Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa

Harriet Nalubega Kisembo; Richard Malumba; Ritah Nassanga; Faith Ameda; Dina Husseiny Salama; Michael Grace Kawooya

doi:doi:10.11648/j.ijmi.20231101.12

| Peer-Reviewed

Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa

Harriet Nalubega Kisembo, Richard Malumba, Ritah Nassanga, Faith Ameda, Dina Husseiny Salama, Michael Grace Kawooya

Published in International Journal of Medical Imaging (Volume 11, Issue 1)

Received: 11 December 2022 Accepted: 30 December 2022 Published: 10 January 2023

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Rationale and objectives: In recent decades, there has been an effort to improve the quality and safety of medical imaging globally. Such, has been promoted through the application of decision aid tools. Clinical Imaging Guidelines (CIGs) are systematically developed statements to assist referrers to make appropriate patient imaging decisions for screening, diagnosis and management of conditions. Awareness of such guidelines prompts their application thus enhancing safety of imaging procedures. There is evidence of low levels of awareness elsewhere but such hasn’t been assessed in Sub-Saharan Africa. The study assessed the CIGs awareness level among imaging referrers before and after giving continuous medical education (CME) and awareness materials. Methods: A pre and post -CME mean score of 18 item questionnaire on awareness on CIGs for 109 referrers from 5 health facilities were compared. A statistical difference in the mean scores for the pre and post intervention assessment was determined using a paired T-test at P > 0.05 and Confidence interval of 95%. Results - At baseline, we found a 47% level of CIGs awareness and after the intervention we found a level of 59%. There was a significant statistical change of 12% level of CIGs awareness from pre-intervention 47% to post intervention 59% at P-value < 0.0001 and 95% confidence interval (7.8-16.4). Conclusion and Recommendation: Routine CMEs are a good to start platforms for enhancing awareness of CIGs and strengthening justification of medical exposures.

Published in	International Journal of Medical Imaging (Volume 11, Issue 1)
DOI	10.11648/j.ijmi.20231101.12
Page(s)	6-11
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Awareness, Clinical Imaging Guidelines, Continuous Medical Education, Imaging Referrers

References

[1]	Brenner DJ, Hall EJ (2007) Computed tomography—an increasing source of radiation exposure. N Engl J Med 357: 2277–2284.
[2]	Malone J, Guleria R, Craven C, Horton P, Järvinen H, Mayo J, O’reilly G, Picano E, Remedios D, Le Heron J (2012) Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation. Br J Radiol 85: 523–538.
[3]	Protection R (2007) ICRP publication 103. Ann ICRP 37: 2.
[4]	Lau L (2014) National, regional and global radiology and medical imaging referral guidelines: issues and opportunities. In: Radiological safety and quality. Springer, pp 105–122.
[5]	Bwanga O, Chanda E (2020) Challenges in radiation protection in healthcare: A case of Zambia. EAS J Radiol Imaging Technol 2: 7–14.
[6]	Remedios D, France B, Alexander M (2017) Making the best value of clinical radiology: iRefer Guidelines. Clin Radiol 72: 705–707.
[7]	Reed MH (2018) The Canadian Association of Radiologists Referral Guidelines. Can Assoc Radiol J 69: 233–235.
[8]	SFR (2005) Guide du bon usage des examens d’imagerie médicale.
[9]	Subramaniam RM, Kurth DA, Waldrip CA, Rybicki FJ (2019) American College of Radiology Appropriateness Criteria: advancing evidence-based imaging practice. In: Seminars in Nuclear Medicine. Elsevier, pp 161–165.
[10]	Richards PJ, Tins B, Cherian R, Rae F, Dharmarajah R, Phair IC, McCall I (2002) The emergency department: an appropriate referral rate for radiography. Clin Radiol 57: 753–758.
[11]	Kawooya M, KISEMBO H, Erem G, Malumba R (2020) Effectiveness of Clinical Imaging Guidelines in the reduction of inappropriate requisitions in Sub-Saharan Africa; a case study of Mengo Hospital, Uganda. European Congress of Radiology-EuroSafe Imaging 2020.
[12]	Remedios D, Mccoubrie P (2007) Making the best use of clinical radiology services: a new approach to referral guidelines. Clin Radiol 62: 919–920.
[13]	Jenkins HJ (2016) Awareness of radiographic guidelines for low back pain: a survey of Australian chiropractors. Chiropr Man Ther 24: 1–9.
[14]	Moifo B, Tene U, Moulion Tapouh JR, Samba Ngano O, Tchemtchoua Youta J, Simo A, Gonsu Fotsin J (2017) Knowledge on irradiation, medical imaging prescriptions, and clinical imaging referral guidelines among physicians in a sub-saharan african country (Cameroon). Radiol Res Pract 2017.
[15]	Gransjøen AM, Wiig S, Lysdahl KB, Hofmann BM (2018) Barriers and facilitators for guideline adherence in diagnostic imaging: an explorative study of GPs’ and radiologists’ perspectives. BMC Health Serv Res 18: 1–8.
[16]	Cohen JA (2019) Knowledge of radiation legislation and guidelines amongst foundation doctors is inadequate for safe practice in the current era of radiology. Clin Radiol 74: 418–420.
[17]	Parvizi N, Mutch S, Moore N (2015) Foundation doctors’ knowledge of radiation legislation and exposure. Clin Radiol 70: S15.
[18]	Marinopoulos SS, Dorman T, Ratanawongsa N, Wilson LM, Ashar BH, Magaziner JL, Miller RG, Thomas PA, Prokopowicz GP, Qayyum R (2007) Effectiveness of continuing medical education. Evid Reporttechnology Assess 1–69.
[19]	Moussa A, Abu-Omar A, Bempah, Maheshwar (2015) Foundation doctors’ knowledge of radiation legislation and exposure. BIR Annual Congress; 2015.
[20]	Lai S, P Lim K, Parirenyatwa R (2017) Foundation doctors’ knowledge of radiation legislation and exposure: a completed audit cycle. SRT Annual Meeting.

Cite This Article

Plain Text BibTeX RIS

APA Style

Harriet Nalubega Kisembo, Richard Malumba, Ritah Nassanga, Faith Ameda, Dina Husseiny Salama, et al. (2023). Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa. International Journal of Medical Imaging, 11(1), 6-11. https://doi.org/10.11648/j.ijmi.20231101.12

Copy | Download

ACS Style

Harriet Nalubega Kisembo; Richard Malumba; Ritah Nassanga; Faith Ameda; Dina Husseiny Salama, et al. Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa. Int. J. Med. Imaging 2023, 11(1), 6-11. doi: 10.11648/j.ijmi.20231101.12

Copy | Download

AMA Style

Harriet Nalubega Kisembo, Richard Malumba, Ritah Nassanga, Faith Ameda, Dina Husseiny Salama, et al. Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa. Int J Med Imaging. 2023;11(1):6-11. doi: 10.11648/j.ijmi.20231101.12

Copy | Download

@article{10.11648/j.ijmi.20231101.12,
  author = {Harriet Nalubega Kisembo and Richard Malumba and Ritah Nassanga and Faith Ameda and Dina Husseiny Salama and Michael Grace Kawooya},
  title = {Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa},
  journal = {International Journal of Medical Imaging},
  volume = {11},
  number = {1},
  pages = {6-11},
  doi = {10.11648/j.ijmi.20231101.12},
  url = {https://doi.org/10.11648/j.ijmi.20231101.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20231101.12},
  abstract = {Rationale and objectives: In recent decades, there has been an effort to improve the quality and safety of medical imaging globally. Such, has been promoted through the application of decision aid tools. Clinical Imaging Guidelines (CIGs) are systematically developed statements to assist referrers to make appropriate patient imaging decisions for screening, diagnosis and management of conditions. Awareness of such guidelines prompts their application thus enhancing safety of imaging procedures. There is evidence of low levels of awareness elsewhere but such hasn’t been assessed in Sub-Saharan Africa. The study assessed the CIGs awareness level among imaging referrers before and after giving continuous medical education (CME) and awareness materials. Methods: A pre and post -CME mean score of 18 item questionnaire on awareness on CIGs for 109 referrers from 5 health facilities were compared. A statistical difference in the mean scores for the pre and post intervention assessment was determined using a paired T-test at P > 0.05 and Confidence interval of 95%. Results - At baseline, we found a 47% level of CIGs awareness and after the intervention we found a level of 59%. There was a significant statistical change of 12% level of CIGs awareness from pre-intervention 47% to post intervention 59% at P-value < 0.0001 and 95% confidence interval (7.8-16.4). Conclusion and Recommendation: Routine CMEs are a good to start platforms for enhancing awareness of CIGs and strengthening justification of medical exposures.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa
AU  - Harriet Nalubega Kisembo
AU  - Richard Malumba
AU  - Ritah Nassanga
AU  - Faith Ameda
AU  - Dina Husseiny Salama
AU  - Michael Grace Kawooya
Y1  - 2023/01/10
PY  - 2023
N1  - https://doi.org/10.11648/j.ijmi.20231101.12
DO  - 10.11648/j.ijmi.20231101.12
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 6
EP  - 11
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20231101.12
AB  - Rationale and objectives: In recent decades, there has been an effort to improve the quality and safety of medical imaging globally. Such, has been promoted through the application of decision aid tools. Clinical Imaging Guidelines (CIGs) are systematically developed statements to assist referrers to make appropriate patient imaging decisions for screening, diagnosis and management of conditions. Awareness of such guidelines prompts their application thus enhancing safety of imaging procedures. There is evidence of low levels of awareness elsewhere but such hasn’t been assessed in Sub-Saharan Africa. The study assessed the CIGs awareness level among imaging referrers before and after giving continuous medical education (CME) and awareness materials. Methods: A pre and post -CME mean score of 18 item questionnaire on awareness on CIGs for 109 referrers from 5 health facilities were compared. A statistical difference in the mean scores for the pre and post intervention assessment was determined using a paired T-test at P > 0.05 and Confidence interval of 95%. Results - At baseline, we found a 47% level of CIGs awareness and after the intervention we found a level of 59%. There was a significant statistical change of 12% level of CIGs awareness from pre-intervention 47% to post intervention 59% at P-value < 0.0001 and 95% confidence interval (7.8-16.4). Conclusion and Recommendation: Routine CMEs are a good to start platforms for enhancing awareness of CIGs and strengthening justification of medical exposures.
VL  - 11
IS  - 1
ER  -

Copy | Download

Author Information

Harriet Nalubega Kisembo

Department of Radiology, Mulago National Referral and Teaching Hospital, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda
Richard Malumba

Ernest Cook Ultrasound and Research and Education Institute, Mengo Hospital, Kampala, Uganda
Ritah Nassanga

Department of Radiology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda
Faith Ameda

Department of Radiology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda
Dina Husseiny Salama

National Center for Radiation Research and Technology, Cairo, Egypt
Michael Grace Kawooya

Ernest Cook Ultrasound and Research and Education Institute, Mengo Hospital, Kampala, Uganda

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Harriet Nalubega Kisembo, Richard Malumba, Ritah Nassanga, Faith Ameda, Dina Husseiny Salama, et al. (2023). Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa. International Journal of Medical Imaging, 11(1), 6-11. https://doi.org/10.11648/j.ijmi.20231101.12

Copy | Download

ACS Style

Harriet Nalubega Kisembo; Richard Malumba; Ritah Nassanga; Faith Ameda; Dina Husseiny Salama, et al. Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa. Int. J. Med. Imaging 2023, 11(1), 6-11. doi: 10.11648/j.ijmi.20231101.12

Copy | Download

AMA Style

Harriet Nalubega Kisembo, Richard Malumba, Ritah Nassanga, Faith Ameda, Dina Husseiny Salama, et al. Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa. Int J Med Imaging. 2023;11(1):6-11. doi: 10.11648/j.ijmi.20231101.12

Copy | Download

@article{10.11648/j.ijmi.20231101.12,
  author = {Harriet Nalubega Kisembo and Richard Malumba and Ritah Nassanga and Faith Ameda and Dina Husseiny Salama and Michael Grace Kawooya},
  title = {Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa},
  journal = {International Journal of Medical Imaging},
  volume = {11},
  number = {1},
  pages = {6-11},
  doi = {10.11648/j.ijmi.20231101.12},
  url = {https://doi.org/10.11648/j.ijmi.20231101.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20231101.12},
  abstract = {Rationale and objectives: In recent decades, there has been an effort to improve the quality and safety of medical imaging globally. Such, has been promoted through the application of decision aid tools. Clinical Imaging Guidelines (CIGs) are systematically developed statements to assist referrers to make appropriate patient imaging decisions for screening, diagnosis and management of conditions. Awareness of such guidelines prompts their application thus enhancing safety of imaging procedures. There is evidence of low levels of awareness elsewhere but such hasn’t been assessed in Sub-Saharan Africa. The study assessed the CIGs awareness level among imaging referrers before and after giving continuous medical education (CME) and awareness materials. Methods: A pre and post -CME mean score of 18 item questionnaire on awareness on CIGs for 109 referrers from 5 health facilities were compared. A statistical difference in the mean scores for the pre and post intervention assessment was determined using a paired T-test at P > 0.05 and Confidence interval of 95%. Results - At baseline, we found a 47% level of CIGs awareness and after the intervention we found a level of 59%. There was a significant statistical change of 12% level of CIGs awareness from pre-intervention 47% to post intervention 59% at P-value < 0.0001 and 95% confidence interval (7.8-16.4). Conclusion and Recommendation: Routine CMEs are a good to start platforms for enhancing awareness of CIGs and strengthening justification of medical exposures.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Effect of Continuous Medical Education on Awareness of Clinical Imaging Guidelines Among Imaging Referrers in Sub-Saharan Africa
AU  - Harriet Nalubega Kisembo
AU  - Richard Malumba
AU  - Ritah Nassanga
AU  - Faith Ameda
AU  - Dina Husseiny Salama
AU  - Michael Grace Kawooya
Y1  - 2023/01/10
PY  - 2023
N1  - https://doi.org/10.11648/j.ijmi.20231101.12
DO  - 10.11648/j.ijmi.20231101.12
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 6
EP  - 11
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20231101.12
AB  - Rationale and objectives: In recent decades, there has been an effort to improve the quality and safety of medical imaging globally. Such, has been promoted through the application of decision aid tools. Clinical Imaging Guidelines (CIGs) are systematically developed statements to assist referrers to make appropriate patient imaging decisions for screening, diagnosis and management of conditions. Awareness of such guidelines prompts their application thus enhancing safety of imaging procedures. There is evidence of low levels of awareness elsewhere but such hasn’t been assessed in Sub-Saharan Africa. The study assessed the CIGs awareness level among imaging referrers before and after giving continuous medical education (CME) and awareness materials. Methods: A pre and post -CME mean score of 18 item questionnaire on awareness on CIGs for 109 referrers from 5 health facilities were compared. A statistical difference in the mean scores for the pre and post intervention assessment was determined using a paired T-test at P > 0.05 and Confidence interval of 95%. Results - At baseline, we found a 47% level of CIGs awareness and after the intervention we found a level of 59%. There was a significant statistical change of 12% level of CIGs awareness from pre-intervention 47% to post intervention 59% at P-value < 0.0001 and 95% confidence interval (7.8-16.4). Conclusion and Recommendation: Routine CMEs are a good to start platforms for enhancing awareness of CIGs and strengthening justification of medical exposures.
VL  - 11
IS  - 1
ER  -

Copy | Download