Abstract:
:Teaching and assessing trainees' professionalism now represents an explicit expectation for Accreditation Council Graduate Medical Education-accredited radiology programs. Challenges to meeting this expectation include variability in defining the construct of professionalism; limits of traditional teaching and assessment methods, used for competencies historically more prominent in medical education, for professionalism; and emerging expectations for credible and feasible professionalism teaching and assessment practices in the current context of health-care training and practice. This article identifies promising teaching resources and methods that can be used strategically to augment traditional teaching of the cognitive basis for professionalism, including role modeling, case-based scenarios, debriefing, simulations, narrative medicine (storytelling), guided discussions, peer-assisted learning, and reflective practice. This article also summarizes assessment practices intended to promote learning, as well as to inform how and when to assess trainees as their professional identities develop over time, settings, and autonomous practice, particularly in terms of measurable behaviors. This includes assessment tools (including mini observations, critical incident reports, and appreciative inquiry) for authentic assessment in the workplace; engaging multiple sources (self-, peer, other health professionals, and patients) in assessment; and intentional practices for trainees to take responsibility for seeking our actionable feedback and reflection. This article examines the emerging evidence of the feasibility and value added of assessment of medical competency milestones, including professionalism, coordinated by the Accreditation Council Graduate Medical Education in radiology and other medical specialties. Radiology has a strategic opportunity to contribute to scholarship and inform policies in professionalism teaching and assessment practices.
journal_name
Acad Radioljournal_title
Academic radiologyauthors
Kelly AM,Mullan PBdoi
10.1016/j.acra.2018.01.008subject
Has Abstractpub_date
2018-05-01 00:00:00pages
599-609issue
5eissn
1076-6332issn
1878-4046pii
S1076-6332(18)30022-9journal_volume
25pub_type
杂志文章,评审abstract::The three missions of academic radiology compete with one another for time and funding. Revenue for the clinical mission often subsidizes education and research. Given the internal and external drivers/pressures on health care and, more particularly, on academic health centers, the current model is unsustainable. Tren...
journal_title:Academic radiology
pub_type: 杂志文章,评审
doi:10.1016/j.acra.2013.04.003
更新日期:2013-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study is to assess the usefulness of computer-aided three-dimensional (3D) measurement of volume and computed tomography (CT) attenuation values of nodes for diagnosing nodal metastases of lung cancer. MATERIALS AND METHODS:We measured three diameters, their ratios, volume, and...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2013.01.013
更新日期:2013-06-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aims of this study were to label the versatile amino acid l-lysine with (99m)Tc using 2,3-dimercapto-succinic acid (DMSA) as a chelator, and to assess its tumor imaging feasibility under in vivo and in vitro conditions, and finally to determine the subcellular biodistribution of this radiop...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2006.03.022
更新日期:2006-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The impact of varying image acquisition parameters on the precision of measurements using quantitative computed tomography is currently based on studies performed before the advent of helical image acquisition and multidetector-row scanners. The aim of this study was to evaluate helical multide...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2008.08.007
更新日期:2009-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The segmentation of airways from CT images is a critical first step for numerous virtual bronchoscopic (VB) applications. Automatic or semiautomatic methods are necessary, since manual segmentation is prohibitively time consuming. The methods must be robust and operate within a reasonable time ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)80517-2
更新日期:2002-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Abdominal radiologists actively participated and provided subspecialty radiologic expertise in a multidisciplinary gastrointestinal cancer clinic that served a tertiary referral center. The purpose of this study was to evaluate the feasibility and nonradiologists' opinions of this new approach ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(98)80564-3
更新日期:1998-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Mammographic breast density is an important and widely accepted risk factor for breast cancer. A statement about breast density in the mammographic report is becoming a requirement in many States. However, there is significant inter-observer variation between radiologists in their interpretatio...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2011.07.011
更新日期:2011-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study was to identify clinically useful tumor/normal brain apparent diffusion coefficient (ADC) ratios for distinguishing common pediatric cerebellar tumors. MATERIALS AND METHODS:Review of medical records revealed 79 patients with cerebellar tumors who underwent preoperative m...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.03.004
更新日期:2012-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Skeletal muscle mass measurement is the most important element for diagnosing sarcopenia. MRI has an excellent soft-tissue contrast, which can non-invasively assess abdominal skeletal muscle area (SMA) as well as CT. This study aimed to assess the validity and reliability of abdominal SMA measu...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2020.09.013
更新日期:2020-10-28 00:00:00
abstract::Breast density has been shown to be a strong, independent risk factor for breast cancer. Unfortunately, mammography is less accurate on dense breast tissue compared to fattier breast tissue. Multiple studies suggest a solution to this by demonstrating the ability of supplemental screening ultrasound to detect addition...
journal_title:Academic radiology
pub_type: 杂志文章,评审
doi:10.1016/j.acra.2016.05.017
更新日期:2016-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Quantitative measurement provides essential information about disease progression and treatment response in patients with glioblastoma multiforme (GBM). The goal of this article is to present and validate a software pipeline for semi-automatic GBM segmentation, called AFINITI (Assisted Follow-u...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.03.026
更新日期:2012-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To prospectively analyze the correlation between parameters of liver perfusion from technetium99m-macroaggregates of albumin (99mTc-MAA) single photon emission computed tomography (SPECT) with those obtained from dynamic CT perfusion in patients with primary or metastatic liver malignancy. MAT...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2011.12.015
更新日期:2012-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The increasing use of computed tomography (CT) has been accompanied by rising concerns over potential radiation-related health risks, especially cancer, and a need to minimize such risks. MATERIALS AND METHODS:We conducted 2186 low-dose helical chest CT scans among 1235 nuclear weapons workers...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2011.09.015
更新日期:2012-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To evaluate the ability of dynamic contrast-enhanced magnetic resonance imaging (MRI) to differentiate several tumor entities of the parotid gland in a prospective clinical trial. MATERIALS AND METHODS:A total of 112 patients with parotid tumors were examined with dynamic contrast-enhanced 1.5...
journal_title:Academic radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.acra.2007.03.004
更新日期:2007-06-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To estimate the gain in signal-to-noise ratio (SNR) in first-pass contrast-enhanced (CE) abdominal magnetic resonance angiography (MRA) at 3.0 T compared with 1.5 T. MATERIALS AND METHODS:Three protocols were simulated using six contrast agents: gadopentetate dimeglumine (Magnevist, Berlex, Wa...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.03.007
更新日期:2007-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Although the spiculation levels of breast mass boundaries are a primary sign of malignancy for masses detected on mammography, developing an automated computerized method to detect spiculation levels and quantitatively evaluating the performance of such a method is a difficult task. The objecti...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2008.07.015
更新日期:2008-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Pulmonary vascular alteration is one of the characteristic features of chronic obstructive pulmonary disease (COPD). Recent studies suggest that vascular alteration is closely related to endothelial dysfunction and may be further influenced by emphysema. However, the relationship between morpho...
journal_title:Academic radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.acra.2009.07.022
更新日期:2010-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The study aimed to determine whether the addition of the Fleischner Society guidelines to chest computed tomography (CT) reports identifying incidental pulmonary nodules affects follow-up care. PATIENTS AND METHODS:Beginning in 2008, a template containing the Fleischner Society guidelines was ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.08.026
更新日期:2017-03-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Most secondary intramammary tumors occur as metastatic involvement from the contralateral breast. Breast metastases (BM) from nonmammary malignancies are very rare. The aims of this study were to estimate retrospectively the prevalence of BM from nonmammary malignancies and to describe their ra...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2010.12.009
更新日期:2011-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Manganese is a well-known liver-specific agent used in magnetic resonance imaging. For this purpose, manganese is now administered intravenously. In theory it should be possible to increase the gastrointestinal uptake of manganese through the use of nutritional products as promoters. Such an ag...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)00571-3
更新日期:2004-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Histological subtypes of lung cancers are critical for clinical treatment decision. In this study, we attempt to use 3D deep learning and radiomics methods to automatically distinguish lung adenocarcinomas (ADC), squamous cell carcinomas (SCC), and small cell lung cancers (SCLC) respectively on...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2020.06.010
更新日期:2020-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The purpose of this study was to investigate the importance of view box luminance and viewing conditions on low-contrast detection by readers. MATERIALS AND METHODS:Radiographs of a mammographic contrast-detail phantom were examined on 632 view box panels. The luminance of these panels was obt...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/S1076-6332(99)80429-2
更新日期:1999-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To evaluate the feasibility and performance of an x-ray beam equalization system for chest radiography using anthropomorphic phantoms. MATERIALS AND METHODS:Area beam equalization involves the process of the initial unequalized image acquisition, attenuator thickness calculation, mask generati...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)00730-x
更新日期:2004-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVE:Emphysema is characterized by airspace dilation, inflammation, and irregular deposition of elastin and collagen in the interstitium. Computed tomographic studies have reported that lung mass (LM) may be increased in smokers, a finding attributed to inflammatory and parenchymal remodeling process...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.10.011
更新日期:2017-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Needle biopsy is currently the only way to confirm prostate cancer. To increase prostate cancer diagnostic rate, needles are expected to be deployed at suspicious cancer locations. High-contrast magnetic resonance (MR) imaging provides a powerful tool for detecting suspicious cancerous tissues....
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.07.018
更新日期:2007-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Obscure gastrointestinal bleeding (OGIB) is the bleeding from the gastrointestinal tract without definite source that persists and recurs after a negative endoscopic evaluation. The study aimed to systematically evaluate the diagnostic accuracy of computed tomography enterography on OGIB detect...
journal_title:Academic radiology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.acra.2017.09.001
更新日期:2018-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The capability of wavelet transforms to separate signals into frequency bands is the basis for its use in image compression and storage, data management and transmission, and, recently, extraction of latent images of tissue components from noisy medical images. Analysis of temporal variations o...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.06.018
更新日期:2007-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To evaluate the sensitivity of high-resolution breast-specific gamma imaging (BSGI) for the detection of ductal carcinoma in situ (DCIS) based on histopathology and to compare the sensitivity of BSGI with mammography and magnetic resonance imaging (MRI) for the detection of DCIS. MATERIALS AND...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.04.004
更新日期:2007-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:This project evaluated human observer performance and that of a human visual system model (JNDmetrix) to assess whether the veiling glare of a digital display influences observer performance during soft-copy interpretation of mammographic images for the detection of masses. MATERIALS AND METHO...
journal_title:Academic radiology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.acra.2005.11.006
更新日期:2006-03-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To determine whether an unenhanced low-dose image acquired during automated contrast bolus timing can be used to assess hepatic steatosis. MATERIALS AND METHODS:Fifty subjects (29 male, 21 female; 26-92 years; mean body mass index (BMI; 26.9) with abdominal multiphasic computed tomography were...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2011.02.013
更新日期:2011-07-01 00:00:00