ARRS 2022 Abstracts

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E1782. Health Systems Science: An Organization Framework for Teaching Radiology Practice
Authors
  1. Amanda Felsen; Albert Einstein College of Medicine
  2. Andrew McClelland; Montefiore Medical Center
  3. Mariya Kobi; Montefiore Medical Center
  4. Jacqueline Bello; Montefiore Medical Center
  5. Judah Burns; Montefiore Medical Center
Background
Health systems science (HSS) is an educational framework created by the American Medical Association (AMA) that focuses on teaching how healthcare is delivered, how healthcare professionals provide that care as a team, and how the process of healthcare delivery is organized. The aim of HSS is to address student-reported gaps within medical education, including health care systems, economics, managed care, and practice management. There is overlap between Accreditation Council for Graduate Medical Education (ACGME)-required curricular elements in graduate medical education and HSS, with few standardized curricular resources dedicated to teaching these nonclinical topics. The purpose of this educational presentation is to introduce the HSS framework within the context of radiology practice.

Educational Goals / Teaching Points
Our primary goal of this presentation is to explore how HSS organizes elements of care delivery into core domains, with specialty application and more broad cross-cutting domains generalizable between specialties. We will elucidate unique and specific applications of HSS core domains to radiology practice.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
We will detail the core domains of HSS and present detailed radiology-specific examples that fit into this framework. Core and cross-cutting domains describe the key elements of the HSS framework. The core domains include health care structures, processes, and delivery, health care policy, economics, and management, clinical informatics and health information technology, population and public health, social determinants of health (SDOH), value-based care, and health system improvement. The cross-cutting domains include leadership, teamwork and interprofessional education, evidence-based medicine and practice, professionalism and ethics, and scholarship. We will present a framework for radiology educators to define key educational areas and incorporate educational modules to teach HSS within the context of clinical rotations, special sessions, and through assigned readings.

Conclusion
HSS organizes the core elements of nonclinical medical and radiology practice. Training programs can use the HSS framework to organize curricula, enhance residency education, and prepare residents for clinical practice.