Trainee and Attending Perspectives on Remote Radiology Readouts in the Era of the COVID-19 Pandemic

Shanna A Matalon; Daniel A T Souza; Glenn C Gaviola; Stuart G Silverman; William W Mayo-Smith; Leslie K Lee

doi:10.1016/j.acra.2020.05.019

Trainee and Attending Perspectives on Remote Radiology Readouts in the Era of the COVID-19 Pandemic

Acad Radiol. 2020 Aug;27(8):1147-1153. doi: 10.1016/j.acra.2020.05.019. Epub 2020 May 23.

Authors

Shanna A Matalon¹, Daniel A T Souza², Glenn C Gaviola², Stuart G Silverman², William W Mayo-Smith², Leslie K Lee²

Affiliations

¹ Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115. Electronic address: smatalon@bwh.harvard.edu.
² Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.

Abstract

Rationale and objectives: Social distancing mandates due to COVID-19 have necessitated adaptations to radiology trainee workflow and educational practices, including the radiology "readout." We describe how a large academic radiology department achieved socially distant "remote readouts," provide trainee and attending perspectives on this early experience, and propose ways by which "remote readouts" can be used effectively by training programs beyond COVID-19.

Materials and methods: Beginning March 2020, radiologists were relocated to workspaces outside of conventional reading rooms. Information technologies were employed to allow for "remote readouts" between trainees and attendings. An optional anonymous open-ended survey regarding remote readouts was administered to radiology trainees and attendings as a quality improvement initiative. From the responses, response themes were abstracted using thematic analysis. Descriptive statistics of the qualitative data were calculated.

Results: Radiologist workstations from 14 traditional reading rooms were relocated to 36 workspaces across the hospital system. Two models of remote readouts, synchronous and asynchronous, were developed, facilitated by commercially available information technologies. Thirty-nine of 105 (37%) trainees and 42 of 90 (47%) attendings responded to the survey. Main response themes included: social distancing, technology, autonomy/competency, efficiency, education/feedback and atmosphere/professional relationship. One hundred and forty-eight positive versus 97 negative comments were reported. Social distancing, technology, and autonomy/competency were most positively rated. Trainees and attending perspectives differed regarding the efficiency of remote readouts.

Conclusion: "Remote readouts," compliant with social distancing measures, are feasible in academic radiology practice settings. Perspectives from our initial experience provide insight into how this can be accomplished, opportunities for improvement and future application, beyond the COVID-19 pandemic.

Keywords: Asynchronous readout; COVID-19; Coronavirus; Radiology readout; Social distancing.

MeSH terms

Betacoronavirus
COVID-19
Coronavirus Infections* / epidemiology
Coronavirus Infections* / prevention & control
Education / methods
Education / organization & administration
Education, Distance* / methods
Education, Distance* / trends
Efficiency, Organizational
Humans
Pandemics* / prevention & control
Pneumonia, Viral* / epidemiology
Pneumonia, Viral* / prevention & control
Radiography / methods*
Radiology / education*
SARS-CoV-2