QI: Solving the Retention Problem: Addressing Moral Injury in Radiology Practice | Domain: Radiology Performance Improvement (2023)-M8-RCP22-2023

Video Transcription

Video Summary

In a series of discussions led by Dr. Rama Ayala, experts from various medical institutions addressed the issue of moral distress, its impact on burnout, and potential solutions across the field of radiology. Dr. Ayala shared her personal experience with burnout as an introduction, framing it as a system issue rather than an individual shortcoming. Moral distress, identified as the unease from being unable to act ethically, can lead to moral injury and burnout. The experts recommended tackling workloads, improving time management, and addressing systemic work environment issues such as high capacity demands.<br /><br />Further discussions emphasized adopting leadership roles in combating moral distress. Leadership can help mitigate distress by setting realistic expectations, advocating for radiologists, and emphasizing value alignment in team cultures. The importance of efficient teaching strategies during busy clinical days was also highlighted, with adoption of evidence-based teaching methods such as retrieval practice, spaced repetition, and interleaving to enhance learning. Strategies from other medical disciplines, like the one-minute preceptor model, can improve the efficacy of radiological instruction without burdening clinical workflow. This includes giving succinct feedback and integrating educational missions seamlessly within clinical practice. Overall, system-level changes and strategic leadership are deemed essential to reduce burnout and enhance both patient care and education in radiology.

Keywords

moral distress

burnout

radiology

leadership

systemic issues

teaching strategies

work environment

evidence-based methods

patient care