scholarly journals Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

2020 ◽  
Author(s):  
Su Hwan Kim ◽  
Lara M. Sobez ◽  
Judith E. Spiro ◽  
Adrian Curta ◽  
Felix Ceelen ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Decision Making ◽  
Dual Energy ◽  
Structured Reporting ◽  
Free Text ◽  
X Ray ◽  
Report Quality ◽  
Radiology Residents ◽  
Referring Physicians ◽  
The Impact

Abstract Background In recent years, structured reporting has been shown to be beneficial with regard to report completeness and clinical decision-making as compared to free-text reports (FTR). However, the impact of structured reporting on reporting efficiency has not been thoroughly evaluted yet. The aim of this study was to compare reporting times and report quality of structured reports (SR) to conventional free-text reports of dual-energy x-ray absorptiometry exams (DXA). Methods FTRs and SRs of DXA were retrospectively generated by 2 radiology residents and 2 final-year medical students. Time was measured from the first view of the exam until the report was saved. A random sample of DXA reports was selected and sent to 2 referring physicians for further evaluation of report quality. Results A total of 104 DXA reports (both FTRs and SRs) were generated and 48 randomly selected reports were evaluated by referring physicians. Reporting times were shorter for SRs in both radiology residents and medical students with median reporting times of 2.7 min (residents: 2.7, medical students: 2.7) for SRs and 6.1 min (residents: 5.0, medical students: 7.5) for FTRs. Information extraction was perceived to be significantly easier from SRs vs FTRs (P<0.001). SRs were rated to answer the clinical question significantly better than FTRs (P<0.007). Overall report quality was rated significantly higher for SRs compared to FTRs (P<0.001) with 96% of SRs vs 79% of FTRs receiving high or very high-quality ratings. All readers except for one resident preferred structured reporting over free-text reporting and both referring clinicians preferred SRs over FTRs for DXA. Conclusions Template-based structured reporting of DXA might lead to shorter reporting times and increased report quality.

scholarly journals Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

2020 ◽  
Author(s):  
Su Hwan Kim ◽  
Lara M. Sobez ◽  
Judith E. Spiro ◽  
Adrian Curta ◽  
Felix Ceelen ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Decision Making ◽  
Dual Energy ◽  
Structured Reporting ◽  
Free Text ◽  
X Ray ◽  
Report Quality ◽  
Radiology Residents ◽  
Referring Physicians ◽  
The Impact

Abstract Background In recent years, structured reporting has been shown to be beneficial with regard to report completeness and clinical decision-making as compared to free-text reports (FTR). However, the impact of structured reporting on reporting efficiency has not been thoroughly evaluted yet. The aim of this study was to compare reporting times and report quality of structured reports (SR) to conventional free-text reports of dual-energy x-ray absorptiometry exams (DXA). Methods FTRs and SRs of DXA were retrospectively generated by 2 radiology residents and 2 final-year medical students. Time was measured from the first view of the exam until the report was saved. A random sample of DXA reports was selected and sent to 2 referring physicians for further evaluation of report quality. Results A total of 104 DXA reports (both FTRs and SRs) were generated and 48 randomly selected reports were evaluated by referring physicians. Reporting times were shorter for SRs in both radiology residents and medical students with median reporting times of 2.7 min (residents: 2.7, medical students: 2.7) for SRs and 6.1 min (residents: 5.0, medical students: 7.5) for FTRs. Information extraction was perceived to be significantly easier from SRs vs FTRs (P<0.001). SRs were rated to answer the clinical question significantly better than FTRs (P<0.007). Overall report quality was rated significantly higher for SRs compared to FTRs (P<0.001) with 96% of SRs vs 79% of FTRs receiving high or very high-quality ratings. All readers except for one resident preferred structured reporting over free-text reporting and both referring clinicians preferred SRs over FTRs for DXA. Conclusions Template-based structured reporting of DXA might lead to shorter reporting times and increased report quality.

scholarly journals Structured Reporting Using CEUS LI-RADS for the Diagnosis of Hepatocellular Carcinoma (HCC)—Impact and Advantages on Report Integrity, Quality and Interdisciplinary Communication

Cancers ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 534
Author(s):  
Thomas Geyer ◽  
Johannes Rübenthaler ◽  
Constantin Marschner ◽  
Malte von Hake ◽  
Matthias P. Fabritius ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Information Extraction ◽  
Interdisciplinary Communication ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Structured Reporting ◽  
Free Text ◽  
Report Quality ◽  
Quality Of Reports ◽  
The Impact

Background: Our retrospective single-center study aims to evaluate the impact of structured reporting (SR) using a CEUS LI-RADS template on report quality compared to conventional free-text reporting (FTR) in contrast-enhanced ultrasound (CEUS) for the diagnosis of hepatocellular carcinoma (HCC). Methods: We included 50 patients who underwent CEUS for HCC staging. FTR created after these examinations were compared to SR retrospectively generated by using template-based online software with clickable decision trees. The reports were evaluated regarding report completeness, information extraction, linguistic quality and overall report quality by two readers specialized in internal medicine and visceral surgery. Results: SR significantly increased report completeness with at least one key feature missing in 31% of FTR vs. 2% of SR (p < 0.001). Information extraction was considered easy in 98% of SR vs. 86% of FTR (p = 0.004). The trust of referring physicians in the report was significantly increased by SR with a mean of 5.68 for SR vs. 4.96 for FTR (p < 0.001). SR received significantly higher ratings regarding linguistic quality (5.79 for SR vs. 4.83 for FTR (p < 0.001)) and overall report quality (5.75 for SR vs. 5.01 for FTR (p < 0.001)). Conclusions: Using SR instead of conventional FTR increases the overall quality of reports in CEUS examinations of HCC patients and may represent a valuable tool to facilitate clinical decision-making and improve interdisciplinary communication in the future.

Factors Influencing Trainees’ Interest in Breast Imaging

2021 ◽  
pp. 084653712110495
Author(s):  
Tong Wu ◽  
Wyanne Law ◽  
Nayaar Islam ◽  
Charlotte J. Yong-Hing ◽  
Supriya Kulkarni ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Medical Students ◽  
Breast Imaging ◽  
Current Level ◽  
Common Reason ◽  
Training Level ◽  
Chi Square ◽  
Factors Influencing ◽  
Radiology Residents ◽  
The Impact

Purpose: To gauge the level of interest in breast imaging (BI) and determine factors impacting trainees’ decision to pursue this subspecialty. Methods: Canadian radiology residents and medical students were surveyed from November 2020 to February 2021. Training level, actual vs preferred timing of breast rotations, fellowship choices, perceptions of BI, and how artificial intelligence (AI) will impact BI were collected. Chi-square, Fisher’s exact tests and univariate logistic regression were performed to determine the impact of trainees’ perceptions on interest in pursuing BI/women’s imaging (WI) fellowships. Results: 157 responses from 80 radiology residents and 77 medical students were collected. The top 3 fellowship subspecialties desired by residents were BI/WI (36%), abdominal imaging (35%), and interventional radiology (25%). Twenty-five percent of the medical students were unsure due to lack of exposure. The most common reason that trainees found BI unappealing was repetitiveness (20%), which was associated with lack of interest in BI/WI fellowships (OR = 3.9, 95% CI: 1.6-9.5, P = .002). The most common reason residents found BI appealing was procedures (59%), which was associated with interest in BI/WI fellowships (OR, 3.2, 95% CI, 1.2-8.6, P = .02). Forty percent of residents reported an earlier start of their first breast rotation (PGY1-2) would affect their fellowship choice. Conclusion: This study assessed the current level of Canadian trainees’ interest in BI and identified factors that influenced their decisions to pursue BI. Solutions for increased interest include earlier exposure to breast radiology and addressing inadequacies in residency training.

scholarly journals SP2.2.9Using high fidelity simulation to improve hospital-based medical student education

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Marc Huttman ◽  
Hui Fen Koo ◽  
Charlotte Boardman ◽  
Michael Saunders
Keyword(s):  
Medical Students ◽  
Clinical Decision Making ◽  
Medical Student Education ◽  
District General Hospital ◽  
Clinical Decision ◽  
Free Text ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Qualitative Feedback ◽  
Before And After

Abstract Introduction The evidence shows that experiential learning has multiple benefits in preparing medical students for foundation training. An immersive ‘on call simulation’ session was designed for final-year medical students at a district general hospital. The aim of this project was to assess how beneficial the sessions were and how they can be improved. Methods Pairs of students received 12 bleeps over 2 hours directing them to wards where mock patient folders were placed. Students prioritised bleeps involving deteriorating patients, chasing results and dealing with nursing queries. Simulated senior input was available from the session facilitator. A structured debrief session allowed discussion of each case. Quantitative feedback was gathered using a sliding scale (measured in percentage) for confidence before and after the session. Qualitative feedback was gathered using a free-text box. Results Four sessions were held between October 2020 and January 2021 for a total of 28 students, of which 26 provided feedback. Average confidence increased from 38% to 66%. 96% of students were ‘extremely satisfied’ with the session. Feedback included: “Incredibly immersive and fun” and “I was made to think through my priorities and decisions”. Improvements could be made by using actors/mannequins to simulate unwell patients and by use of skills models. Conclusion High fidelity simulation training is valuable and should be considered a standard part of the student curriculum. It is particularly suited to final year students who have the required clinical knowledge for foundation training but are still developing confidence in clinical decision making and prioritisation.

Simulation of Pediatric Life-Threatening Emergency Scenarios (SimPLES): The Development, Implementation, and Evaluation of an Undergraduate Immersive Simulation-Based Educational Intervention

2020 ◽  
Vol 19 (3) ◽  
Author(s):  
Prashant Kumar ◽  
Simon Chitnis ◽  
Louise Lawrence ◽  
Niamh Langasco ◽  
Neil McGowan
Keyword(s):  
Medical Students ◽  
Pediatric Patients ◽  
Course Design ◽  
Medical Training ◽  
Technical Skills ◽  
Free Text ◽  
Simulation Based ◽  
Clinical Workplace ◽  
Emergency Scenarios ◽  
The Impact

Background: Clinical exposure to acutely unwell pediatric patients is often limited during undergraduate medical training. Although limited within undergraduate pediatric curricula, simulation-based education (SBE) offers a tool with which such exposure can be achieved in a safe and effective learning environment. This study describes the development, implementation, and evaluation of an undergraduate multi-center immersive pediatric SBE course. Objectives: We sought to increase medical students’ exposure to acutely unwell pediatric patients and provide practical experience to improve their understanding of the importance of non-technical skills within the clinical workplace, such as teamwork, communication skills, leadership, and situational awareness. Furthermore, we sought to evaluate the impact on students’ confidence in assessing and managing acutely unwell pediatric patients while exploring their perceptions and opinions of the course. Methods: The present study included all final-year students who were on a pediatric clinical placement during the study period. Tutorials on pediatric A-E assessment and fluid management were followed by a series of immersive simulation scenarios and structured debriefs, concentrating on the importance of non-technical skills in the clinical workplace. Also, some mini-tutorials were incorporated into the course design, focussing on the technical and pathophysiological aspects of each presentation. We employed a mixed-method research methodology to evaluate the impact of the course. Also, anonymized post-course and free-text feedback was sought to explore students’ experiences and perceptions of the course. Results: All 80 students completed the pre and post-course confidence questionnaires, reporting statistically significant improvements in confidence across all 11 domains tested. Thematic analysis of the qualitative data identified six core themes: knowledge acquisition, the value of debriefing, the importance of non-technical skills, the value of faculty expertise, the value of repeated practice, and opportunities for exposure to pediatrics. The innovative post-scenario mini-tutorials were favorably received. Conclusions: Our study shows that immersive SBE can improve medical students’ confidence in managing pediatric emergency scenarios. Also, incorporating mini-tutorials within an immersive simulation course design in an undergraduate setting can be helpful and well received by students.

Effect of Trunk Segment Boundary Definitions on Frontal Plane Segment Inertial Calculations

2018 ◽  
Vol 34 (3) ◽  
pp. 232-235 ◽  
Author(s):  
Zachary Merrill ◽  
Grace Bova ◽  
April Chambers ◽  
Rakié Cham
Keyword(s):  
Center Of Mass ◽  
Frontal Plane ◽  
Dual Energy ◽  
Segment Length ◽  
Radius Of Gyration ◽  
Morbidly Obese ◽  
Mass Center ◽  
X Ray ◽  
Trunk Segment ◽  
The Impact

When defining trunk body segment parameters, such as segment length, mass, center of mass location, and radius of gyration, it is necessary to understand and define consistent, anatomically relevant segment boundaries. In addition to the differences in reported trunk parameters due to different data collection and analysis methods (such as cadaver studies and imaging methods), many previous publications have also used differing definitions of the trunk segment. The objective of this study was to determine the effect of differences in trunk segment definitions and obesity on the calculated mass, center of mass, and radius of gyration using dual-energy X-ray absorptiometry anthropometry calculations. Twenty-three participants were recruited in normal weight and morbidly obese body mass index categories. A frontal plane dual-energy X-ray absorptiometry scan was taken of each participant, and 3 trunk segment delineations used by Chambers, de Leva, and Zatsiorsky were used to calculate the trunk parameters. The results showed statistically significant effects of segmentation definition and obesity on the trunk parameters calculated. Because of the potential impacts on static modeling and inverse dynamics calculations, it is important to determine which trunk segmentations are most appropriate for specific applications and to account for the impact of obesity within individuals.

THE IMPACT OF NUTRITIONAL STATUS ON BODY FAT DISTRIBUTION PATTERNS IN PRE- AND POSTMENOPAUSAL FEMALES

1998 ◽  
Vol 30 (2) ◽  
pp. 145-154 ◽  
Author(s):  
S. KIRCHENGAST ◽  
D. GRUBER ◽  
M. SATOR ◽  
W. KNOGLER ◽  
J. HUBER
Keyword(s):  
Nutritional Status ◽  
Body Fat ◽  
Menopausal Status ◽  
Distribution Patterns ◽  
Fat Distribution ◽  
Dual Energy ◽  
Lower Body ◽  
X Ray ◽  
Low Weight ◽  
The Impact

This study examines the impact of nutritional status, classified by body mass index, on sex specific fat distribution patterns dependent on menopausal status in 467 pre-, peri- or postmenopausal females. Absolute and relative amounts of upper and lower body fat were estimated by means of dual energy X-ray absorptiometry. It was found that low weight, independent of menopausal status, leads to the typical gynoid pattern of fat distribution while excess weight and obesity result in the android pattern of distribution in pre- and postmenopausal women.

scholarly journals 152 Transition to residency - Evaluation of a novel bootcamp for incoming paediatric residents

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e104-e105
Author(s):  
Kathryn Hynes ◽  
Mia Remington
Keyword(s):  
Medical Students ◽  
Sudden Change ◽  
Hospital Medicine ◽  
Free Text ◽  
Learning Context ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Comfort Levels ◽  
New Residents ◽  
The Impact

Abstract Primary Subject area Medical Education Background In 2020, medical students experienced a sudden change in their learning context due to the COVID-19 pandemic. University policies and public health recommendations removed medical students from their clinical learning environments. Given this shift from work-based learning, incoming residents and educators alike were wary of the impact on residency readiness. With the current context in mind, and with an approaching CBD launch, the UBC Pediatrics training program developed a bootcamp curriculum in an attempt to ease residency transition. This month-long rotation included instruction and experiential learning in all CanMED roles, with heavy focus on medical expert, communication and collaboration skills required of new residents. Wellness topics were also included given the additional stressors associated with the pandemic. Objectives 1). Develop a novel bootcamp curriculum for incoming pediatrics residents with a focus on all CanMED roles in the context of the unique learning constraints during the COVID-19 pandemic. 2). Use cross-sectional survey data to assess comfort levels of new pediatrics residents in all CanMED roles prior to, and after, participating in bootcamp. 3). Discuss implications for medical educators in transitioning new residents into their role, given current limitations imposed by the pandemic. Design/Methods We created and distributed a cross-sectional survey to 19 incoming pediatric residents through a secure online platform (RedCAP). Using a 5-point likert scale, survey questions focused on assessing resident comfort levels with competencies from all CanMED roles prior to, and after, participating in bootcamp. Free text comments were included to expand on quantitative data. Results Response rate was 100% (19/19) for pre-bootcamp surveys, and 84% (16/19) for post-bootcamp surveys. Prior to residency, respondents reported feeling uncomfortable with physical exam skills, pediatric hospital medicine and procedures. After the bootcamp block, participants noted increased comfort with medical management in acute care settings (for example, approach to pediatric cardiac arrest), procedural skills such as LPs, and managing common on call problems (for example, electrolyte disturbances and antibiotics). In free text comments, simulation training was highlighted as being particularly important for building communication and teamwork skills. Trainees seemed to find enjoyment in learning new wellness techniques such as mindfulness and narrative medicine. Residents also noted increased social connection within the group. Conclusion Our results suggest that during a period of heightened vulnerability, purposeful attention to transitioning new residents into their new role through a bootcamp rotation provided increased comfort and confidence in many CanMED roles. Furthermore, residents endorsed increased cohesion and acknowledged the social benefits of participating in team-based learning, a particularly important and potentially protective outcome given current limitations imposed by the pandemic.

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