Presentation is loading. Please wait.

Presentation is loading. Please wait.

Η εκπαίδευση στην ακτινοπροστασία στην Ευρωπαική Ένωση Τριαντάφυλλος Γιαννακόπουλος ESVS EVST Radiation Protection Training Committee EVST Executive Committee.

Similar presentations


Presentation on theme: "Η εκπαίδευση στην ακτινοπροστασία στην Ευρωπαική Ένωση Τριαντάφυλλος Γιαννακόπουλος ESVS EVST Radiation Protection Training Committee EVST Executive Committee."— Presentation transcript:

1 Η εκπαίδευση στην ακτινοπροστασία στην Ευρωπαική Ένωση Τριαντάφυλλος Γιαννακόπουλος ESVS EVST Radiation Protection Training Committee EVST Executive Committee EVST Councilor – Greece Αγγειοχειρουργός Επιμελητής Αγγειοχειρουργικής Κλινικής Ν.Ν.Α. ΔΠΜΣ «Ενδαγγειακές Τεχνικές» 31 Ιανουαρίου 2014

2 73% των αορτικών ενδαγγειακών επεμβάσεων διενεργούνται από Αγγειοχειρουργούς 73% των αορτικών ενδαγγειακών επεμβάσεων διενεργούνται από Αγγειοχειρουργούς Liapis CD, et al Vascular training and endovascular practice in Europe.Eur J Vasc Endovasc Surg. 2009 Jan;37(1):109-15 Ενδαγγειακές επεμβάσεις στην Ευρώπη

3 Systematic Review of PubMed publications regarding radiation exposure Radiology 58% Vascular Surgery 16% Are we aware of Radiation Risk Importance?

4 Systematic Review of PubMed publications regarding radiation exposure in Vascular Surgery What is our focus in Radiation Exposure?

5 Systematic Review of PubMed publications regarding radiation exposure in Vascular Surgery Only 9% of publications considered the effect of Education (Training / Experience) Only 9% of publications considered the effect of Education (Training / Experience) Kirkwood ML et al. Surgeon education decreases radiation dose in complex endovascular procedures and improves patient safety. Journal of Vascular Surgery. 2013 Sep;58(3):715–21. Do we consider Education & Training in Radiation Exposure?

6 Member States govern Radiation Protection Guidelines (National Policies apply) RP116 European Directive On Radiological Protection Training (2000) Accreditation/Certification not addressed Does not provide standardized learning outcomes Does not provide requirements for new specialists using ionizing radiation EU Radiation Protection Training Background

7 The MEDRAPET Project ( will revise RP116 ) WP1: Survey ( Professional Societies, Authorities, Institutions ) WP2: Workshop WP3: Final report received by EC (Aug 2013) Accreditation/Certification of Specialists in RP Standardized learning outcomes Requirements for new specialists using ionizing radiation ESVS NOT Surveyed Because target was National auth/soc/inst ESVS Participant ESVS Observer/Participant EU Radiation Protection Training Background

8 MEDRAPET Consortium

9 Αποτελέσματα MEDRAPET

10

11 European Vascular Surgeons in Training (EVST) Radiation Protection Training Survey Results Triantafillos G. Giannakopoulos MD EVST Radiation Protection Training Committee EVST Executive Committee EVST Councilor - Greece

12 George Hamilton, ESVS President Simon Parvin, ESVS Secretary General Christos Liapis,ESVS Advisor to MEDRAPET Hubert Stepak, EVST Secretary General Makis Avgerinos, Past EVST Secretary General Olufemi Oshin, EVST Radiation Protection Training Committee Vladimir Zelinskiy, EVST Radiation Protection Training Committee All EVST Council Members Randi Wilson, ESVS Marketing Manager

13 EVST Radiation Protection Training Committee (Bologna 2012) ESVS wide Electronic Survey Full Members Trainee Members Eastern European Members E-mail Based, Online 3051 Recipients – 583 Responders 19.1% Response Rate - 60 Days 37 Multiple Choice Questions “Skip Logic” SurveyMonkey, IBM SPSS v21, SISA Confidence Level: 99% Confidence Interval: ±4,78% (Margin of Error) Confidence Level: 99% Confidence Interval: ±4,78% (Margin of Error) Statistical Significance of Results Wimmer RD, Mass Media Research: Introduction 9TH EDITION. Wadsworth, Inc,2011; Methods – Statistics - Accuracy ESVS Newsletter Introduction Increase awareness Establish RP Status

14 EVST Radiation Protection Training Committee (Bologna 2012) ESVS wide Electronic Survey Full Members Trainee Members Eastern European Members E-mail Based, Online 3051 Recipients – 583 Responders 19.1% Response Rate - 60 Days 37 Multiple Choice Questions “Skip Logic” SurveyMonkey, IBM SPSS v21, SISA Confidence Level: 99% Confidence Interval: ±4,78% (Margin of Error) Confidence Level: 99% Confidence Interval: ±4,78% (Margin of Error) Statistical Significance of Results Wimmer RD, Mass Media Research: Introduction 9TH EDITION. Wadsworth, Inc,2011; Methods – Statistics - Accuracy Increase awareness Establish RPT Status Van Bennekom FC. Customer surveying: a guidebook for service managers. Bolton, MA: Customer Service Press; 2002.

15 Response Rate Analysis Response Rate 19,1% (95% CI 17,7-20,5) Response Rate 19,1% (95% CI 17,7-20,5) Co-Operation Rate 19,8% Refusal Rate 0,75% Contact Rate 96,5% The American Association for Public Opinion Research. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Lenexa, Kansas: The American Association for Public Opinion Research, 2000. Lynn P, Beerten R, Laiho J, Martin J. Recommended Standard Final Outcome Categories and Standard Definitions of Response Rate for Social Surveys. Colchester, Essex: The Institute for Social and Economic Research, 2001 Uitenbroek, Daan G, Binomial. SISA. 1997. http://www.quantitativeskills.com/sisa/distributions/ binomial.htm. (1 Jan. 2013).

16 Responses per Country

17 Responses over time Reminder Sent Launch NewsLetter

18 Respondents Profile Vascular Surgeons 69,8% Vascular Trainees 27% Vascular Surgeons 69,8% Vascular Trainees 27% Young Specialists (1-5yr)36% (double the size of older 5yr groups) Young Specialists (1-5yr)36% (double the size of older 5yr groups)

19 Respondents Profile Public Hospital 47% Academic Institution43% Private Sector9% Public Hospital 47% Academic Institution43% Private Sector9%

20 Respondents Practice Profile 90% get exposed to radiation during Endovascular procedures NO ENDO TRAINING SOMEONE ELSE DOES NO FACILITIES 10% NO Endovascular

21 Endovascular Practice Profile O.R. + C-Arm is the most popular mode of operation Vascular Surgery alone52,8% Co-operation with I.R.47,2% Vascular Surgery alone52,8% Co-operation with I.R.47,2%

22 Endovascular Training Profile VS CURRICULUM STAND ALONE AS A SPECIALIST WORKING WITH VS Stand Alone Organized by AS A SPECIALIST WORKING WITH IR 75% were ENDO trained (but 90% get exposed during ENDO) 75% were ENDO trained (but 90% get exposed during ENDO) ENDO in VS Curricula55,5% Most Popular ENDO Training Provider 71,7% ENDO in VS Curricula55,5% Most Popular ENDO Training Provider 71,7% VS IR

23 Endovascular Training Profile 41,5% of ENDO training programs DO NOT include Radiation Protection modules

24 Radiation Protection Training 69% were Radiation Protection trained (but 90% get exposed during ENDO) 69% were Radiation Protection trained (but 90% get exposed during ENDO) STAND ALONE VS CURRICULUM IR PART OF VS ENDO 56,5% was a STAND-ALONE RP Training Program

25 71% Received STAND ALONE RP Training within the last 5 years Stand Alone RP Training NATIONAL REGULATION INSTITUTIONAL REGULATIONS 82% because it was MANDATORY

26 Stand Alone RP Training Within Countries99,1% Radiation Physicists83% EUROPEAN?

27 Stand Alone RP Training Level COURSE CERTIFICATE I DON’T HAVE AN RP SPECIFIC CERTIFICATE WORKSHOP MSc NATIONAL CERTIFICATE OTHER PhD 68% 14,4% 14,1% 5,5% Course Certificate68% 16-30 Teaching Hours most Frequent

28 Practice Patterns by Training Vascular Trainees Vascular Surgeons 4,6 7,6 14,5 65,4 14,9 13,5 24,3 39,2 14,9% get exposed without having trained 4,6% get exposed without having trained (worst scenario 9,2%) 4,6% get exposed without having trained (worst scenario 9,2%)

29 RP Trained Not RP Trained 53% unfamiliar with the meaning of ALARA Even after training in RP 41,5% remained unfamiliar with the meaning of ALARA Even after training in RP 41,5% remained unfamiliar with the meaning of ALARA RP Education by Training

30 Vascular Surgeons RP Education by Training 7,4 24,4 11,8 5,1 24,4% Unfamiliar with ALARA although trained 9% Unfamiliar with Dose Limit although trained 9% Unfamiliar with Dose Limit although trained 5,9 9 7,45 2,6

31 Importance of Radiation Protection Training 89% consider Radiation Protection Training a Prerequisite BUT 11% Training is not necessary 89% consider Radiation Protection Training a Prerequisite BUT 11% Training is not necessary

32 Awareness Level of RP Training Policy National78,2% European16,8%

33 MEDRAPET 86,4% Unaware of the MEDRAPET Project

34 Importance of Independent Use of Radiation 88% Independent Use of Radiation by Vascular Surgeons an absolute necessity BUT 12% Independent use is not necessary 88% Independent Use of Radiation by Vascular Surgeons an absolute necessity BUT 12% Independent use is not necessary

35 Accreditation & Certification Accreditation of a Training Provider Certification of a Professional to give Damilakis J, The MEDRAPET Project: European Guidance on RP E&T of Medical Professionals results. EFOMP- European Medical Physics and Engineering Conference. Sofia, Bulgaria, October 18-20, 2012

36 Accreditation National/Regional64,3% European27% National/Regional64,3% European27%

37 Certification Certification by National Authorities was the most popular (50.8%) Certification by National Authorities was the most popular (50.8%) 50.8% Committee of VS+IR+Phys

38 RP Training Certification Mandatory Agree82% NO/Not Sure18% Agree82% NO/Not Sure18% Young VS & Trainees are more reluctant ?

39 Αποτελέσματα MEDRAPET Discipline 1 EQF Required for entry KSC table (LOs) KSC:Knowledge, Skill, Competence EQF:European Qualifications Framework LLL:Lifelong Learning LO:Learning Objective CPD:Continuing Professional Development SPECIALTY Discipline 2 EQF Required for entry KSC table (LOs) ……..3

40 Ο Αγγειοχειρουργός είναι… Discipline 1 Discipline 2 Discipline 3 HealthCare Professional Referrer Non-Radiological Specialist Employing ionising radiation in Interventional techniques HIGH Dose LOW Dose

41 Accreditation/Certification are defined Who should provide them remains vague Potential Political implications recognized Vascular Surgery is listed with Cardiology as High-dose users MEDRAPET Final Report on “Non – Radiological Specialties”

42 University of Athens + University Milano Bicocca 30 VS + 5 IR + 2 RP University of Athens + University Milano Bicocca 30 VS + 5 IR + 2 RP http://www.endovasculartechniques.gr/ Master of Science “Endovascular Techniques”

43 Συμπεράσματα  Radiation Risk and Consequences are far from negligible for the Vascular Surgeon in the Endovascular Era  EVAR is the “tip of the arrow” for Radiation Exposure in Vascular Surgery  European Radiation Protection Training is mainly supplied within each member state, by radiation physicists and is mandatory  Vascular Surgeons prefer to retain the current National model of Radiation Protection Training and Certification  However, Radiation Protection Training is ineffective in its current form  There is currently an “empty space” for European Level Training and Certification in Radiation Protection for Vascular Surgery and ESVS should fill this void

44


Download ppt "Η εκπαίδευση στην ακτινοπροστασία στην Ευρωπαική Ένωση Τριαντάφυλλος Γιαννακόπουλος ESVS EVST Radiation Protection Training Committee EVST Executive Committee."

Similar presentations


Ads by Google