Trinidad-and-Tabago-Congerss-Abstract-Book

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20 th ISRRT World Congress 2018 Hosted by Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt There are currently two local committees that address the short comings of radiation safety and emergencies in Guyana, i.e. via the International Health Regulations (IHR) and the National Committee on the Management of Radiation. The former is guided by Pan-American Health Organization (PAHO), whilst the latter is guided by the government of Guyana through the Ministry of the Presidency, formerly Ministry of Natural Resources. Method: A non-technical oriented verbal presentation aimed at promoting and developing focus on radiation protection and knowledge in Guyana, which is new at moving forward with these aspects. Since this is not a Research based presentation, there are no direct results to present. Conclusion: Suggestions on the way forward, and development of collaborative efforts with both the ISRRT and SRTT. Overview of Education, Licensing and Practice of Imaging Sciences in Latin America GI2-2 Jose Rafael Moscoso-Alvarez 1 , Cecilia Muñoz Barabino 1 Program Director, Universidad Central del Caribe, Puerto Rico Purpose: This presentation describes the levels of technology in practice and radiography education offered in Central and South America. Latin America is comprised of some 20 independent countries whit the commonality of speaking in Spanish and Portuguese. Methods: As part of the exploration, a description of the differences in curricula and academic requirements is summarized for each country. The credentials and licenses in use, if any, are also shared as well as comparing the levels and differences in perspective among professional colleagues. Conclusion: We conclude describing the professional experience in Peru, a country judged by some to be more advanced in practice in medical imaging. The “Doves” among Radiography Examiners in the Inaugural Clinical Radiography Examination in Singapore Chong Chun Meng 1 , Tham Kum Ying 1 Senior Radiographer, Tan Tock Seng Hospital, Singapore GI2-3 Purpose: The Bachelor in Diagnostic Radiography by the Singapore Institute of Technology (SIT) is new and the first undergraduate radiography programme in Singapore. A 2-part summative clinical examination was organised to assess Year 1 students’ clinical and reasoning skills: Part 1 assesses the student’s ability to perform a radiographic examination for a real patient and Part 2 is a structured oral examination conducted by a clinical examiner. The test-centric Angoff method is used to set the pass-mark. After the exam the examinee-centric Borderline Regression method (BRM) is also used to calculate the pass-mark as a quality assurance measure. This study aims to determine the correlation between the pass-marks determined by each of the methods and student performance. Methods and Results: Eight senior radiographers with many years of teaching non-bachelor radiography students are appointed as clinical examiners. They complete an examiner training and calibration session before using the Angoff method. One week before the exam, the senior radiographers determined a pass-mark of X% for the clinical examination and Y% for structured oral examination using Angoff method. The students performed much better than expected, scoring a mean of X+51.5% (standard deviation SD 5.3%) for clinical examination and Y+33.6% (SD 10.8%) for oral examination i.e. all of them passed based on the Angoff pass-marks. Using BRM the pass-mark was X+49% and Y+25% for clinical and oral examination respectively. The BRM pass-marks would have led to 23.6% and 14.5% failure rate for clinical and oral examination respectively. Conclusion: An interesting phenomenon of radiography examiners being too lenient with standard setting has been identified. The examiners were inexperienced with the examination format and with the first cohort of bachelor students and hence may have underestimated the students’ capabilities. The BRM pass-marks are useful as quality assurance measures to help fine-tune the examiners. As far as the question of hawks versus doves is concerned, the radiography examiners are definitely doves! 20 th International Society of Radiographers and Radiological Technologist, World Congress April 12 – 15, 2018 • Hyatt Regency Trinidad, Wrightson Road, Port of Spain, Trinidad, W.I. Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt
20 th ISRRT World Congress 2018 Hosted by Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt QUALITY MANAGEMENT Using The 5S Methodology to Improve Quality and Efficiency in the Vascular Interventional Radiography Department Craig St. George Director of Education, American Society of Radiologic Technologists, USA QM2-1 Purpose: Vascular interventional radiography is a technologically advanced field that consistently offers new life saving techniques which often leads to advances in equipment and inventory technology. Because of the complex and fast nature of the VIR environment, patient safety is essential where any means of eliminating waste and errors should be considered. I will discuss a Six Sigma Methodology that is used to organize the physical exam room and the providers working in the exam room to coordinate better, more accurate, and individually focused care before and during a vascular procedure. Methods: As a previous technologist supervisor for a high output health care provider I will share research and six sigma methodology studies that improved efficiency and therefore the quality of care in VIR. The 5S program was implemented in each exam room to improve consistency and accuracy for storing inventory. Results: Keeping exam rooms organized improves procedural efficiency. Inventory is easy to locate and postprocedure cleanup is conducted quickly because everything has a place. The 5S projects do tend to invoke some irritation by those who are not part of the project team. Change and learning a new system is not always accepted openly which makes sustaining changes more difficult and therefore much more important. A surprising amount of clutter was eliminated by the project team which led to an equally surprising increase in job satisfaction among the majority of VIR personnel. Most individuals were enthusiastic about the newly cleaned and organized exam rooms. Conclusion: Implementing quality initiatives, such as a 5S program, in the department also can improve efficiency by limiting time spent searching for inventory items or running around trying to turn over the room for the next patient. When wheels-in and wheels-out time improves, department throughput improves leading to increased employee satisfaction and more importantly patient satisfaction. Analysis of Radiology Examination Request Forms from Four Hospitals in Dar es Salaam, Tanzania QM2-2 Stephen Samson Mkoloma 1 , Hellen Kundasai Njau 1 Graduate Radiographer, Ocean Road Cancer Institute, Tanzania Purpose: To evaluate the adequacy and relevance of patient data and clinical information transmitted to the radiology and imaging section by the referring doctors in view of the justification demands according to International Atomic Energy Agency standards. Methods: A retrospective quantitative study was employed where rating scale was developed. 100 request forms from each hospital accessed from patients’ files were evaluated to see if the proper completion of the form was adhered by referring clinicians. A total of 400 patients’ form were involved. Statistical analysis was made using SPSS version 20. Results: It is observed that 99.5% of forms had the name of patient documented, 83.3% documented the age and 96.5% documented gender of the patient. Also, 53.3% of forms had satisfactory clinical history, 35.7% were unsatisfactory while 11% didn’t have clinical history. Diagnosis was documented satisfactorily in 70.5% of the forms, 2.8% were unsatisfactory and 26.8% had no provisional or confirmed diagnosis. In terms of previous radiation examination information, 88% not documented and 12% the information was not applicable, and only 2.5% documented of LMP while 49% didn’t have information and 48.5% were male patients hence the criteria was not applicable. Conclusion: properly filled request form is vital if we want to acquire precision in radiological reports, however, the inadequate presentation of patient information such as history, LMP and age on request form can easily mimic proper justification of exposure dose to patients by radiographers. Researcher recommends that clinician must insist in complete compliance to needed information for proper radiology reports and radiation safety. Key Words: Radiation safety, justification, request form, diagnosis, x-ray examination, ultrasound, referring doctor, Exposure. 20 th International Society of Radiographers and Radiological Technologist, World Congress April 12 – 15, 2018 • Hyatt Regency Trinidad, Wrightson Road, Port of Spain, Trinidad, W.I. Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt
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