Picture archiving and communication system training for physicians: Lessons learned at the Baltimore VA Medical Center

被引:14
作者
Protopapas, Z
Siegel, EL
Reiner, BI
Pomerantz, SM
Pickar, ER
Wilson, M
Hooper, FJ
机构
[1] VET AFFAIRS MED CTR,DEPT RADIOL,BALTIMORE,MD
[2] UNIV MARYLAND,SCH MED,DEPT DIAGNOST IMAGING,BALTIMORE,MD 21201
[3] LORAL MED IMAGING SYST,CHICAGO,IL
[4] UNIV MARYLAND,SCH MED,DEPT MED,BALTIMORE,MD 21201
关键词
picture archiving and communication system (PACS); education; computers; telemedicine; teleradiology; training; medicolegal;
D O I
10.1007/BF03168608
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Physicians practicing at the ''filmless'' Baltimore VA Medical Center need to be proficient in the use of the picture archiving and communication system (PACS) to be able to view radiologic images and accompanying reports. PACS training is necessary to assure optimal patient care and to satisfy potential medicolegal requirements. Providing such training is the responsibility of both the Imaging Department and the hospital. Training in the use of the PACS at the Baltimore VA is conducted by an on-site application specialist. Data were collected from interviews with the trainer, training log sheets, and physician surveys. Although 100% of radiologists received formal training, only 22% of nonradiologists were formally trained; 32% of these physicians identified themselves as having been trained by their peers and 41% stated they were self-trained. We identified two goals of a PACS training program. The first is to teach physicians how to retrieve images and reports from current as well as prior studies and display them on a computer workstation. Secondly, the training should include instruction on the use of the various workstation tools to enhance image interpretation. Imaging requirements and usage by different physician groups vary, and PACS training should be tailored accordingly. Difficulties in the scheduling of training sessions during working hours and the widespread use of a ''generic'' log-on identification have contributed to the low (22%) compliance of nonradiologists with the formal training program. Although we believe that one-on-one training is most effective and can be best tailored to the needs and computer expertise of an individual particular physician, computer based training (both on and off-line) may provide an acceptable, and in some cases, a preferred alternative. Copyright (C) 1996 by W.B. Saunders Company
引用
收藏
页码:131 / 136
页数:6
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