Current problems in diagnostic radiology最新文献

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Implementing a competency based medical education curriculum in diagnostic radiology: Challenges and Pearls of Wisdom. 在诊断放射学中实施以能力为基础的医学教育课程：挑战与智慧之珠。

Current problems in diagnostic radiology Pub Date : 2025-01-23 DOI: 10.1067/j.cpradiol.2025.01.012

Christina Rogoza, Sijyl Fasih, Benjamin Y M Kwan

{"title":"Implementing a competency based medical education curriculum in diagnostic radiology: Challenges and Pearls of Wisdom.","authors":"Christina Rogoza, Sijyl Fasih, Benjamin Y M Kwan","doi":"10.1067/j.cpradiol.2025.01.012","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.01.012","url":null,"abstract":"In 2014, The Royal College of Physicians and Surgeons of Canada (RCPSC) began a national initiative to rollout Competency-Based Medical Education (CBME) for all postgraduate medical programs. This represents a paradigm shift in the approach to resident training and transformative changes on many levels. In 2017, the department of Diagnostic Radiology at Queen's University became an early adopter of the CBME training model. The department began curricular planning using program specific Entrustable Professional Activities (EPAs), milestones based on the CanMeds roles, and an assessment framework. Associated processes were created to support implementation, with formation of a new competence committee, structure and process for academic advisors, and faculty development. In July 2018, the model was implemented using an electronic portfolio system, Elentra. In July 2022, the RCPSC launched the national implementation of their CBME CBD model, which was implemented for the incoming cohorts in the department of Diagnostic Radiology. Drawing from CBME implementation in the department of Diagnostic Radiology at Queen's University, we highlight the challenges encountered at our institution, methods for addressing these challenges, and corresponding outcomes. From our experience, we aim to provide a roadmap for the reader that will aid in planning for CBME implementation at other institutions.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Mismatch in productivity calculated from wRVU metric and the actual number of images in musculoskeletal radiographic studies. 根据wRVU度量计算的生产力与肌肉骨骼放射学研究中实际图像数量的不匹配。

Current problems in diagnostic radiology Pub Date : 2025-01-14 DOI: 10.1067/j.cpradiol.2025.01.001

Oganes Ashikyan, Alex Zhu, Travis Browning, Cecilia Brewington, Avneesh Chhabra

{"title":"Mismatch in productivity calculated from wRVU metric and the actual number of images in musculoskeletal radiographic studies.","authors":"Oganes Ashikyan, Alex Zhu, Travis Browning, Cecilia Brewington, Avneesh Chhabra","doi":"10.1067/j.cpradiol.2025.01.001","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.01.001","url":null,"abstract":"The work relative value unit (wRVU) measures the physician's work involved in performing a service and is commonly used to quantify physician productivity. A critical component factored in wRVUs is the time required to perform a service. In musculoskeletal radiology, this time correlates directly with the number of images produced per radiograph. The purpose of this project was to evaluate whether the actual number of acquired images matches the number of views indicated in musculoskeletal radiographs CPT code descriptions. A query of our internal database returned 76,204 musculoskeletal radiograph reports. 440 random radiographs were reviewed to evaluate variability in the number of images obtained. This sample consisted of ten studies from each of the forty-four musculoskeletal codes. We recorded the number of actual images obtained. 242 studies from the safety net health care system and 198 studies from the university associated hospitals and clinics were evaluated. Seventy-five studies (31 %) were found to have mismatched number of images among the 242 studies from the safety net health care system. Sixty-six studies (33 %) were found to have mismatched number of images among the 198 studies sample from university associated tertiary care system. There was significant difference between the extra images obtained at two different health care systems (p < 0.001). There were more studies with extra images in the safety net system compared to the university hospital. The commonly used wRVU metric has broad variability in the assessment of work productivity for musculoskeletal radiographs given the variance in the number of images obtained.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiology quick cash? Kickbacks, compliance, and consequences. 放射科快速赚钱？回扣、合规性和后果。

Current problems in diagnostic radiology Pub Date : 2024-11-01 Epub Date: 2024-05-07 DOI: 10.1067/j.cpradiol.2024.05.020

Robert Optican, Richard Duszak

引用次数: 0

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