It is About 'Time': Academic Neuroradiologist Time Distribution for Interpreting Brain MRIs
| Autor: | Suyash Mohan, Mohammad Salehi Sadaghiani, Ilya M. Nasrallah, R. Nick Bryan, Altaib Al Yassin |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Time Factors Academic practice Draft report Time distribution Neuroimaging Efficiency Neuroradiologist Medical Records 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Radiologists medicine Humans Radiology Nuclear Medicine and imaging Brain magnetic resonance imaging Fellowships and Scholarships Brain Diseases business.industry Internship and Residency Workload Magnetic Resonance Imaging Time and Motion Studies Physical therapy Observational study Report generation Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Academic Radiology. 25:1521-1525 |
| ISSN: | 1076-6332 |
| DOI: | 10.1016/j.acra.2018.04.014 |
| Popis: | Rationale and Objectives Efficiency is central to current radiology practice. Knowledge of report generation timing is essential for workload optimization and departmental staffing decisions. Yet little research evaluates the distribution of activities performed by neuroradiologists in daily work. Materials and Methods This observational study tracked radiologists interpreting 358 brain magnetic resonance imaging (MRI) in an academic practice over 9 months. We measured the total duration from study opening to report signing and times for five activities performed during this period: image viewing, report transcription, obtaining clinical data, education, and other. Attendings, fellows, and residents reading studies independently and attendings over-reading trainee-previewed studies were observed. Results Ten attendings, 12 fellows, and 13 residents spent a mean of 11, 18, and 16 minutes reading brain MRIs independently. Mean duration was significantly different comparing attendings in all assignments to fellows (18.36 ± 1.05 minutes, p = 0.0001) or residents (16.31 ± 1.11 minutes, p = 0.001) but not between fellows/residents. Mean duration among attendings reading independently versus over-reading trainees was not statistically different. Attendings spent the same time on image viewing (4.07–5.33 minutes) with or without trainees. Attending transcription time was shortest when over-reading trainees (2.24 minutes) and longest when reading independently (4.20 minutes), demonstrating benefit of the draft report. Fellows and Residents spent longer on image viewing (7.14 minutes and 8.06 minutes, respectively) and transcription (7.02 minutes and 5.40 minutes, respectively) than attendings reading independently. Conclusion Neuroradiologist time/activity distributions for reading brain MRI studies were measured, setting the stage to establish a benchmark for future reference and suggesting opportunities for greater efficiency. Furthermore, report production time can be decreased when a draft report is available. |
| Databáze: | OpenAIRE |
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