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"What Program Directors Think" V: Results of the 2019 Spring Survey of the Association of Program Directors in Radiology (APDR)

Rozenshtein, Anna; Griffith, Brent D; Slanetz, Priscilla J; DeBenedectis, Carolynn M; Gould, Jennifer E; Kohr, Jennifer R; Mohammed, Tan-Lucien; Paladin, Angelisa M; Rochon, Paul J; Sheth, Monica; Wiggins Iii, Ernest F; Swanson, Jonathan O
RATIONALE AND OBJECTIVES/OBJECTIVE:The Association of Program Directors in Radiology (APDR) surveys its membership annually on hot topics and new developments in radiology residency training. Here we report the results of that annual survey. MATERIALS AND METHODS/METHODS:A web-based survey was posed to the APDR membership in the Fall of 2018. Members were asked 43 questions on program staffing, resident education resources/funding, impact of the integrated-Interventional Radiology residency program on Diagnostic Radiology program resources, resident interest in imaging informatics, Accreditation Council for Graduate Medical Education requirements on resident practice habits data reporting, institutional reliance on residents for clinical coverage, teaching format in the post-oral board era, resident conference attendance, confidentiality of the Match rank list, Early Specialization in Interventional Radiology pathway recruitment and selection, Diagnostic Radiology and Interventional Radiology program relationships, independent resident call, pediatric radiology training, diversity and unconscious bias training, and social media in radiology education. RESULTS:Responses were collected electronically, results were tallied using Qualtrics software, and qualitative responses were tabulated or summarized as comments. There were 86 respondents with a response rate of 31.3%. CONCLUSION/CONCLUSIONS:Survey result highlights include perceived resident interest in imaging informatics with the vast majority of residency programs offering an informatics curriculum; the provision of resident practice habits data by nearly all residency programs despite lack of clarity surrounding this Accreditation Council for Graduate Medical Education requirement; continued use of case-taking in the post-oral boards era; frequent disclosure of the Match rank list to departmental and hospital administration; low penetration of unconscious bias training in academic radiology; and finally, the successful integration of interventional and diagnostic radiology training programs.
PMID: 32778482
ISSN: 1878-4046
CID: 4615052

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

Recht, Michael P; Fefferman, Nancy R; Bittman, Mark E; Dane, Bari; Fritz, Jan; Hoffmann, Jason C; Hood, Joseph; Mercado, Cecilia L; Mahajan, Sonia; Sheth, Monica M
RATIONALE AND OBJECTIVES/OBJECTIVE: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/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/CONCLUSIONS: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.
PMID: 32553278
ISSN: 1878-4046
CID: 4484992

Harnessing the Power of Low-tech Collaborative Learning

Sheth, Monica; Samreen, Naziya; Rapoport, Irina; Slanetz, Priscilla J.; Fornari, Alice; Lewis, Petra
ISSN: 2631-6110
CID: 4773132

Initial Institutional Experience With Cryoablation Therapy for Breast Fibroadenomas: Technique, Molecular Science, and Post-Therapy Imaging Follow-up

Sheth, Monica; Lodhi, Umairullah; Chen, Brandon; Park, Young; McElligott, Suzanne
Cryoablation is a safe and effective nonsurgical treatment for breast fibroadenomas (FAs). The treatment response is inversely related to the tumor size, with lesions less than 2 cm showing an optimal response. Ultrasound (US) imaging follow-up of the ablated tumor is recommended at 6-month intervals for 2 years at our institution. Although a decrease in the size of the FA clinically and on US imaging is the expected treatment response, variations can be seen. Knowledge of typical US changes over time is imperative to prevent unnecessary rebiopsy or excision in patients who have undergone cryoablation. We will review the initial patient selection criteria, cryoablation technique, and US findings at regular follow-up intervals after cryoablation of FAs through a series of cases treated at our institution.
PMID: 30843236
ISSN: 1550-9613
CID: 3723312

A Call to Action: Radiology Must Seize Control of Its Own Narrative

Sheth, Monica M; Robbins, Jessica B; Monawer, Arezu H; Crone, Allison M; Heitkamp, Darel E
PMID: 30737163
ISSN: 1558-349x
CID: 3640282

Development of Breast Imaging Specific Entrustable Professional Activities Using a Double Delphi Technique

Sheth, Monica; Woods, Ryan W; Slanetz, Priscilla J; Klein, Katherine; Fornari, Alice; Lewis, Petra
RATIONAL AND OBJECTIVES/OBJECTIVE:To develop subspecialty-specific entrustable professional activities for breast imaging radiology (EPA-BRs) through the use of a double consensus-driven, validity-enhancing methodology that may be relevant to other subspecialties in radiology and medicine in general. MATERIALS AND METHODS/METHODS:A six-step methodology was used to develop EPA-BRs via a double Delphi process followed by educational theorist's refinement. Two groups of experts completed each Delphi process: the core group of breast imaging educators and an expert panel of national experts in breast imaging standards and appropriateness. RESULTS:Five EPA-BRs were developed, with eight nested EPA-BRs, one of which is elective. This comprehensive list of EPA-BRs covers the role of a breast imaging radiologist in the care of a patient from detection of breast cancer to post-treatment follow-up. CONCLUSION/CONCLUSIONS:A combined modified and classic double Delphi approach can be utilized by other graduate medical education (GME) specialties and subspecialties as a method by which GME education can be transformed into a clinical framework that more closely bridges individual competencies and real-world clinical practice.
PMID: 31047102
ISSN: 1878-4046
CID: 3832152

Case-based Review of Subtle Signs of Breast Cancer at Mammography

Sheth, Monica M; McElligott, Suzanne E
PMID: 31059401
ISSN: 1527-1323
CID: 3918842

Key Ingredients of a Breast Imaging Fellowship-A Recipe for Success

Phillips, Jordana; Slanetz, Priscilla J; Mehta, Tejas S; Fein-Zachary, Valerie; Sheth, Monica M
OBJECTIVE:In 2013, the ACR and Society of Breast Imaging created a curriculum to standardize the knowledge of graduates from breast imaging fellowships. Despite this, however, there remains a need to provide guidance to programs as to how to structure and organize the fellowship. In this article, we review key elements of a breast imaging fellowship to ensure that programs graduate radiologists that are well prepared to practice safely and independently. Such a program would provide a developmental framework using the Dreyfus model of skill acquisition. The training should be comprised of multiple and varied opportunities that promote active learning with appropriate supervision but progressive independence. SUMMARY/CONCLUSIONS:A successful fellowship program in breast imaging should embrace developmental milestones to ensure mastery of both basic and complex skills. Organized rotations, regular feedback, structured and self-directed learning activities, and participation in local, regional, and national meetings and organizations contribute to well-rounded graduates.
PMID: 30120043
ISSN: 1558-349x
CID: 3640272

Hidradenitis suppurativa: Mammographic and sonographic manifestations in two cases

Newman, Tiffany M; Sheth, Monica M; Levy, Allison; Babagbemi, Kemi
Hidradenitis suppurativa is a chronic debilitating disorder of the skin manifested by recurrent, painful, inflammatory, subcutaneous nodules. The lesions occur most commonly in the apocrine-gland-bearing skin sites such as the axillae and inguinal regions; they cause scarring and disfigurement from the formation of multiple abscesses and fistulous tracts within the skin. We report the radiologic manifestations of two cases of hidradenitis suppurativa in women who presented for breast imaging.
PMID: 27330633
ISSN: 1930-0433
CID: 3640262

AIRP best cases in radiologic-pathologic correlation: congenital mesoblastic nephroma

Sheth, Monica Majmundar; Cai, Guoping; Goodman, Thomas R
PMID: 22236896
ISSN: 1527-1323
CID: 3646402