TY - JOUR
T1 - Web-based Radiology Subspecialty Training Program
T2 - Pilot Feasibility and Effectiveness Analysis on Ethiopian Radiologists
AU - Haj-Mirzaian, Arya
AU - Sethi, Nikita
AU - de Francesca, Brian
AU - Sahni, Sumedha
AU - Zaheer, Atif
N1 - Funding Information:
Authors are thankful for all colleagues and collaborators from the St. Paul's Hospital Millenium Medical College (SPHMMC) at Addis Ababa, Ethiopia; Johns Hopkins University (JHU); and Ver2 Digital Medicine who helped us in this study.
Publisher Copyright:
© 2019 The Association of University Radiologists
PY - 2020/2
Y1 - 2020/2
N2 - Rationale and Objectives: To investigate the feasibility and effectiveness of a novel web-based radiology subspecialty training program. Materials and Methods: Ten Ethiopian general radiologists were enrolled; each participant selected two out of four available subspecialty training programs including abdominal imaging, neuroradiology, chest imaging, and musculoskeletal imaging. Participants were trained simultaneously in 4-stages over 20-months remotely. The program contains online lectures (previously recorded), online interactive case reviews, learning modules, and one-month observership at Johns Hopkins University. Each subspecialty training program consisted of nearly 50 recorded lectures, 26 case reviews, and 40 modules, all provided by subspecialty-trained radiology faculty. Trainees were evaluated using pre- and postcourse multiple choice questions, and the effectiveness of the program was assessed by comparing pre- and postcourse performances using paired t test or Wilcoxon signed-rank test. Regression analysis was conducted to determine the association between the magnitude of score change and trainees’ age and years after graduation. Results: All programs including abdominal imaging (p < 0.001), neuroradiology (p < 0.001), chest imaging (p: 0.001), and musculoskeletal imagining (p = 0.001) led to significant improvements in participants’ knowledge (overall mean ± standard deviation of score change: +18.4% ± 11.4%). All stages of training including stage-1 (+29.3% ± 8.4%), stage-2 (+21.0% ± 8.0%), stage-3 (+15.0% ± 13.7%), and stage-4 (+17.0% ± 7.9%) significantly improved trainees’ scores; and the percent score change decreased with each stage. Regression analysis revealed that score improvement was not associated with age and years after residency training. Conclusion: Our newly developed web-based radiology subspecialty training program results in improved knowledge of radiologists. Implementation of web-based subspecialty training could be an effective and feasible method for institutions without subspecialty faculty and programs.
AB - Rationale and Objectives: To investigate the feasibility and effectiveness of a novel web-based radiology subspecialty training program. Materials and Methods: Ten Ethiopian general radiologists were enrolled; each participant selected two out of four available subspecialty training programs including abdominal imaging, neuroradiology, chest imaging, and musculoskeletal imaging. Participants were trained simultaneously in 4-stages over 20-months remotely. The program contains online lectures (previously recorded), online interactive case reviews, learning modules, and one-month observership at Johns Hopkins University. Each subspecialty training program consisted of nearly 50 recorded lectures, 26 case reviews, and 40 modules, all provided by subspecialty-trained radiology faculty. Trainees were evaluated using pre- and postcourse multiple choice questions, and the effectiveness of the program was assessed by comparing pre- and postcourse performances using paired t test or Wilcoxon signed-rank test. Regression analysis was conducted to determine the association between the magnitude of score change and trainees’ age and years after graduation. Results: All programs including abdominal imaging (p < 0.001), neuroradiology (p < 0.001), chest imaging (p: 0.001), and musculoskeletal imagining (p = 0.001) led to significant improvements in participants’ knowledge (overall mean ± standard deviation of score change: +18.4% ± 11.4%). All stages of training including stage-1 (+29.3% ± 8.4%), stage-2 (+21.0% ± 8.0%), stage-3 (+15.0% ± 13.7%), and stage-4 (+17.0% ± 7.9%) significantly improved trainees’ scores; and the percent score change decreased with each stage. Regression analysis revealed that score improvement was not associated with age and years after residency training. Conclusion: Our newly developed web-based radiology subspecialty training program results in improved knowledge of radiologists. Implementation of web-based subspecialty training could be an effective and feasible method for institutions without subspecialty faculty and programs.
KW - Education
KW - Radiology
KW - Radiology Subspecialty Training
KW - Web-based Training
UR - http://www.scopus.com/inward/record.url?scp=85065033429&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85065033429&partnerID=8YFLogxK
U2 - 10.1016/j.acra.2019.02.025
DO - 10.1016/j.acra.2019.02.025
M3 - Article
C2 - 31060981
AN - SCOPUS:85065033429
VL - 27
SP - 293
EP - 299
JO - Academic Radiology
JF - Academic Radiology
SN - 1076-6332
IS - 2
ER -