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Peer learning in abdominal radiology: iterative process improvements over a 20-year experience
Bettina Siewert1, Olga R Brook1, Jonathan B Kruskal2
1Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA, 02215, USA.
Abdominal Radiology (New York)
|December 13, 2023
Summary
Peer learning and improvement (PLI) programs enhance radiologist performance. Effective PLI requires sustained communication, education, and continuous process improvement for successful implementation.
Area of Science:
- Medical Education
- Radiology Quality Improvement
- Healthcare Administration
Background:
- Peer learning and improvement (PLI) is increasingly adopted for continuous professional development in medical practices.
- Significant variations exist in PLI implementation, administration, outcome measurement, and radiologist engagement strategies.
- A comprehensive understanding of PLI best practices is still evolving.
Purpose of the Study:
- To share lessons learned from a 20-year experience in designing, implementing, and refining a PLI program within a large academic radiology department.
- To provide insights into the iterative improvements and data submission trends observed in a long-standing PLI process.
- To offer a model for effective PLI program development and management.
Main Methods:
- Prospective documentation of iterative process improvements and data submission trends since 2004.
- Analysis of strategies employed to engage radiologists, including fostering case submission and meeting participation.
- Development and utilization of templates for case analysis, contributing factor review, and identification of improvement opportunities, ensuring regulatory compliance.
Main Results:
- Observed variations in submission trends, case content, and improvement opportunities across different clinical sections.
- Identified key process improvements that enhanced radiologist engagement, such as closing the feedback loop and broadening case submission criteria.
- Demonstrated the positive impact of minimizing workflow disruptions and using evidence-based templates for categorization and bias analysis.
Conclusions:
- Effective PLI program implementation necessitates ongoing communication, comprehensive education, and a commitment to continuous process enhancement.
- Successful PLI requires dedicated resources, including trained champions, allocated time, and consistent effort.
- Patience and a systematic approach are crucial for realizing the full benefits of PLI in performance improvement.
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