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Improving Radiology Peer Learning: Comparing a Novel Electronic Peer Learning Tool and a Traditional Score-Based Peer
Tony W Trinh1,2, Giles W Boland2, Ramin Khorasani1,2
11 Center for Evidence-Based Imaging, Harvard Medical School, Brigham and Women's Hospital, Boston, MA.
AJR. American Journal of Roentgenology
|November 8, 2018
Summary
A new radiology electronic peer learning tool (PLT) significantly enhances learning opportunities and feedback compared to traditional score-based peer review (SBPR) systems, showing a 41-fold increase in clinically significant feedback.
Area of Science:
- Radiology
- Medical Education
- Health Informatics
Background:
- Peer learning is crucial for professional development in radiology.
- Traditional score-based peer review (SBPR) systems may not optimally identify learning opportunities.
- Electronic tools offer potential for improved feedback mechanisms.
Purpose of the Study:
- To compare the effectiveness of a radiology electronic peer learning tool (PLT) versus a score-based peer review (SBPR) system.
- To evaluate the yield of clinically significant feedback and potential learning opportunities from each system.
- To determine which peer learning method offers a higher rate of actionable insights.
Main Methods:
- A retrospective study was conducted at an academic hospital comparing a PLT with an SBPR system over a six-month period.
- The PLT facilitated closed-loop feedback, including clinical follow-up and consultation.
- Learning opportunities were defined by clinical follow-up alerts (PLT) and discrepancy scores of 3 or 4 (SBPR).
- Primary outcome: radiology report addendum rate; Secondary outcome: potential learning opportunity rate.
Main Results:
- The PLT demonstrated an 11.2% report addendum rate, compared to 0.27% for SBPR, a 41-fold difference.
- Potential learning opportunities were significantly higher with PLT (50.0%) versus SBPR (0.53%), a 94-fold difference.
- Both findings were statistically significant (p=0.03 for addenda, p=0.00003 for learning opportunities).
Conclusions:
- A radiology electronic peer learning tool (PLT) significantly enhances peer learning.
- PLTs provide a substantially higher yield of clinically significant feedback and learning opportunities compared to SBPR.
- Electronic peer learning tools represent a more effective approach for radiology quality improvement.
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