Tag: on-site

Posted on by

Why Residents Should Start Returning To On Site Lectures!

on site lectures

Since Covid-19 began, most radiology residencies throughout the country have moved to a model of all remote lectures. At first, it was a knee-jerk reaction, which was entirely logical at the time. Now that we have a better idea of the disease and how it spreads, programs can return to a system with some live lectures. Programs can safely organize conferences with smaller groups in larger spaces to reduce transmission chances. Like public schools, many radiology residencies are returning to some form of a hybrid system with remote and on site lectures.

However, not all programs are going in that direction. So, what have residents lost over the past half-year by having remote lectures only? And, do they stand to gain anything by returning to some form of in-house live classes? Let’s go through why most programs should, in-part, try to get back to some on site lectures.

Keep Residents Awake And Focused

I’ve been in this situation many times. Zoom starts up, and instead of having the camera focused on your face, you decide to put a picture up with a likeness of you and start completing other work. Or, you tend to another conversation at the same time. The bottom line is that it is much easier to lose focus when you are in a remote environment because there is less buy-in. Many other options are available to capture your attention than the lecture itself.

More Invested In Studying For The On Site Lectures

If you know that you will attend a lecture in person, you are much more likely to read up on a topic. Why? Because you don’t want to look like a total dullard. That motivation is vital for some residents to stay on top of their reading. Going remote without that feeling of obligation decreases the resident’s responsibility to learn some of that material beforehand. Anonymity breeds less involvement in the subject matter.

The Personal Touch

Once you go online to listen to your conferences, you lose some of the nuances of the conversation. The lecturer may not see those beads of sweat welling onto your forehead when you are unsure of an answer. Likewise, the listener may lose the tone of the lecturer, perhaps frustration or satisfaction. By missing these cues, you also lose the opportunity to figure out what you might be missing in the conversation and help that student or redirect the speaker.

Training on Software

I don’t know about your program. We have lots of different programs in our nuclear medicine department to help us interpret images. We have one system for DATscan quantification, another method for Neuroquant, a general PACS, GE software for processing cardiac studies, TeraRecon for looking at PET-CT scans, and Intellispace for remote nuclear medicine access. I’m probably even missing a few more. However, my point is that it is challenging to train residents on software without that hands-on touch in person. In my experience, Zoom like encounters for this sort of training does not do the trick. It can be harder to point out how to use different kinds of programs and software.

Esprit-De-Corps

Finally, joint meetings lead to shared experiences both from students/residents and lecturers as well. When you are all in the same environment, you build trust, social interactions, and the feeling of a team environment. It’s just not the same taking your conferences online where you can’t discuss issues after the lecture or crack a few jokes together. It tends to be all business, not the sort of environment that helps to form bonds.

Returning To On Site Lectures Once Again!

As much as it may be more convenient to give and receive lectures by Zoom, there is a role for returning to some form of on-site classes. Of course, remaining healthy is a top priority in almost any residency program. But, it is possible to keep your lecturers and residents at reasonably low risk if you take the proper precautions. So, based on the net positives of keeping residents focused, improving resident studying, personalizing the learning experiences, better technical training, and maintaining a team environment, hopefully, your program is considering on site training in some form once again. It’s not just for show. These are tangible benefits to the on site experience!

Posted on by

Is The Radiology Home Workstation Becoming Too Good?

home workstation

At the home of most radiologists nowadays, you will find a computer remotely hooked up to a Picture Archiving And Communication System (PACS) where they can look at films and dictate cases. As I sit typing this blog, I am staring at a home workstation across the room myself. It enables me to read studies from home with all the comforts thereof. Additionally, I find that the chair here is comfier, the mouse works a bit better, and there are fewer glitches on it than the ones at work. But this presents an issue that even I have felt a few times. Why go into the hospital when I can do some of the same things with one home’s amenities and work even more efficiently? Is there any role for reading from an on-site computer?

Well, if you do read in the reading room at your facility, gone are the days when most specialists would come down often to the department to read over a film in your reading room. Instead, you are lucky to get a few stragglers-by, usually, a resident who wants to learn a bit, or maybe a physician with a family member that needs a read on a film. Yes, the din of conversation of colleagues has continued to melt away slowly. But, with decreasing clinical interactions, even on-site, do our comfy home workstations represent the final nail in the coffin for working at the hospital? And what do we lose by being able to do our work at home more efficiently than from the workplace? Let’s summarize some of the most significant losses and problems in this new world as we work at our home workstations instead of on-site.

Future Colleagues And Friends (Outside of Radiology)

Some of the most excellent docs that I have encountered; I have only met because they stopped by the reading room to look at a film with me. And, slowly, over time, I got to know them better. Eventually, we might have lunch together on occasion or see each other at some staff meetings. It’s just not the same when you get a ring from a doctor to look at a film. And even with fewer interactions at work, these new potential connections are lost.

Meaningful Interactions And Learning Opportunities

When a fellow specialist walks into the reading room to look at a study, they will typically talk about their work. And, usually, I will learn something new about their specialty. Maybe, it’s a new technique that the surgeon uses or a new technology that the gastroenterologist operates. Regardless, fewer interactions at home without our colleagues means fewer opportunities to learn about other areas in medicine.

Teaching Opportunities

Likewise, sometimes I want to bring home an essential point to a clinician that came down to check out a study. Perhaps, it’s when to use contrast on a CT scan. Or, maybe it’s when they should order a V/Q scan. These were teachable moments to make sure that clinicians used imaging appropriately. Now, some of these focused teaching opportunities to improve care are lost.

Increasing Burn-Out (For Some)

Then, of course, with the complete loss of foot traffic at home instead of work, we lose some sense of connection to others. This disconnect can lead to a loss of meaning in our work. On-site, you are more likely to hear about what happened in the operating room or the patient on the floor. Working from home can distort your sense of reality. And, us results-oriented radiologists can lose a sense of meaning in our work, causing burnout.

So, Is The Home Workstation Too Good?

I have to admit. Sometimes, it is pleasant to be able to read studies from the comfort of home. And, there are certainly moments to take advantage of that. But, I believe that there is still a time and a place to spend some time at the hospital workstation. The home workstation will never be too good to replace the imaging center environment entirely. Although we may not realize it at any given moment as we work from the hospital, most of us still receive fringe benefits. I don’t think the home workstations will ever entirely replace on-site work!