29 posters, 13 topics, 90 authors, 29 institutions
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Clinical Radiology Audit and Quality Improvement ePoster Competition 2025
18 NOVEMBER, 2025 | LONDON, UK
55
Improving the radiology resident-lead acute intervention service at University College London Hospitals
Poster Presenter
Authors
Affiliations
Part of Topic
Interventional
Background
At UCLH, residents lead a daily 'acute intervention' service providing urgent ascitic and pleural drains, as well as other basic ultrasound-guided aspirations/drainages
Issues raised
Challenges meeting expected interventional competencies (Table 1)
Increasing complexity of listed procedures
Inconsistency in the escalation process for challenging and/or complex cases
Aim
Evaluate the acute intervention service to identify and quantify the issues
Recommend and implement initiatives targeted at improving the safety and quality of the service, and assess the impact
Methods
Two cycles of data collection, each over 1 month
Quantitative data on workload/procedures
Qualitative and quantitative survey data from residents on their competencies
Initiatives
Simulation sessions facilitated by interventional radiology (IR) trainees organised for all residents
New residents now receive dedicated interventional exposure during ST1 (not done previously)
Consensus reached in collaboration with IR regarding procedures appropriate for resident-led vs interventional radiology-led intervention
Dedicated IR consultant rota as point of contact/support during lists
Results
Improvement in registrars meeting competencies (Table 2)
Decrease in the number of complex interventions on registrar-led intervention (Fig 1) - now done on dedicated IR lists
Decrease in number of cases that 'usually or sometimes' need senior support (50% vs 78%)
Conclusions
The implemented initiatives have been successful in improving resident competencies and the safety of the sessions
The initiatives used were sustainable, cheap, and relatively straightforward to implement; these could be used as a framework for the improvement of similar services elsewhere
Ongoing reassessment aims to ensure positive trends continue