Stefan Wirth1,2,3, Ferco H Berger4, Ana Blanco Barrio5,6, Martin G Wagner7, Raffaela Basilico5,8. 1. Institut für Radiologie und Nuklearmedizin, Schwarzwald-Baar-Klinikum, Klinikstr. 11, 78052, Villingen Schwenningen, Germany. wirth.online@googlemail.com. 2. Klinik und Poliklinik für Radiologie, Medizinische Fakultät der LMU München, Klinikum der LMU München, Nußbaumstr. 20, 80336, Munich, Germany. wirth.online@googlemail.com. 3. European Society of Emergency Radiology, Am Gestade 1, 1010, Vienna, Austria. wirth.online@googlemail.com. 4. Emergency & Trauma Radiology Division, Sunnybrook Health Sciences Centre, Department of Medical Imaging, University of Toronto, Toronto, Canada. 5. European Society of Emergency Radiology, Am Gestade 1, 1010, Vienna, Austria. 6. Servicio de Radiodiagnóstico. Sección de Radiología de Urgencias, Hospital G.U. Morales Meseguer, Murcia, Spain. 7. Klinik für Gefäßchirurgie, Helios Klinikum München West, Munich, Germany. 8. Department of Imaging, SS Annunziata University Hospital-Chieti, Chieti, Italy.
Abstract
BACKGROUND: Emergency radiology (ER) is an important part of radiology. But what exactly is ER? How can the required competencies be acquired in a good and feasible way? Who should be in charge of this? OBJECTIVES: Discussion of ER contents and suggestions for the improvement of the acquisition of respective competencies during radiology training. MATERIALS AND METHODS: General literature review, in particular the current German blueprint for medical specialist training regulations (Weiterbildungsordnung, WBO 2020), publications by the German Radiological Society (DRG), the European Society of Radiology (ESR), the European Society of Emergency Radiology (ESER) and the American Society of Emergency Radiology (ASER). RESULTS AND CONCLUSIONS: As proof of competence in ER in Germany, confirmation from the authorised residency training supervisor as to whether there is 'competence to act' either 'independently' or 'under supervision' in the case of 'radiology in an emergency situation …, e.g. in the case of polytrauma, stroke, intensive care patients' is sufficient. The ESER refers to all acute emergencies with clinical constellations requiring an immediate diagnosis 24/7 and, if necessary, acute therapy. The ESER and ASER offer, among other things, practical fellowships in specialised institutions, while the ESER complements this with a European Diploma in Emergency Radiology (EDER). On a national level, it would be advisable to use existing definitions, offers and concepts, from the ESR, ESER and ASER. Specialised institutions could support the acquisition of ER competencies with fellowships. For Germany, it seems sensible to set up a separate working group (Arbeitsgemeinschaft, AG) on ER within the DRG in order to drive the corresponding further ER development.
BACKGROUND: Emergency radiology (ER) is an important part of radiology. But what exactly is ER? How can the required competencies be acquired in a good and feasible way? Who should be in charge of this? OBJECTIVES: Discussion of ER contents and suggestions for the improvement of the acquisition of respective competencies during radiology training. MATERIALS AND METHODS: General literature review, in particular the current German blueprint for medical specialist training regulations (Weiterbildungsordnung, WBO 2020), publications by the German Radiological Society (DRG), the European Society of Radiology (ESR), the European Society of Emergency Radiology (ESER) and the American Society of Emergency Radiology (ASER). RESULTS AND CONCLUSIONS: As proof of competence in ER in Germany, confirmation from the authorised residency training supervisor as to whether there is 'competence to act' either 'independently' or 'under supervision' in the case of 'radiology in an emergency situation …, e.g. in the case of polytrauma, stroke, intensive care patients' is sufficient. The ESER refers to all acute emergencies with clinical constellations requiring an immediate diagnosis 24/7 and, if necessary, acute therapy. The ESER and ASER offer, among other things, practical fellowships in specialised institutions, while the ESER complements this with a European Diploma in Emergency Radiology (EDER). On a national level, it would be advisable to use existing definitions, offers and concepts, from the ESR, ESER and ASER. Specialised institutions could support the acquisition of ER competencies with fellowships. For Germany, it seems sensible to set up a separate working group (Arbeitsgemeinschaft, AG) on ER within the DRG in order to drive the corresponding further ER development.
Authors: M G Wagner; M R Fischer; M Scaglione; U Linsenmaier; G Schueller; F H Berger; E Dick; R Basilico; M Stajgis; C Calli; S Vaidya; Stefan Wirth Journal: GMS J Med Educ Date: 2017-11-15