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  1. Article ; Online: The effect of international teleradiology attending radiologist coverage on radiology residents' perceptions of night call.

    Joffe, Sandor A / Burak, Jarett S / Rackson, Marlene / Klein, Devon A / Joffe, Marshall M

    Journal of the American College of Radiology : JACR

    2006  Volume 3, Issue 11, Page(s) 872–878

    Abstract: Purpose: The purpose of this study was to determine the effects of international teleradiology attending radiologist coverage (ITARC) of emergency examinations on radiology residents' perceptions of night call.: Methods: A survey was administered at ... ...

    Abstract Purpose: The purpose of this study was to determine the effects of international teleradiology attending radiologist coverage (ITARC) of emergency examinations on radiology residents' perceptions of night call.
    Methods: A survey was administered at 2 different radiology residency programs that have attending radiologists who cover the night shift via teleradiology from Israel 5 nights per week. The survey consisted of 12 questions concerning residents' education and anxiety during on-call shifts and the effects of ITARC on these aspects of residency training. The questions were answered on a scale ranging from 1 to 5, with 3 being neutral.
    Results: The radiology residents felt that ITARC improved the on-call learning experience (score = 3.7; 1 = much worse, 5 = much improved). The residents felt neutral about the statements "Review of cases with the attending radiologist over the telephone is comparable educationally to having the attending radiologist in person at the workstation" (score = 3.0) and "Having an attending radiologist easily available diminishes the need for me to commit to a diagnosis on my own and is therefore detrimental to my education" (score = 2.9; 1 = strongly disagree, 5 = strongly agree). The residents' stress levels on call were high without ITARC (score = 1.8; 1 = very high, 5 = very low) and moderate with ITARC (score = 2.7). The residents' anxiety levels before a night on call were moderate without ITARC (score = 2.9; 1 = very high, 5 = very low) and low with ITARC (score = 3.7).
    Conclusions: Radiology residents felt that ITARC improved their educational experience. International teleradiology attending radiologist coverage also decreased radiology residents' stress and anxiety related to on-call shifts.
    MeSH term(s) Aftercare/statistics & numerical data ; Attitude of Health Personnel ; Efficiency, Organizational ; Internship and Residency/statistics & numerical data ; Israel ; Personnel Staffing and Scheduling/statistics & numerical data ; Radiology/education ; Radiology/statistics & numerical data ; Teleradiology/statistics & numerical data ; Workload/statistics & numerical data
    Language English
    Publishing date 2006-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2006.02.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Multi-detector row CT urography in the evaluation of hematuria.

    Joffe, Sandor A / Servaes, Sabah / Okon, Stephen / Horowitz, Mitchell

    Radiographics : a review publication of the Radiological Society of North America, Inc

    2003  Volume 23, Issue 6, Page(s) 1441–55; discussion 1455–6

    Abstract: Hematuria can be well evaluated with a comprehensive contrast material-enhanced multi-detector row computed tomography (CT) protocol that combines unenhanced, nephrographic-phase, and excretory-phase imaging. Unenhanced images are obtained from the ... ...

    Abstract Hematuria can be well evaluated with a comprehensive contrast material-enhanced multi-detector row computed tomography (CT) protocol that combines unenhanced, nephrographic-phase, and excretory-phase imaging. Unenhanced images are obtained from the kidneys to the bladder and allow optimal detection of renal calculi, a common cause of hematuria. Renal parenchymal abnormalities, particularly masses, are best visualized on nephrographic-phase images, which also provide excellent evaluation of the other abdominal organs. Thin-section delayed images obtained from the kidneys to the bladder demonstrate the urinary tract distended with contrast material and are useful in detecting urothelial disease. Intravenous urography, ultrasonography, CT, retrograde ureterography and pyelography, cystoscopy, and ureteroscopy can all be used to evaluate patients with hematuria. In the past, a combination of several of these examinations was necessary to fully evaluate these patients. Now, however, this CT protocol may permit evaluation of hematuria patients with a single comprehensive examination, although more experience and data are needed to determine its efficacy in this setting.
    MeSH term(s) Adult ; Aged ; Contrast Media ; Female ; Hematuria/diagnostic imaging ; Hematuria/etiology ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed/instrumentation ; Tomography, X-Ray Computed/methods ; Urinary Calculi/diagnostic imaging ; Urinary Tract/abnormalities ; Urography/instrumentation ; Urography/methods ; Urologic Diseases/complications ; Urologic Diseases/diagnostic imaging
    Chemical Substances Contrast Media
    Language English
    Publishing date 2003-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603172-9
    ISSN 1527-1323 ; 0271-5333
    ISSN (online) 1527-1323
    ISSN 0271-5333
    DOI 10.1148/rg.236035085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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