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. 2020 Aug;27(8):1154-1161.
doi: 10.1016/j.acra.2020.05.021. Epub 2020 Jun 8.

Preserving Radiology Resident Education During the COVID-19 Pandemic: The Simulated Daily Readout

Michael P Recht  1 , Nancy R Fefferman  2 , Mark E Bittman  2 , Bari Dane  2 , Jan Fritz  2 , Jason C Hoffmann  2 , Joseph Hood  2 , Cecilia L Mercado  2 , Sonia Mahajan  2 , Monica M Sheth  2
Affiliations

Preserving Radiology Resident Education During the COVID-19 Pandemic: The Simulated Daily Readout

Michael P Recht et al. Acad Radiol. 2020 Aug.

Abstract

Rationale and objectives: The educational value of the daily resident readout, a vital component of resident training, has been markedly diminished due to a significant decrease in imaging volume and case mix diversity. The goal of this study was to create a "simulated" daily readout (SDR) to restore the educational value of the daily readout.

Materials and methods: To create the SDR the following tasks were performed; selection of cases for a daily worklist for each resident rotation, comprising a combination of normal and abnormal cases; determination of the correct number of cases and the appropriate mix of imaging modalities for each worklist; development of an "educational" environment consisting of separate "instances" of both our Picture Archive Communication System and reporting systems; and the anonymization of all of the cases on the worklists. Surveys of both residents and faculty involved in the SDR were performed to assess its effectiveness.

Results: Thirty-two residents participated in the SDR. The daily worklists for the first 20 days of the SDR included 3682 cases. An average of 480 cases per day was dictated by the residents. Surveys of the residents and the faculty involved in the SDR demonstrated that both agreed that the SDR effectively mimics a resident's daily work on rotations and preserves resident education during the Coronavirus Disease 2019 crisis.

Conclusion: The development of the SDR provided an effective method of preserving the educational value of the daily readout experience of radiology residents, despite severe decreases in imaging exam volume and case mix diversity during the Coronavirus Disease 2019 pandemic.

Keywords: Daily readout; Education; Residents; Simulation.

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Figures

Figure 1
Figure 1
Diverging stacked bar charts showing the rating distributions of residents and faculty on the negative impact of the COVID-19 crisis-related workflow changes on resident education and training. Both residents and faculty felt that radiology education and training experience for residents was negatively influenced by the COVID-19 crisis. There was no statistical difference between the answer distributions of residents and faculty (p = 0.94) (Color version of figure is available online.)
Figure 2
Figure 2
Diverging stacked bar charts demonstrating the rating distributions of resident anticipations before implementing the SDR (Color version of figure is available online.)
Figure 3
Figure 3
Diverging stacked bar charts showing the rating distributions of residents and faculty on how the SDR diminished the negative impact of the COVID-19 crisis-related workflow on resident education and training. Both residents and faculty felt strongly that SDR mitigated the negative impact of the COVID-19 induced changes on radiology education and training experience for residents. There was no statistically significant difference between the rating distributions of residents and attending physicians (p = 0.92) (Color version of figure is available online.)
Figure 4
Figure 4
Diverging stacked bar charts demonstrating the rating distributions of residents after implementing the SDR (Color version of figure is available online.)
Figure 5
Figure 5
Diverging stacked bar charts showing the rating distributions of faculty after implementing the SDR (Color version of figure is available online.)
See this image and copyright information in PMC

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