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Managing Imaging Education of the Future Promoting Management and Leadership in Medical Imaging Volume 8 Issue 3 / 2008 July - Sept. ISSN = 1377-7629 RADIOLOGY • CARDIOLOGY • INTERVENTION • SURGERY • IT • MANAGEMENT • EUROPE • ECONOMY • TRENDS • TECHNOLOGY MANAGING IMAGING EDUCATION OF THE FUTURE Create a Culture Special Focus Market Your of Leadership on Ultrasound Radiology Services www.imagingmanagement.org Cover_IM_V8_I3.indd 2-3 19/05/08 16:47:19 Cover_IM_V8_I3.indd 4-5 19/05/08 16:47:22 EDITORIAL Dear readers, hopefully eager to develop those in the earlier stages of gestation. A key feature of this change is the in- uccessful business requires a variety of man- creased use of molecular imaging to evaluate func- agement skills, but one essential factor is to tion and changes at molecular level. This requires Sproject the business forward and evaluate fu- greater emphasis on physiology and cell biology in ture trends and technological advances both for the the early years of the curriculum and more focused product range and methods, and delivery of services. training in the latter years. Radiology is no different, and its success has been partly due to the far-sightedness of our predecessors This training must also recognise changes that are Prof. Iain McCall to embrace and develop many new and increasingly occurring in the delivery of imaging to the patient Editor-in-Chief sophisticated imaging modalities. and be geared up to adapt. The European working [email protected] time directive had a dramatic effect on training in Delivering these new imaging modalities as a service many countries by altering the work to training bal- to the patient, however, often requires a comprehen- ance and the availability of trainees to develop their sive change management process, of which education skills. The development of teleradiology has also had is a major component. This educational programme a detrimental effect on some training programmes involves two major parts. The first is training of the and the availability of material to trainees in some current workforce in the new techniques, facilitated clinical conditions. by proper preparation. This will form part of the on- going continuous professional development process However, these factors have paralleled the develop- through courses, workshops and secondments. ment of sophisticated computer training and as- sessment models, which have enabled a change in The second part is the training programme for new the delivery of training programmes. It is clear that entrants to the field. It is important to work from a computer-based teaching will play a major part in fu- well-organised curriculum and teaching programme, ture educational structures. The delivery of new tech- structured into group and individual lectures and tu- niques and services requires resources and changes in torials and computer-based teaching balanced with work patterns and roles. It is important that radiologi- supervised practical experience. It is vital that train- cal personnel are at the forefront of this process and to ees are provided with an excellent grounding in the do so they require training in management concepts fundamental skills and knowledge of the specialty and techniques. As with all education, this should be before embarking on more sophisticated and specia- an ongoing process of career development but should lised fields. also be included in the specialist training period. The curriculum is of major importance. Most Eu- This issue of the journal provides an example of all ropean countries have these in place, many based these processes through a complete revamp of the around the detailed curriculum produced by the education system in Sweden where functional and European Society of Radiology (ESR) and the ra- pathological imaging are being amalgamated. This diological section of the Union of European Medical will profoundly affect training and service delivery Specialists (UEMS). However, this curriculum must and require workforce adjustments and altered man- be an active document designed for the radiologists agement structures illustrating the interdependency of of tomorrow. these elements and the importance of always looking forward, planning accordingly and managing change. Trainees undertake a five-year training programme and are expected to be at the forefront of the spe- cialty when they become fully registered specialists. They must therefore have the knowledge and skills with which to enter the workplace already able to understand and perform the latest procedures and Prof. Iain McCall HAVE YOUR SAY! Letters to the Editor at [email protected] 1 IM_V8_I3.indd 1 19/05/08 20:37:14 IM_V8_I3.indd 2 19/05/08 20:37:15 CONTENT IMAGING Management Volume 8 Issue 3, July - Sept. 2008 Cover Story Cover Story: Managing Imaging Education of the Future 12 Transforming Imaging Education in Sweden: Subspecialisation Refl ects Impact of Digital Age Dr. K. Riklund-Ahlstrom 14 Promoting Lifelong Learning: A Look Back at the International Diagnostic Course in Davos (IDKD) Prof. J. Hodler, Prof. C. Zollikofer, Prof. G. Von Schulthess 16 Teleradiology as an Educational Tool: Collaboration Essential to Promote Learning Dr. H. Billing Healthcare Economics 19 Marketing Your Healthcare Services Dr. L. Ruhmann, Prof. M. Goyen Features 21 Update from International Radiology Quality Network: Feedback Sought for Development of Clinical Standards Dr. L. Lau 22 Why Encourage Gastroenterologists to Learn Ultrasound? The Situation in Romania Prof. I. Sporea, Prof. A. Popescu 32 Key Advantages of New Staff Monitoring Tools: Maximising Effi ciency to Cope with Increased Demand W. Verduyn 34 The Use of CAD in the Detection of Lung Nodules on Digital Chest Radiographs: Early Detection Key to Survival T. Rohse 3 IM_V8_I3.indd 3 19/05/08 20:37:16 CONTENT IMAGING Management Volume 8 Issue 3, July - Sept. 2008 Editor-in-Chief Prof. Iain McCall (UK) Country Focus: Radiology in Belgium Editorial Board Prof. Hans Blickman (The Netherlands) 42 The Belgian Healthcare System Prof. Georg Bongartz (Switzerland) Prof. Michel Claudon (France) K. Eeckloo Prof. Albert Cuocolo (Italy) Prof. Lluis Donoso Bach (Spain) 44 Web-based Learning Creates Top-Level Radiology Residents: Prof. Nevra Elmas (Turkey) Experience of a Belgian Radiology Department Prof. Guy Frija (France) Prof. Dr. K. Verstraete Prof. Marc Kandelman (France) Prof. Lars Lonn (Sweden) Prof. Heinz U. Lemke (Germany) 45 Radiology Residency in Belgium: The Resident’s Perspective Prof. Jarl A. Jakobsen (Norway) Dr. A. Rappaport Prof. Mieczyslaw Pasowicz (Poland) Prof. Peter Pattynama (The Netherlands) 1 Editorial Prof. Udo Sechtem (Germany) By Editor-in-Chief Prof. Iain McCall Prof. Rainer Seibel (Germany) Dr. Nicola H. Strickland (UK) Prof. Henrik S. Thomsen (Denmark) 6 Association News Prof. Vlastimil Valek (Czech Republic) Latest updates from leading European associations Prof. Berthold Wein (Germany) 10 EU News Correspondents - Initial information on planned EU action on healthcare services Prof. Frank Boudghene (France) Prof. Davide Caramella (Italy) - Second Programme of Community Action in the Field of Health Nicole Denjoy (France) Prof. Adam Mester (Hungary) 24 Product Comparison Chart Dr. Sergei Nazarenko (Estonia) Ultrasonic Scanners Dr. Hanna Pohjonen (Finland) Guest Contributors 36 Imaging Leaders Dr. H. Billing Interview with Prof. James H Thrall, Radiologist-in-Chief, K. Eeckloo Massachusetts General Hospital Prof. M. Goyen Prof. J. Hodler Prof. L. Lau 38 Conference Preview Prof. A. Popescu Davos Course Expands to Greece Dr. A. Rappaport Dr. K. Riklund-Ahlstrom 40 How To… Lead a Plan to Successful Completion Dr. E. Robertson Part I: What are the Steps Involved? T. Rohse Dr. E. Robertson Dr. L. Ruhmann Prof. G. Von Schulthess Prof. I. Sporea 47 Industry News Prof. J. Thrall Coverage of corporate news and updates W. Verduyn Prof. Dr. K. Verstraete Prof. C. Zollikofer 48 Conference Agenda Upcoming seminars in Europe and beyond 4 8.125x10.875tum_Ad_henrik_US_V2_071109.indd 1 08-02-25 13.59.09 IM_V8_I3.indd 4 19/05/08 20:37:17 breakfast lunch coffee wc phone WE ASKED HENRIK TO DESCRIBE HIS DAY No, Henrik is not a radiologist. comes knocking on your door one fi ne morning. (To make He’s one of our PACS designers. sure we always deliver what you need, every single Sectra The only way he and his colleagues can design the employee has to visit customers at least twice a year.) PACS you need is to immerse themselves in your reality. To fi nd out why more than 950 PACS customers That’s why you get remote monitoring. And 24/7 worldwide reckon Henrik and his team do a pretty good support with helpdesk. And full RIS/PACS integration. job, head to www.sectra.com/medical. And scaleability. And don’t be surprised if Henrik himself RIS/PACS MAMMOGRAPHY ORTHOPEDICS 8.125x10.875tum_Ad_henrik_US_V2_071109.indd 1 08-02-25 13.59.09 IM_V8_I3.indd 5 19/05/08 20:37:17 Association News MIR News Dear colleagues, Topics include: and we hope to air them fully at the congress. • Financial and human resources manage- Make sure you are a part of it and we look I write to urge you to attend the Manage- ment in imaging; forward to seeing you there. ment in Radiology (MIR) annual conference • How to manage imaging education; to be held in Vouliagmeni, Athens, Greece • Management issues in ultrasound; There will also be an interesting social aspect from Wednesday 29 until Friday 31 October • Managing CD/DVD referrals; to the programme, with a Gala dinner, and 2008. The local chairmen are Greek radiolo- • Managing data security and many plenty of opportunity to organise sight-seeing gists Prof. Nikolaos Batakis, Dr. Athanasios associated ethical issues; in Athens and its surrounding islands during Chalazonitis and Dr. Fotios Takis. • The diffi cult question of managing the weekend after the congress, as an added imaging private practice and integrating incentive to come! We have an exciting and interesting pro- into a public health system; gramme already organised with numerous • The management of change; and Best wishes, national and international invited speakers, • Clinical audit and safety management.
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