Interdepartmental problem-solving as a method for teaching and learning systems-based practice.

Full Abstract

RATIONALE

AND OBJECTIVES:
Systems-based practice (SBP) has been the most difficult competency to implement in radiology residency programs, and methods for teaching and learning SBP concepts are needed. Because systems problems are usually multifactorial, a multidisciplinary approach is required. In our institution, survey data indicated patient dissatisfaction with emergency care. Prolonged wait times for radiology procedures were identified as a systems problem. When hospital administration asked the emergency medicine and radiology departments to work together to improve patient care, residents had a "real-world" opportunity to achieve the SBP competency.

MATERIALS AND METHODS:
Systems problems were identified and categorized. Data on patient transport were collected. Accurate time logs documenting when studies were ordered, performed, and interpreted were maintained. Data were analyzed at interdepartmental meetings and three improvements were planned and implemented.

RESULTS:
A direct line of communication was established between radiology and emergency medicine via a dedicated cellular telephone. A joint emergency medicine/radiology teaching conference was established. Additional transport personnel were employed. Residents in both departments increased their understanding of their role in the health care system, demonstrated an ability to identify systems problems and appropriately implement improvements, and enhanced their professional relationships.

CONCLUSION:
This innovative method integrated educational goals with patient care goals, was grounded in "real-life" experience, and held residents accountable for results. Competence in SBP, patient care, professionalism, and interpersonal and communication skills were demonstrated. We recommend this approach as an efficient and effective way to integrate SBP into everyday clinical practice.

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Author information

Author/s: Panek, Ralph C (RC); Deloney, Linda A (LA); Park, Jong (J); Goodwin, Whit (W); Klein, Sarah (S); Ferris, Ernest J (EJ);

Affiliation: University of Arkansas for Medical Sciences College of Medicine, Department of Radiology, 4301 W. Markham #556, Little Rock, AR 72205, USA.

Journal and publication information

Publication Type: Journal Article

Journal: Academic radiology (Acad Radiol), published in United States. (Language: eng)

Reference: 2006-Sep; vol 13 (issue 9) : pp 1150-4

Dates: Created 2006/08/28; Completed 2006/12/26;

PMID: 16935727, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Arkansas
Education, Medical - organization & administration
Emergency Medical Services - organization & administration
Interdepartmental Relations

Internship and Residency - organization & administration
Problem Solving
Radiology - education
Teaching - methods; organization & administration

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