一家三级心胸中心放射专科培训的长期质量改进。

Monika Radikė, Marousa Ntouskou
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引用次数: 0

摘要

目标本质量改进项目(QIP)旨在促进地区三级心胸中心的放射学培训,因为该中心的学员满意度非常低:为了研究问题并及时干预,我们采用了多种方法,包括当地反馈调查、安置重组、鼓励顾问培训成为认证督导,随后创建了部门教育门户网站,并启动了外部资助的客座研究员和受薪临床研究员计划。对地区评级进行了监测。分发了地方反馈调查表,并使用描述性统计进行了分析。在实施质量改进计划的同时,还扩大了服务范围:结果:2 年内,该培训点的地区排名为 9/19。当地调查反馈(53 份)显示,服务水平不断提高;对心胸外科亚专科的兴趣(+39%)和审计/学术参与(+36%)有所增加。完成了多个研究金项目;商定了在国际上享有盛誉的实习地点。大多数顾问接受了督导培训。由于需求增加,强制性院长职位改为激励性职位,并提供了一个额外的受薪职位。五名研究员作为亚专科顾问留在了该地区。意料之外的挑战包括服务扩展带来的空间和工作站损失、2019 年以来缺乏地区调查以及全球大流行。无论如何,结果是积极的,亚专科的兴趣和预计的声誉效应增加了。当地的长期调查为发现改进领域提供了可持续的数据:结论:鉴于全国放射科医生短缺,该质量改进项目显示了类似干预措施可能产生的积极影响,包括劳动力保留/招聘,从而改善患者护理:知识的进步:持续反馈和质量改进维护对提高本地和其他地区的培训质量很有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-term quality improvement in radiology specialty training at a tertiary cardiothoracic centre.

Objectives: This quality improvement project (QIP) aimed to foster radiology training at a regional tertiary cardiothoracic centre that had very low trainee satisfaction rankings.

Methods: To study the problem and intervene timely, multiple methods were applied, including a local feedback survey, placement reorganisation, consultant encouragement to train as accredited supervisors, followed by departmental education portal creation and start of externally funded Visiting Fellowships and salaried Clinical Fellowships. The regional rating was monitored. The local feedback survey was distributed and analysed using descriptive statistics. Alongside the QIP, service expansion occurred.

Results: The site regionally ranked 9/19 in 2 years. Local survey responses (53) showed continuous improvement; cardiothoracic subspecialty interest (+39%) and audit/academic involvement (+36%) increased. Multiple Fellowships were completed; internationally reputable placements were agreed upon. Most consultants trained as supervisors. Per increased demand, compulsory deanery posts were changed to motivation-based, and an additional salaried position was offered. Five fellows stayed in the region as subspecialist consultants. Unexpected challenges included space and workstation loss with service expansion, lack of regional surveys since 2019, and the global pandemic. Regardless, the results were positive with subspecialty interest and projected reputational effect increase. Local long-term survey provided sustainable data in detecting improvement areas.

Conclusions: Given the national radiologist shortage, this quality improvement project shows a possible positive impact of similar interventions, including workforce retention/recruitment and thus improving patient care.

Advances in knowledge: Continuous feedback and quality improvement maintenance are valuable to enhance training quality locally and beyond.

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