We’re going to reach out to radiographer researchers, clinician scientists, academics and clinic academics and ask them – what do you wish you’d known when you started out?
May’s chat is for anyone who wants useful advice on starting research, or doing research better. Come and learn from the experts, ask your questions and share your valuable experience with the radiography community.
1: First steps: What advice do you have about finding an idea, refining your question, picking a research approach, searching the literature – the stage of deciding what you want to do?
2. Getting going: What advice do you have about finding your support people, navigating research in academic or clinical departments, applying for ethics – the stage of tacking your project?
3: Making a difference: What advice do you have about disseminating your research – going to conferences, developing posters, writing papers or policies – the stage of influencing practice (local and beyond)?
Use the #WishIdKnown and #MedRadJClub hashtags so we can keep track of the chat!
JMIRS Clinical research Edition (21 open access articles)
JMRS Virtual Issue: Research (7 open access articles)
Vancouver 1pm (13th) /Edmonton 2pm (13th) /Toronto 4pm (13th) /UK 9pm (13th) /Sydney 6am (14th) /Auckland 8am (14th)
Missed the chat? Catch up with Wakelet here
Also: Read the write up/blog here.
This month’s paper by Mikhaeil et al describes a quality improvement project to reduce “no shows” in a diagnostic imaging department using letters to patients, and an information package given to patient’s requiring an MRI by the referring physician.
Mikhaeil, John S. et al. Attend: A Two-Pronged Trial to Eliminate No Shows in Diagnostic Imaging at a Community-Based Hospital. JMIRS. 2019 , 50(1) , 36 – 42
The chat is aligned with Wavelengths, the technologist-led research and practice conference being held April 26th and 27th at the Michener Institute in Toronto.
- Patient education about imaging or treatment is fundamental to care. How does it manifest in your practice?
- The authors used a Quality Improvement approach using a number of Plan-Do-Study-Act (PDSA) cycles to reduce the number of “no shows”. Have you used this approach and what was your experience?
- What did you think of the interventions used by Mikhaeil et al in their study (letter to the patient and a pamphlet for GPs to give to patients)? Were patients involved?
- What barriers exist for patients that can make it difficult for them to keep appointments?
Mander G et al. Factors associated with appointment non‐attendance at a medical imaging department in regional Australia: a retrospective cohort analysis. JMRS. 2018, 65(3); 192-199
Lacy, N. L., Paulman, A., Reuter, M. D., & Lovejoy, B. (2004). Why we don’t come: patient perceptions on no-shows. Annals of family medicine, 2(6), 541–545.
Vancouver 1pm (23rd) /Edmonton 2pm (23rd) /Toronto 4pm (23rd) /UK 9pm (23rd) /Sydney 6am (24th) /Auckland 8am (24th)
March 27th: Patient Public and Practitioner Partnerships
Our chat in March aligns with the ISRRT’s 22nd Asia-Australasia Conference of Radiological Technologists (AACRT 2019), held in conjunction with the Australian Society of Medical Imaging and Radiation Therapy’s 14th Annual Conference (March 28th – 31st)
The conference theme is Better together, patients professionals and possibilities.
If you’re attending why not join the MRJC meet up for our March session? Details here.
To quote Dr. Leslie Robinson’s March blog partnerships with patients are based on equity and trust and “barriers need to be dismantled and new spaces designed to enable patient and practitioners to engage in dialogue about what matters most”. Join us on the 27th to talk about the advantages (and possible challenges) of partnering with patients.
1. What are the benefits of a patient partnership/co-design model of care compared to a paternalistic model of care in radiography?
2. Do you have some examples of how you have used partnerships in your own workplaces?
3. Is the notion of “professional boundaries” outdated in partnership working?
4. What one thing might you be able to change in your own practice to support a move towards partnership working?
Society and College of Radiographers – Patient Public and Practitioner Partnerships within Imaging and Radiotherapy: Guiding Principles, 2018
Vancouver 1pm (27th) /Edmonton 2pm (27th) /Toronto 4pm (27th) /UK 8pm (27th) /Sydney 7am (28th) /Auckland 9am (28th)
February’s paper by Warlow, Walker-Birch and Cosson looks at female paediatric gonadal shielding and concludes it is “neither effective nor beneficial” and recommends that the practice should be abandoned.
Further, is shielding in diagnostic imaging generally “a legacy practice” that should be left in the past? If we opt not to shield, how should we deal with patient questions and concerns?
Join us for a look at this controversial topic and don’t forget to check out this month’s blog by Philip Cosson, one of the authors of our chosen paper:
Warlow, T, Walker-Birch P, Cosson P. Gonad shielding in paediatric pelvic radiography: Effectiveness and practice. Radiography. 20(3); 178-182
1. Do you use shielding on your patients? If yes, what exams do you shield for?
3. Does your hospital/clinic/department have a policy around shielding?
2. As a Radiographer do you have the skills to communicate relative dose risk and image optimisation with patients?
4. Are radiographers practicing evidence based care when optimising imaging and dose?
Marsh R M, Silosky M. Patient Shielding in Diagnostic Imaging: Discontinuing a Legacy Practice. AJR. 1-3.
Frantzen MJ et al. Gonad shielding in paediatric pelvic radiography: disadvantages prevail over benefit. Insights Imaging. 2012 Feb;3(1):23-32
Karami V et al. Gonad Shielding during Pelvic Radiography: A Systematic Review and Meta-analysis. Arch Iran Med. 2017 Feb 1;20(2):113-123.
Missed the chat? Catch up with Wakelet.
Times: Vancouver 12pm/Edmonton 1pm/Toronto 3pm/UK 8pm (21st)/Sydney 7am/Auckland 9am (22nd)
Patients undergoing radiotherapy for head and neck and brain cancers often require immobilization to help them keep still during treatment. Going through the process of making and wearing a “safety mask” can be a significant source of worry for patients. January’s chat looks at the issue of “mask anxiety” and what we can do to help.
Nixon et al. Exploring the prevalence and experience of mask anxiety for the person with head and neck cancer undergoing radiotherapy. 2018. JMRS. 65(4); 282-290.
Now read January’s blog by journalist and head and neck cancer survivor Julie McCrossin: “The Mask and How to Help”
1. Julie’s blog this month says that her mask was “the most traumatic aspect” of her treatment. What does it feel like for patients and what factors can contribute to mask anxiety?
2. What measures can we take to help prepare patients before they have a mask made?
3. What strategies do patients and practitioners use to manage mask anxiety before and during radiotherapy?
4. What can we do better? How do you think we can reduce the prevalence of mask anxiety in the future?
Times: Vancouver 12pm/Edmonton 1pm/Toronto 3pm/UK 8pm/Sydney 7am (24th)/Auckland 9am (24th)
Missed the chat? See the highlights here
Image: Moffit Cancer Centre
Have you always wondered what to do when you or a loved one have swallowed a Lego figurine head? We’ve all been there, right?
All things must pass – including Lego figurine heads – but how long will it take? Luckily there is a recently published international, multicentre trial that provides some answers.
Our Christmas paper is Tagg et al’s Everything is awesome: Don’t forget the Lego. Journal of Paediatrics and Child Health. Early view.
T1: What do you think of the approach/methodology of this month’s paper? Would you agree with their conclusions?
T2: What is your experience with imaging ingested foreign bodies (FBs)? What is the most surprising ingested FB you’ve encountered? (If you’re posting images – remember no patient identifiers!)
T3: Speaking of work… (festive segue)…. tell us how your department is celebrating!
Times: Vancouver 12pm/Edmonton 1pm/Toronto 3pm/UK 8pm/Sydney 7am (14th)/Auckland 9am (14th)
This December vote for your favourite MRJC chat from last year in our first annual awards!
1. Most impactful blog (most read)
2. Favourite chat (you vote!)
3. Best gif (we decide!)
Prizes and major bragging rights to the winners!
We often hear “children are not just small adults” and that they have unique needs when we image or treat them. How do we manage their anxiety and ensure a safe and relatively stress-free experience? This month’s paper discusses MRI procedures, but we will also talk about other imaging modalities and the challenges of treating children with radiation therapy.
Kada S, Satinovic M, Booth L, Miller P K. Managing discomfort and developing participation in non-emergency MRI: Children’s coping strategies during their first procedure. Radiography 2018. In press.
T1: The article talks about preparative (prior to arrival) participation being important to manage the experience. How does your department manage this?
T2: Other key areas of support are enabling participation (before the scan) and sustaining participation (during the scan). How do you approach these key points with paediatric patients?
T3: The article comments” this order of support rarely seems to be given to their adult counterparts”? Do you agree? How can we improve this?
Hansen S. Feed‐and‐sleep: a non‐invasive and safe alternative to general anaesthesia when imaging very young children. JMRS. 2013.
Jacques A, Udowicz, Bayliss Y, Jensen K. Thinking Differently About the Kids: An Innovative Approach to Improve Care Provided to Pediatric Patients Undergoing External Beam Radiation Therapy. 2014. JMIRS. 45(3), 269-275
Gårdling J, Edwinson Månsson M, Törnqvist E, Hallström I. Caring for children undergoing radiotherapy treatment: Swedish radiotherapy nurses’ perceptions. 2015 Eur J Onc Nur. 19(6), 660-666
Munn, Z. and Jordan, Z. (2013) Interventions to Reduce Anxiety, Distress, and the Need for Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging: A Systematic Review, Journal Of Radiology Nursing, 32 (2), pp. 87-96
Times: Vancouver 12pm/Edmonton 1pm/Toronto 3pm/UK 8pm/Sydney 7am (22nd)/Auckland 9am (22nd)