ARRS 2022 Abstracts


E1302. Radiology Trainee and Attending Satisfaction with Virtual Readouts During the COVID-19 Pandemic
  1. Melissa Tannenbaum; Beth Israel Deaconess Medical Center
  2. Anuradha Shenoy-Bhangle; Beth Israel Deaconess Medical Center
  3. Alexander Brook; Beth Israel Deaconess Medical Center
  4. Seth Berkowitz; Beth Israel Deaconess Medical Center
  5. Yu-Ming Chang; Beth Israel Deaconess Medical Center
In response to mandated social distancing during the COVID-19 pandemic, our institution implemented three virtual readout systems: a commercial HIPAA-compliant web-based video conferencing platform used for screen-sharing (Starleaf), an interactive control sharing system integrated into PACS allowing simultaneous multi-user mouse control over images (Collaborate), and the telephone. Our aim was to assess radiology resident and attending satisfaction with these different methods of virtual readout in order to optimize best practices for the future.

Materials and Methods:
An IRB-exempt 10-question survey was electronically distributed to 64 trainees and 76 attendings at a single tertiary-care institution between April and June 2021 via Survey Monkey. Questions focused on satisfaction, perceived effectiveness, technical difficulties, and continued future use of the three virtual platforms. Answers were collected with Likert scales, tick boxes, and open-ended questions.

A total of 32/64 (50%) trainees and 32/76 (42%) attendings completed the survey. Trainees and attendings were more satisfied with screen sharing (Starleaf) and considered it more effective than control sharing (Collaborate) or the telephone (p < 0.0001). Respondents experienced more technical difficulties with control sharing versus screen sharing (p=0.0004) with a negative correlation between level of technical difficulties and satisfaction with screen sharing (r=-0.50, p<0.0001) and control sharing (r=-0.38, p =0.0006) as well as with perceived effectiveness of screen sharing (r=-0.28, p=0.01) and control sharing (r=-0.25, p=0.02). Although there was somewhat greater satisfaction and significantly more positive perception of effectiveness with the telephone by attendings compared to trainees (p=0.07 and p=0.05 respectively), there were no other significant differences between trainee and attending experiences with the platforms. Specifically pertaining to control sharing, most agreed that the ability for both users to simultaneously manipulate the PACS images aided in education and teaching (p < 0.05), however the majority of comments expressed dissatisfaction with platform mostly due to functional issues. Trainees and attendings both expressed an overall desire to return to in-person readouts; however, most supported the incorporation of virtual platforms into future readouts (p< 0.05), with screen sharing (Starleaf) being the preferred method over the telephone (p=0.0009) and a trend towards increased support for screen sharing over control sharing (p= 0.07). Attendings more strongly supported use of the telephone in future readouts compared to trainees (p=0.0004).

Platforms mirroring in-person readouts, such as Starleaf, are overall preferred by both trainees and attendings over the telephone. Technical stability determines satisfaction between similar platforms regardless of potentially better interactivity. While in-person readouts are still preferred, our study sheds light on the possibility of incorporating these new virtual platforms into traditional in-person readouts in the post-pandemic era.