加拿大多学科小组轮次模式和观点的CAR调查。

IF 3.7 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Kaitlin Zaki-Metias, Casey Hurrell, Elka Miller, David Volders, Tanya Chawla
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引用次数: 0

摘要

目的:本研究旨在评估加拿大放射科医生参加多学科小组轮次(MDT)时所面临的经验和挑战,重点关注人口统计学、会议特征、准备过程以及对工作量和报酬的看法。方法:加拿大放射科医师协会组成了一个工作组,制定了一项35个问题的调查,该调查分发给了加拿大各地的1958名放射科医师和放射科实习生。本次调查共收到129份完整回复,回复率为6.6%。结果:受访者主要在学术机构实习(65.9%),接受过亚专业培训(96.1%)。大多数报告说,MDT轮次持续了30至60分钟,讨论了6至10个病例。大多数放射科医生(62.8%)是唯一的影像学呈现者。准备时间往往有限,只有6.2%的学生有专门的准备时间。59.8%的答复者报告说,在会议之前的24小时内,案件数量增加了。93.8%的人重视与同事互动的机会,93.8%的人认为他们的努力没有得到充分的补偿,而92.3%的人认为他们的省没有得到充分的补偿。结论:虽然大多数放射科医生表示在查房期间有足够的时间进行讨论和有意义的临床参与,但许多人强调了重复的挑战,如最后一刻增加病例,缺乏保护的准备时间和技术障碍。系统性障碍也发挥了作用,包括缺乏省级薪酬和劳动力问题,这反过来影响个人工作量压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CAR Survey of Patterns and Perspectives on Multidisciplinary Team Rounds in Canada.

Purpose: This study aimed to assess the experiences and challenges faced by Canadian radiologists participating in Multidisciplinary Team rounds (MDT), with a focus on demographics, meeting characteristics, preparation processes, and perceptions of workload and compensation.

Methods: The Canadian Association of Radiologists constituted a working group which developed a 35-question survey that was distributed to 1958 radiologists and radiology trainees across Canada. The survey garnered 129 complete responses, for a response rate of 6.6%.

Results: Respondents predominantly practiced in academic settings (65.9%) and had subspecialty training (96.1%). The majority reported that MDT rounds lasted 30 to 60 minutes and discussed 6 to 10 cases. Most radiologists (62.8%) were the sole presenters of imaging. Preparation time was often limited, with only 6.2% having dedicated time for preparation. 59.8% of respondents reported receiving additions to caseloads within the 24-hour period prior to the meetings. While 93.8% valued the opportunity for interaction with colleagues, 93.8% felt inadequately compensated for their efforts by their practices, while 92.3% felt inadequately compensated by their province.

Conclusions: While most radiologists indicated adequate time for discussion and meaningful clinical engagement during rounds, many highlighted repeated challenges such as last-minute case additions, lack of protected preparation time, and technological barriers. Systemic barriers also play a role and include lack of provincial remuneration and workforce issues which in turn impact individual workload pressures.

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来源期刊
CiteScore
6.20
自引率
12.90%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Canadian Association of Radiologists Journal is a peer-reviewed, Medline-indexed publication that presents a broad scientific review of radiology in Canada. The Journal covers such topics as abdominal imaging, cardiovascular radiology, computed tomography, continuing professional development, education and training, gastrointestinal radiology, health policy and practice, magnetic resonance imaging, musculoskeletal radiology, neuroradiology, nuclear medicine, pediatric radiology, radiology history, radiology practice guidelines and advisories, thoracic and cardiac imaging, trauma and emergency room imaging, ultrasonography, and vascular and interventional radiology. Article types considered for publication include original research articles, critically appraised topics, review articles, guest editorials, pictorial essays, technical notes, and letter to the Editor.
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