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Apr 29 40 tweets 23 min read Twitter logo Read on Twitter
Interesting session coming up now #ASMIRT2023: Champions of Change, to be closed with a panel discussion on patient centred care Image
And just as interesting in the other plenary on application of AI (artificial intelligence), which will also end in a panel discussion - ft @DrKEHawk @DrEMRohren, Phillip Chlap, moderated by @DrGeoffCurrie #ASMIRT2023 Image
Just noting, @AlisonSBarrett and I (@mariemcinerney) are covering #ASMIRT2023 remotely: tweeting from presentations, interviews etc, not live in the room. We are v grateful for the generosity of speakers who have shared their work with us.
. @EmmaHydeTeach has kicked off the Champions of Change session, looking at patient centred care: global perspective & international community of practice

#ASMIRT2023

. @EmmaHydeTeachdefines person centred care as care that is personalised, coordinated, enabling, with dignity and respect, that puts the person (rather than the clinician/process/system) at the centre of the episode of care #ASMIRT2023 Image
As we reported in our #ASMIRT2023 preview, @EmmaHydeTeach recently co-led a large-scale UK research project to define informed measures of patient-centred care in diagnostic radiography, incl via a survey of clinicians, managers, and service users
croakey.org/your-everyday-…
Here’s their work: Delivering informed measures of patient centred care in medical imaging: What is the international perspective?” jmirs.org/article/S1939-…#ASMIRT2023
They found that patients prioritised information, care, privacy and dignity, environment, while medical imaging technologists/managers prioritised efficiency as a core component of care, then information, care, and finally privacy and dignity. @EmmaHydeTeach #ASMIRT2023
Their theoretical model for PCC ranges from privacy & dignity around gown size, through to car parking issues, waiting rooms, quiet areas for dementia patients, opportunity to ask questions etc #ASMIRT2023 Image
Now, with @QUTcolleagues, they are looking at perspectives about patient care in Australia, New Zealand and South Africa. It’s the first study, @EmmaHydeTeach said, to compare perspectives on PCC in medical imaging between the Global North and Global South Image
. @EmmaHydeTeach is also in the evaluation stage of an 18-month project that delivered training about organisational culture and person-centred care to colleagues working in health and social care services in the Midlands region of the UK. #ASMIRT2023
conference.asmirt.org/2023/program/a…
3 tips from @EmmaHydeTeach on delivering person centred care:
1. always start any interaction with “Hello my name is…” Introducing yourself and your role is key to establishing an equal relationship based on mutual dignity and respect. #ASMIRT2023

hellomynameis.org.uk
2. Find out what matters to the person you are caring for: We can make assumptions based on our own values and beliefs "but when we ask ‘what matters to you’ it puts our patients’ values and beliefs at the centre of the episode of care" @EmmaHydeTeach

whatmatterstoyou.scot
3. Focus on comfort and care – offer blankets, pillows, pads, remember to smile, maintain good eye contact and use open body language when communicating to show that you care: @EmmaHydeTeach #ASMIRT2023
. @MikeVelec, from the Princess Margaret Cancer Centre in Toronto, Canada, has also been presenting on: Person-centered radiation therapy models-of-care and services #ASMIRT2023 HT @Curlz1702

The radiation therapy pathway is at risk of delivering care that is impersonal, fragmented and non responsive to individual patient needs, says @MikeVelec #ASMIRT2023
. @MikeVelec: re a new model of care to re-organise radiation therapy (RT) staff around patients who need more personal care. It partners them with an RT who provides support on top of all tech procedures (imaging, planning, delivery) to maximise continuity of care #ASMIRT2023
Recently, to provide earlier access to RTs, virtual care was introduced. Patients could opt to remotely meet their treating RT ahead of onsite appointments. They overwhelmingly endorsed it over both tele- and in-person consultation: @MikeVelec #ASMIRT2023

Using advanced practice models, RTs have even been embedded in medical consultations in an effort to offer same day breast irradiation and one-step sim-plan-treat for palliation, @MikeVelec #ASMIRT2023
Finally, the recent clinical implementation of online adaptive radiation therapy has required the daily presence of a multi-disciplinary team for technical delivery. @MikeVelec says this has offered new patient access to their care team for support. #ASMIRT2023
. @CMalamateniou is involved in multiple sessions at #ASMIRT. Not surprised she was named @CityUniLondon's Extraordinary Woman for 2023
city.ac.uk/news-and-event…
. @CMalamateniou was honoured by @CityUniLondon for outstanding contributions to radiography, incl pioneering an autism-friendly MRI scan, exploring COVID impact on radiography academics/practitioners & research into creating ethical AI tools in radiology #ASMIRT2023
. @CMalamateniou now been presenting on her
work on an autism-friendly MRI scan #ASMIRT2023

. @CMalamateniou says her research into better ways of MRI scanning of autistic people "is an act of peaceful, evidence-based activism", to provide healthcare equity & inclusion for medical imaging and to help put an end to stigmatisation #ASMIRT2023
Her work explains that autistic people may have increased incidence of some musculoskeletal conditions, such as Ehren Danlos syndrome, or neurological conditions, such as epilepsy, also low back pain, headaches, accidents etc, so they may need MRI scans #ASMIRT2023
But anxiety, sensitivities to sound, light, smell, or touch may mean the narrow, loud, unfamiliar MRI environment is overwhelming. "I like to work with (autistic people) to co-create solutions that address real problems of their lives," @CMalamateniou told Croakey #ASMIRT2023
Lack of access to healthcare, incl radiography, creates a vicious circle of poor physical/mental health and deprive autistic people from the quality of life they deserve." @CMalamateniou #ASMIRT2023
On working with autistic people, @CMalamateniou says: "radiographers need to get better, customised training, so they can offer truly person centred care - & need to offer reasonable adjustments in communication, physical environment & medical imaging procedures" #ASMIRT2023
Autistic people do not get enough, well communicated info when they go to radiology depts & therefore often don't what to expect from clinical environments that are not fit for them but are fast paced, noisy, sensory overwhelming and create anxiety @CMalamateniou #ASMIRT2023
"Because of these unsuitable environments they often cannot complete their imaging examinations, and this means they cannot get the required timely and appropriate diagnosis and treatment for any common clinical concern they might experience" @CMalamateniou #ASMIRT2023
Huge health/wellbeing implications if autistic people don't get care they need; also workflow implications for hospitals for missed, repeat or delayed appointments; late treatments can be less effective, riskier, more expensive, with poorer outcomes @CMalamateniou #ASMIRT2023
Learning how to care for autistic people in radiology depts is "part of our professional responsibility," says @CMalamateniou.

"Person centred-care is critical:

"A virtuous circle, if we get it right, a vicious one, if not." #ASMIRT2023

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More from @CroakeyNews

Apr 30
Further to the thread on AI at #ASMIRT featuring the work of @DrGeoffCurrie (and MTC)

. @DrGeoffCurrie is chair of the nuclear medicine program at #ASMIRT2023 - it features a number of his posters, incl with his son @CurrieHugo and daughter Josie. He tells @CroakeyNews his kids "have grown up in nuclear medicine"......
#ASMIRT2023 poster: @DrGeoffCurrie & Josie Currie - cultural competence in person-centred care Image
Read 6 tweets
Apr 30
A thread now to catch up on discussions around artificial intelligence (AI) - a hot topic everywhere, including at #ASMIRT2023.

See some of the issues raised in our 'future of medical radiation sciences' Q&A piece
croakey.org/what-does-the-… #ASMIRT2023
Interestingly, @theage @smh have run a piece this weekend by @angusthomson_: 'A new breed of AI is changing healthcare. But it comes with a warning '

($ paywall) #ASMIRT2023
theage.com.au/national/a-new…
It quotes an Aust study of safety events involving AI-assisted tech (reported to @US_FDA) by @AIHI_MQ led by @EnricoCoiera @David_Lyell @YingWang_CHI @FarahMagrabi who warn "we just need to be taking the safety of these systems really seriously"

(ML = machine led) Image
Read 25 tweets
Apr 30
Gary Denham is a radiographer at @HNEHealth, with a number of presentations for #ASMIRT2023, incl (related to Edel Doyle previously): Beyond the skeletal survey: how modern neuroimaging is revealing the effects of childhood maltreatment
Denham says it's well established that childhood maltreatment/abuse is detrimental to mental health & a major risk factor for most psychiatric disorders. Can also lead to a range of behavioural problems & alter the structure/function of the developing brain #ASMIRT2023
Child maltreatment/abuse is also associated with impairments to IQ, academic achievement, working memory, emotional regulation and inhibitory control - Denham #ASMIRT2023
Read 13 tweets
Apr 29
We're set to follow the final day of #ASMIRT2023 - national gathering of the medical radiation sciences: been a big agenda of clinical/workplace issues, also diversity/inclusion, AI, patient-centred care Image
Today's opening #ASMIRT2023 session will focus on forensic radiography, workplace wellness/burnout, clinical issues, education and gaps in care. Image
We are not attending #ASMIRT2023, but @AlisonSBarrett and I (@mariemcinerney) are tweeting via abstracts/posters/presentations/interviews, with thanks to many speakers who have shared their work with us
Read 18 tweets
Apr 29
Catching up re earlier #ASMIRT2023 session from @CMalamateniou on: Artificial Intelligence is changing
radiography: What should we do? (Pic: ASMIRT) Image
"AI is just another tool we need to use effectively & responsibly to solve real clinical problems; radiographers are frontrunners in this race, together with all other profs working in medical imaging, radiotherapy & nuclear medicine." @CMalamateniou told Croakey #ASMIRT2023
"AI is only as clever & equitable as the data we feed it with; because of the way it works, it has massive scalability & the potential to revolutionise medicine and radiography; it can also create massive problems if we fail to use it right." @CMalamateniou #ASMIRT2023
Read 5 tweets
Apr 29
Next session up at #ASMIRT2023, with a focus here on evidence based practice and research while @AlisonSBarrett will be tweeting re the stream on building a resilient & responsive workforce Image
On why #ASMIRT2023 is talking about the need to build an evidence base, @CMalamateniou told Croakey: "Radiography is a relatively new profession, so it still builds its evidence base. ...It leans equally on technology & person-centred care. So these are the two areas of (focus)."
"Research is the basis for creating new solutions to new problems; in healthcare, research is about helping others: our patients and their carers and families...." @CMalamateniou #ASMIRT2023
Read 17 tweets

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