’ expectations to substantially improve future patient care are high. However, for the practical usage of AI in healthcare regulatory and organizational challenges still have to be mastered.

Abstract W P269: Collaboration in the Emergency Department Improves Stroke Care

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Julie M Fussner ◽  
Kiefah Awadallah
Keyword(s):  
Emergency Department ◽  
Stroke Patient ◽  
Stroke Care ◽  
Ct Scanner ◽  
Patient Room ◽  
University Hospitals ◽  
Charge Nurse ◽  
Prioritization Process ◽  
Hand Off ◽  
Telephone Calls

Introduction: The purpose of this project is to improve the timeliness of stroke care at University Hospitals Comprehensive Stroke and Cerebrovascular Center (UHCSCC). Several projects were implemented in the Emergency Department (ED): Brain Attack (BAT) Lab Turnaround, ED Medic Role Revision, Standardized Handoff Tool and Dedicated Stroke Patient Room. Methods: First, the BAT lab project addressed the need to expedite lab results since there was no prioritization of specimens. Working with a multidisciplinary team including the ED Lab Quality committee, a new process was developed for the BAT labs using a colored requisition. Second, the ED Medic role was identified to assist with communication of incoming transfers At UHCSCC communication of all patients arriving by EMS or transfers from other facilities is directed through the UH Transfer Center. With an average of 150 patients arriving per day, this requires 8.1 hours of telephone calls placed to the ED charge nurse a month. Third, documentation of the handoff from transporting personnel was written inconsistently in multiple locations. A standardized hand off form was implemented for the nurse to obtain consistent and readily available information to provide efficient care for the stroke patient. Finally, when a new ED was built in 2011, a dedicated stroke room was designed with an attaching CT scanner to further improve the time of diagnosis for the stroke patient. Results: With the new prioritization process for lab specimens, the turnaround times dramatically improved. Average result times decreased by 23 minutes for CBC, 47 minutes for BMP and 35 minutes for PT/ INR. The Medic role revision decreased the telephone calls placed to the ED charge nurse by 5.5 hours a month to allow more time spent assisting with patient care. Handoff documentation improved from 33% to 90% compliance. Finally, in the new ED with the stroke room attached to the CT scanner, the average time from arrival to CT completion decreased from average of 32 to 20 minutes. Conclusions: The implementation of the BAT Lab Turnaround, ED Medic Role Revision, Standardized Handoff Tool and Dedicated Stroke Patient Room projects have all demonstrated that collaboration between the ED and other disciplines has improved the stroke care provided.

Developing a Competitive City through Healthy Decision-Making

2012 ◽  
pp. 808-822
Author(s):  
Ori Gudes ◽  
Elizabeth Kendall ◽  
Tan Yigitcanlar ◽  
Jung Hoon Han ◽  
Virendra Pathak
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Information Science ◽  
Health Planning ◽  
Healthy City ◽  
Web Based ◽  
Comprehensive Information ◽  
Challenges And Opportunities ◽  
Planning Methods ◽  
Information Framework

This chapter investigates the challenges and opportunities associated with planning for a competitive city. The chapter is based on the assumption that a healthy city is a fundamental prerequisite for a competitive city. Thus, it is critical to examine the local determinants of health and factor these into any planning efforts. The main focus of the chapter is on e-health planning by utilising Web-based geographic decision support systems. The proposed novel decision support system would provide a powerful and effective platform for stakeholders to access essential data for decision-making purposes. The chapter also highlights the need for a comprehensive information framework to guide the process of planning for healthy cities. Additionally, it discusses the prospects and constraints of such an approach. In summary, this chapter outlines the potential insights of using an information science-based framework and suggests practical planning methods as part of a broader e-health approach for improving the health characteristics of competitive cities.

Current status of pain medicine training in anesthesiology and pain medicine residency programs in university hospitals of Korea: a survey of residents’ opinions

2020 ◽  
Vol 45 (4) ◽  
pp. 283-286
Author(s):  
Jin Young Lee ◽  
Shin Hyung Kim ◽  
Yongjae Yoo ◽  
Seong Soo Choi ◽  
Sang Hun Kim ◽  
...  
Keyword(s):  
Survey Data ◽  
Training Programs ◽  
Training Period ◽  
Current Status ◽  
Pain Medicine ◽  
University Hospitals ◽  
Residency Programs ◽  
Level Of Satisfaction ◽  
Current Program ◽  
Second Year

BackgroundIn Korea, anesthesiologists are expected to be mainstream pain medicine (PM) practitioners. However, anesthesiology and pain medicine (APM) residency programs mostly emphasize anesthesia learning, leading to insufficient PM learning. Therefore, this study evaluated the current status of PM training in APM residency programs in 10 Korean university hospitals.MethodsOverall, 156 residents undergoing APM training participated anonymously in our survey, focusing on PM training. We assessed the aim, satisfaction status, duration, opinion on duration, desired duration, weaknesses of the training programs and plans of residents after graduating. We divided the residents into junior (first and second year) and senior (third and fourth year). Survey data were compared between groups.ResultsSenior showed significantly different level of satisfaction grade than did junior (p=0.026). Fifty-seven (81.4%) residents in junior and forty (46.5%) residents in senior underwent PM training for ≤2 months. Most (108; 69.2%) residents felt that the training period was too short for PM learning and 95 (60.9%) residents desired a training period of ≥6 months. The most commonly expressed weakness of the training was low interventional opportunity (29.7%), followed by short duration (26.6%). After residency, 80 (49.1%) residents planned to pursue a fellowship.ConclusionsDissatisfaction with PM training was probably due to a structural tendency of the current program towards anesthesia training and insufficient clinical experience, which needs to be rectified, with a change in PM curriculum.

scholarly journals The Revolution within a Revolution: Personal Experiences of a Young Interventional Radiologist

2019 ◽  
Vol 36 (01) ◽  
pp. 029-031
Author(s):  
Sonali Mehandru
Keyword(s):  
Interventional Radiology ◽  
Diagnostic Imaging ◽  
Paradigm Shift ◽  
Training Programs ◽  
Early Career ◽  
Outpatient Clinics ◽  
Clinical Model ◽  
Interventional Radiologist ◽  
Personal Experiences ◽  
Challenges And Opportunities

AbstractInterventional radiology (IR) has undergone a paradigm shift, and has become more clinically directed. This is particularly true with the new training programs, which are all required to have outpatient clinics, admitting services, and consult services within their hospitals. Despite these changes in education, however, many jobs still require a significant amount of diagnostic imaging work, and many established groups are reticent to allow the time and resources needed to pursue this clinical model of IR practice. This lack of support can lead to frustration for the early career interventional radiologist. This article describes the experience of one early career interventional radiologist, including some of the challenges and opportunities that have arisen from the recent changes in training.

The Importance of Continuing Education for Transplant Coordination Staff

2005 ◽  
Vol 15 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Ibrahim Tokalak ◽  
Remzi Emiroğlu ◽  
Hamdi Karakayali ◽  
Nevzat Bilgin ◽  
Mehmet Haberal
Keyword(s):  
Training Programs ◽  
Organ Procurement ◽  
Monitoring And Evaluation ◽  
Training Model ◽  
Further Education ◽  
Total Quality ◽  
University Hospitals ◽  
Continuous Quality ◽  
Service Training

Continuous quality improvement activities are necessary to achieve excellence at any institution. The Başkent University Hospitals have implemented continuous in-service training programs to improve all health services provided. Also, continuing medical education programs are being instituted in organ procurement and transplantation centers. In addition to receiving basic orientation and training upon hiring, transplant coordination staff complete forms that detail their current training status, further job training needed, and other courses of interest. The information is used to monitor skill levels, to determine the success of educational programs, and to identify further education that is needed. Our aim is to improve the quality of transplant coordination activities and increase organ donation at the hospitals in our network through effective monitoring and evaluation of continuous in-service training. These training programs enhance staff members' understanding of and participation in procedures related to transplantation and improves the total quality of the transplantation process. In the near future, this training model may be used to improve the donor hospital education program in Turkey.

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