Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers

Woznitza, N.; Steele, Rebecca; Piper, K.; Burke, Stephen; Rowe, S.; Bhowmik, Angshu; Maughn, Sue; Springett, Kate

doi:10.1002/jmrs.285

Cited by 9 publications

(19 citation statements)

References 19 publications

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“… 14 The role of the chest X-ray reporting radiographer has been slowly evolving, with the College of Radiographers accrediting a postgraduate certificate in 2002. 15 Radiographer reporting has increased reporting capacity where introduced 16 and has been shown to be equivalent to radiologist reporting in some settings. 17,18 It was therefore a natural step, alongside radiographer reporting of plain radiographs, to look at the feasibility of radiographer reporting of thoracic CT as part of a pathway.…”

Section: Discussionmentioning

confidence: 99%

Reporting radiographers and their role in thoracic CT service improvement: managing the pulmonary nodule

et al. 2020

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Objectives: The use of cross-sectional imaging in clinical medicine has been a major step forward in the management of many conditions but with that comes the increasing demand on resources and the detection of other potentially significant findings. This, in the context of a shortage of skilled radiologists, means that new ways of working are important. In thoracic CT, pulmonary nodules are a significant challenge because they are so common. Poor and inconsistent management can both cause harm to patients and waste resources so it is important that the latest guidelines are followed. The latter mandate the use of semi-automated volumetry that allows more precise management but is time-consuming. Methods: Reporting radiographers were iteratively trained in the use of semi-automated volumetry for pulmonary nodules by experienced thoracic radiologists. Once trained in this specific aspect, radiographers completed reporting of pulmonary nodules, checked by radiologists. Results: Radiographer reporting reduced radiologist time in reporting nodules and measuring their volume. Most of the volumetry was completed prior to the multidisciplinary meeting. This facilitated an increase in the number of patients discussed in 60 min from 15 to 22. Radiographers failed to detect few nodules, although a second read by radiologists is required in any case for other aspects of the reporting. Conclusion: Reporting radiographers, working with radiologists in a supportive setting, can deliver the radiology in a lung nodule pathway, reducing the time commitment from radiologists and the pulmonary nodule multidisciplinary team members, whilst using this as an opportunity to conduct research.

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Section: Discussionmentioning

confidence: 99%

Reporting radiographers and their role in thoracic CT service improvement: managing the pulmonary nodule

et al. 2020

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“…This was particularly key for this pilot project as the provision of individual clinical education and mentorship by radiologists and reporting radiographers is an expensive resource, particularly in the face of burgeoning workloads and workforce shortages. 8,9,27 The aspiration for multiprofessional academies 4 will provide an opportunity to replicate this pilot at scale but the structure may be challenging due to different timescales, development requirements and the need for an associated academic programme for radiographers. Whilst the concept of the academy model appears to have evaluated well, it is important to assess its impact on practice.…”

Section: Discussionmentioning

confidence: 99%

“…5,7 Alongside this university programme trainees will require extensive clinical experience and workplace mentorship. 5,8 However, current service pressures mean the existing hospital-based training models may not be able to meet demand 6,9 and alternative education strategies must be considered to meet local and national expectations. 4,9 The radiology profession established the concept of academy-style learning in 2005 with the aim of expanding training numbers.…”

Section: Introductionmentioning

confidence: 99%

“…5,8 However, current service pressures mean the existing hospital-based training models may not be able to meet demand 6,9 and alternative education strategies must be considered to meet local and national expectations. 4,9 The radiology profession established the concept of academy-style learning in 2005 with the aim of expanding training numbers. The academy setting was to provide a different learning environment, increasing the use of simulation alongside traditional clinical practice, but such a model has not been previously explored for radiographer reporting training.…”

Section: Introductionmentioning

confidence: 99%

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Expanding training capacity for radiographer reporting using simulation: Evaluation of a pilot academy project

Harcus

Snaith

2019

Radiography

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“…This is combined with non-intensive (supernumerary) workplace based learning in clinical practice where students engage with experienced radiologists and reporting radiographers. Most recently, Woznitza et al 51 described an innovative 'hub and spoke' approach to providing centralised tutorial support for 14 radiographers training to report chest radiographs across a pan-London geography. Significant efficiencies in expert supervision/mentorship time (48 h) were achieved in comparison to traditional one-to-one based workplace support (348 h).…”

Section: Scope Of Practicementioning

confidence: 99%

Radiographer reporting: A literature review to support cancer workforce planning in England

Culpan

Docherty

et al. 2019

Radiography

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Objective: Clinical Imaging contributes to screening, diagnosis, planning and monitoring of treatment and surveillance in cancer care. This literature review summarises evidence about radiographer reporting to help imaging service providers respond to Health Education England's 2017 Cancer Workforce Plan project to expand radiographer reporting in clinical service provision. Key findings: Papers published between 1992 and 2018 were reviewed (n ¼ 148). Evidence related to dynamic examinations (fluoroscopy, ultrasound) and mammography was excluded. Content was analysed and summarised using the following headings: clinical scope of practice, responsibilities, training, assessment, impact in practice and barriers to expansion. Radiographer reporting is well established in the United Kingdom. Scope of practice varies individually and geographically. Deployment of appropriately trained reporting radiographers is helping the NHS maintain high quality clinical imaging service provision and deliver a cost-effective increase in diagnostic capacity. Conclusion: Working within multiprofessional clinical imaging teams, within a defined scope of practice and with access to medical input when required, reporting radiographers augment capacity in diagnostic pathways and release radiologist time for other complex clinical imaging responsibilities.

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Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers

Cited by 9 publications

References 19 publications

Reporting radiographers and their role in thoracic CT service improvement: managing the pulmonary nodule

Reporting radiographers and their role in thoracic CT service improvement: managing the pulmonary nodule

Expanding training capacity for radiographer reporting using simulation: Evaluation of a pilot academy project

Radiographer reporting: A literature review to support cancer workforce planning in England

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