Multidisciplinary boards: Survey on the current situation and needs of Spanish radiologists.

Radiologia Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI:10.1016/j.rxeng.2024.04.003
A Viteri Jusué, P Puyalto de Pablo, L Concepción Aramendía, C García Villar
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Abstract

Introduction and objectives: The increasing participation of radiologists in multidisciplinary boards brings about advantages, challenges and specific needs. The aim of this paper is to identify the boards in which radiologists participate and to detect the needs, problems and opportunities that these boards pose for our specialty.

Methods and materials: The Spanish Society of Medical Radiology (SERAM) conducted an ad-hoc survey that was distributed among members and through social networks. The results were analysed with Stata® v14.2 (StataCorp, Texas, USA).

Results: Between 15 November 2022 and 24 December 2022, we received 743 anonymous responses with 93.7% coming from SERAM members (642 radiologists and 101 radiology trainees). Among the specialists, 82.7% regularly participate in one or more boards (92.5% oncology/50.7% non-oncology/43.3% both), which implies two or more meetings per week for 41.6% of the respondents. Both radiologists who regularly participate in boards and those who do not, are very positive about this aspect of professional activity and agree on its benefits. However, the specialists who do participate, lack enough allocated time and information to prepare cases prior to the meeting. Although attendance is often recorded (69.7%), it is generally not included in the work plan (20.5% of physicians and 30.8% of middle managers, p = 0.028). Regarding operational functioning, according to 46.9% of respondents there is no record of imaging tests reviewed, and the handling of discrepancies within radiology departments is poor (written recommendations and review sessions are only available to 14.3% and 7.7% of respondents respectively).

Conclusions: The radiologists surveyed report the high impact of multidisciplinary committees on their workload and clinical decisions. They mention a number of problems, some of which are specific to radiology, which can undermine efficiency and safety. These include work organisation, lack of time and problems of accessibility and the recording of imaging tests and other medical record data.

多学科委员会:西班牙放射科医师现状与需求调查。
导言和目标:放射科医生越来越多地参与多学科委员会的工作,这带来了优势、挑战和特殊需求。本文旨在确定放射科医师参与的委员会,并发现这些委员会为我们的专业带来的需求、问题和机遇:西班牙医学放射学会(SERAM)进行了一项临时调查,调查表通过社交网络在会员中分发。调查结果采用Stata® v14.2(StataCorp,美国德克萨斯州)进行分析:从 2022 年 11 月 15 日至 2022 年 12 月 24 日,我们共收到 743 份匿名回复,其中 93.7% 来自 SERAM 会员(642 名放射科医生和 101 名放射科实习生)。在这些专家中,82.7%定期参加一个或多个委员会(92.5%肿瘤学/50.7%非肿瘤学/43.3%两者都参加),这意味着41.6%的受访者每周参加两次或两次以上的会议。无论是定期参加委员会会议的放射科医生,还是不参加委员会会议的放射科医生,都对这方面的专业活动持非常积极的态度,并认同其益处。然而,参加会议的专家缺乏足够的时间和信息来准备会前病例。虽然经常记录出席情况(69.7%),但一般不列入工作计划(20.5%的医生和 30.8%的中层管理人员,p = 0.028)。在业务运作方面,46.9% 的受访者表示没有影像检查的审查记录,放射科内部对差异的处理也很差(分别只有 14.3% 和 7.7% 的受访者提供书面建议和审查会议):接受调查的放射科医生表示,多学科委员会对他们的工作量和临床决策影响很大。他们提到了一些问题,其中一些是放射科特有的问题,这些问题可能会影响效率和安全。这些问题包括工作组织、缺乏时间以及影像检查和其他医疗记录数据的可及性和记录问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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