1927 Founded 1927 Founder and 1 st chairman Dr. I. Itzkovitch - - PowerPoint PPT Presentation

1927

Founded 1927

Founder and 1st chairman

• Dr. I. Itzkovitch

Radiological clinic , Haifa 1929

X-rays department in Tel Aviv 1934

Historical price list of Radiological procedures 1934

1977

• Founded in 1927
• 450 members
• Sub-specialty societies and working groups:

– Neuroradiology, – Interventional radiology – Ultrasound – Pediatric radiology – Breast imaging – Musculo-skeletal radiology – Body imaging

(The sub-specialty working groups meet monthly during the academic year)

• International relations:
• International society of radiology (ISR)
• French society of radiology (SFR) joint society AFIIM
• East Mediterranean Congress of Magnetic Resonance (EMCMR)

endorsed by ISMRM

• European Federation of Societies of Ultrasound in Medicine and Biology

(EFSUMB)

• Cardiovascular and interventional radiological society of Europe (CIRSE)

Israel Radiological Association

Academic activity

• Definition of syllabus and periodical update (every 5 years)
• Supervision of training programs
• Medical radiological policies, standard of procedures and guidelines
• Organization of national and international meetings:
• The Annual meeting of the Israel Radiological Association
• Annual ultrasound meeting “The Barry B. Goldberg Lecture”
• Benjamin Felson Lecture
• Leo Rigler Lecture
• Beth-Israel – Rambam Lecture
• EMCMR – every 2 years (Turkey, Greece, Israel)
• AFIIM – every year (Refresher course),Israel
• Journée Franco-Israélienne de Technologie et d’Imagerie Médicales Annual

meeting, Paris, France)

Professional activity:

• Union professional activity
• Participation in negotiation for salary terms, working conditions and

employment – Collective agreement

• Renewal of government contracts
• Current key issues:

– Workload – Determination hospital staff and training positions – Turf issues – Quality control

Rotational internship (12 months) – paid position (central – government) Training curriculum in Radiology: (basic salary and paid night duties)

• Techniques: x-rays, fluoroscopy, CT, US, MRI, angiography, interventional,

mammography

• Sub-specialties – rotations:

Accreditation - continuing professional education:

Physics, radiation safety, radiological anatomy, clinical radiology, contrast agents – safety, interpretative and procedural skills Minimum 6 semesters (16 meetings x 4h) – Hospital participation (2/3) in tuition fees

• CPR/ACLS
• Minimum 4 night duties per month

Chest ……………………………6 months GI & GU …………………………6 months MSK …………………………….6 months Nervous …………………………6 months Breast ……………………………2 months Pediatrics ………………………..6 months Vascular & interventional ………3 months* Ultrasound ………………………6 months*

*Special focus on technique

Radiology Basic Research Clinical Nuclear medicine

6 3 6 45

Medicine Surgery Pediatrics

E.N.T

Gastro Vascular Pulmunology …… ..

written Final

months months months months

Accreditation program of Radiological departments

• Quality assurance process – Scientific council IMA
• Periodical supervision of quality of training (every 5 years or new chairman)
• Criteria for recognition and certification for training program (full – partial)

Full program - requirements and criteria: General hospital including all medical sub-specialities, full service (night duties, on call). 1. Instruction: Minimum 5 specialists in radiology (FT), Knowledge units in: Neuroradiology, body imaging, pediatric, US, breast imaging, interventional, MSK 2. Equipment: Fluoroscopy, Angiographgy/multipurpose, CT, MRI, US, mammography (up-to-date equipment) 3. Procedures: Minimum 100,000 per year X-rays……………….50,000 Fluoroscopy………….1,000 CT…………………….8,000 US…………………….5,000 MRI……………………1,000 Pediatrics…………….3,000 Interventional…………..600 Mammograpgy ………3,000 (and related procedures) 4. Teaching aids: Departmental library and on-line access to bio-medical data base Teaching (file or electronic) archive Periodical staff meetings Teaching and research activity

Imaging/ Radiation/ Nuclear medicine Technologist

• The diploma includes all the Imaging modalities, Radiotherapy and

Nuclear Medicine.

• 3 years. Students have to complete the following plan:

– B.A in Imaging Sciences. The program is compound of courses of Humanities and Biology Sciences. ( Bar Ilan University) – Medical/Radiological studies in one of the 5 schools Imaging schools of the country

• Academic duties ( 64 points, 24hours/week):

– The program is similar to the nurse plan regarding the basis, but includes more biological courses. ( In plan changing some humanities courses for management courses)

• Medical/Radiological studies ( 21 hours/week)

– Theoretical courses as: Anatomy, General Pathology, Radiological pathology, Radiology, Imaging of all the specialties ( CT, US, MRI,), Radiotherapy and Nuclear Medicine. – Practical Clinical hours: ( 1300-1470 hours). This practice includes: Conventional Radiology, Angiography, Mamography, US, CT, Nuclear Medicine and Radiotherapy.

National and International academic activity

Radiology and Radiologists in Israel Patterns and Facts

50 50 55 55 60 60 65 65 70 70 75 75 80 80 85 85 90 90 95 95 1995 1995 1996 1996 1997 1997 1998 1998 1999 1999

CT examination per 1000 of population

18

5 5.5 6 6.5 7 7.5 8 1995 1995 1996 1996 1997 1997 1998 1998 1999 1999

MRI examinations per 1000 of population

CT units per 1,000,000 of population in different countries* in 2000

* * OE OECD CD

Ratio

6.1 6.3 7.3 8.9 10.9 13.3 25.8 84.4

• No. of units

360 38 224 34 58 3,570 209 10,693

Country

UK Israel Canada N.Z. Denmark USA Austria Japan

* * OE OECD CD

Ratio 1.4 2.5 4.5 4.7 6.6 7.6 10.9 23.2 Units ı 9 ı 78 ı 270 90 35 2,100 88 ı 2,938 Country Israel ı Canada UK ı Australia ı Denmark ı USA ı Austria ı Japan ı

MRI units per 1,000,000 of population in different countries* in 2000

4 37 6 10 24 19

1995 1995 Distribution of CT exam. according to body region ı

3 37 37 4 11 11 27 27 18 18

1999 1999

Head Abdomen Spine Chest Special Skeletal

20.7 37.8 3 1.8 4.01 32.7

1995 1995

28.4 3.8 1.7 4.1 39.4 22.5

1999 1999 Distribution of MRI exam. according to body region ı

Head Abdomen Spine Chest Special Skeletal

Indications for CT investigation ı

Trauma 11.43% Other 15.77% Infection 2.05% Oncologic Dis. 13.05% Follow-up 11.93% S.O.L 10.84% Pain invest. 34.93%

Trauma 12.71% Other 17.56% Infections 0.33% Oncologic Dis. 12.04% Follow-up 26.42% S.O.L 8.70% Pain inves. 22.24%

Indications for MRI investigation ı