Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers

Journal article


Woznitza, N., Steele, R., Piper, K., Burke, S., Rowe, S., Bhowmik, A., Maughn, S. and Springett, K. 2018. Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers. Journal of Medical Radiation Sciences. 65 (3), pp. 200-208. https://doi.org/10.1002/jmrs.285
AuthorsWoznitza, N., Steele, R., Piper, K., Burke, S., Rowe, S., Bhowmik, A., Maughn, S. and Springett, K.
Abstract

INTRODUCTION:
Diagnostic capacity and time to diagnosis are frequently identified as a barrier to improving cancer patient outcomes. Maximising the contribution of the medical imaging workforce, including reporting radiographers, is one way to improve service delivery.

METHODS:
An efficient and effective centralised model of workplace training support was designed for a cohort of trainee chest X-ray (CXR) reporting radiographers. A comprehensive schedule of tutorials was planned and aligned with the curriculum of a post-graduate certificate in CXR reporting. Trainees were supported via a hub and spoke model (centralised training model), with the majority of education provided by a core group of experienced CXR reporting radiographers. Trainee and departmental feedback on the model was obtained using an online survey.

RESULTS:
Fourteen trainees were recruited from eight National Health Service Trusts across London. Significant efficiencies of scale were possible with centralised support (48 h) compared to traditional workplace support (348 h). Trainee and manager feedback overall was positive. Trainees and managers both reported good trainee support, translation of learning to practice and increased confidence. Logistics, including trainee travel and release, were identified as areas for improvement.

CONCLUSION:
Centralised workplace training support is an effective and efficient method to create sustainable diagnostic capacity and support improvements in the lung cancer pathway.

KeywordsLung neoplasms; Radiography; Thoracic; Training support
Year2018
JournalJournal of Medical Radiation Sciences
Journal citation65 (3), pp. 200-208
PublisherWiley
ISSN2051-3895
Digital Object Identifier (DOI)https://doi.org/10.1002/jmrs.285
Official URLhttps://doaj.org/toc/2051-3909
Publication dates
Print27 May 2018
Publication process dates
Accepted04 May 2018
Deposited03 Jun 2020
Accepted author manuscript
File Access Level
Open
Supplemental file
License
File Access Level
Open
Output statusPublished
References

1. World Health Organization. Diagnostic Imaging.
Switzerland: World Health Organization; 2017 [cited 2017
27 June 2017]. Available from: http://www.who.int/dia
gnostic_imaging/en/.
2. Independent Cancer Taskforce. Achieving world-class
cancer outcomes: A strategy for England 2015-2020. 2015
London
3. International Agency for Research on Cancer. GLOBOCAN
2012: Estimated cancer incidence, mortality and prevalence
worldwide in 2012. Geneva: World Health Organisation;
2012.
4. Elliss-Brookes L, McPhail S, Ives A, et al. Routes to
diagnosis for cancer – determining the patient journey
using multiple routine data sets. Br J Cancer 2012; 107:
1220–6.
5. Cancer Research UK. CancerStats key facts – lung cancer.
2011.
6. Iyen-Omofoman B, Tata LJ, Baldwin DR, et al. Using
socio-demographic and early clinical features in general
practice to identify people with lung cancer earlier. Thorax
2013; 68: 451–9.
7. O’Dowd EL, McKeever TM, Baldwin DR, et al. What
characteristics of primary care and patients are associated
with early death in patients with lung cancer in the UK?
Thorax 2015; 70: 161–8.
8. National Institute for Health and Care Excellence.
Suspected cancer: recognition and referral (NG12).
National Institute for Health and Care Excellence; 2015.
9. 2020 Delivery. Horizon Scanning: An evaluation of
imaging capacity across the NHS in England. Cancer
Research UK; 2015.
10. Royal College of Radiologists. Clinical radiology UK
workforce census 2015 report. London: Royal College of
Radiologists; 2016.
11. College of Radiographers. Diagnostic Radiography UK
Workforce Report 2014. College of Radiographers,
London, 2014.
12. Royal College of Radiologists. Our Patients Are Still
Waiting .... Royal College of Radiologists, London, 2016.
13. Beardmore C, Woznitza N, Goodman S. The Radiography
Workforce Current Challenges and Changing Needs.
College of Radiographers, London, 2016.
14. Woznitza N, Piper K, Rowe S, et al. Optimizing patient
care in radiology through team-working: A case study
from the United Kingdom. Radiography 2014; 20: 258–
63.
15. Snaith B, Hardy M, Lewis EF. Radiographer reporting in
the UK: A longitudinal analysis. Radiography 2015; 21:
119–23.
16. Snaith B, Milner RC, Harris MA. Beyond image
interpretation: Capturing the impact of radiographer
advanced practice through activity diaries. Radiography
2016; 22: e233–8.
17. Brealey S, Piper K, King D, et al. Observer agreement in
the reporting of knee and lumbar spine magnetic
resonance (MR) imaging examinations: Selectively trained
MR radiographers and consultant radiologists compared
with an index radiologist. Eur J Radiol 2013; 82: e597–
605.
18. Piper K, Buscall KL, Thomas N. MRI reporting by
radiographers: Findings of an accredited postgraduate
programme. Radiography 2010; 16: 136–42.
19. Piper K, Cox S, Paterson A, et al. Chest reporting by
radiographers: Findings of an accredited postgraduate
programme. Radiography 2014; 20: 94–9.
20. Woznitza N, Piper K, Burke S, et al. Adult chest
radiograph reporting by radiographers: Preliminary data
from an in-house audit programme. Radiography 2014; 20:
223–9.
21. Brealey S, Scally A, Hahn S, et al. Accuracy of
radiographer plain radiograph reporting in
clinical practice: A meta-analysis. Clin Radiol 2005; 60:
232–41.
22. Woznitza N, Piper K, Burke S, et al. Agreement
between expert thoracic radiologists and the chest
radiograph reports provided by consultant
radiologists and reporting radiographers in clinical
practice: Review of a single clinical site. Radiography
2018; 3: 234–9.
23. Woznitza N, Piper K, Burke S, et al. Chest X-ray
interpretation by radiographers is not inferior to
radiologists: A multi-reader, multi-case comparison using
JAFROC (jack-knife alternative free response receiveroperator characteristics) analysis. Acad Radiol 2018; In
Press. https://doi.org/10.1016/j.acra.2018.03.026
24. NHS Benchmarking Network. Radiology Benchmarking
2016 National report. NHS Benchmarking Network,
London, 2016.
25. Milner RC, Culpan G, Snaith B. Radiographer reporting in
the UK: Is the current scope of practice limiting plain-film
reporting capacity? Br J Radiol 2016; 89: 20160228.
26. England NHS. Five Year Forward View. NHS England,
London, 2014.
27. College of Radiographers. Preliminary Clinical Evaluation
and Clinical Reporting by Radiographers: Policy and
Practice Guidance. College of Radiographers, London,
2013.
28. Royal College of Radiologists, Society and College of
Radiographers. Team working in clinical imaging. London:
Royal College of Radiologists and the Society and College
of Radiographers, 2012.
29. British Institute of Radiology, Society & College of
Radiographers, Royal College of Radiologists. A guide to
understanding the implications of the Ionising Radiation
(Medical Exposure) Regulations in diagnostic and
interventional radiology. London: Royal College of
Radiologists, 2015.
30. Patton Q. M. Utilization Focused Evaluation: The New
Century Text, 3rd edn. Sage Publications, London, 1997.
31. Straits W, Wilke R. How constructivist are we?
Representations of transmission and participatory models
of instruction in the journal of college science teaching. J
Coll Sci Teach 2007; 36: 58–61.
32. Piper K, Paterson A, Godfrey R. Accuracy of
radiographers’ reports in the interpretation of radiographic
examinations of the skeletal system: A review of 6796
cases. Radiography 2005; 11: 27–34.
33. Royal College of Radiologists. Standards For Interpretation
and Reporting of Imaging Investigations. Royal College of
Radiologists, London, 2018.
34. Hardy M, Snaith B. Radiographer interpretation of trauma
radiographs: Issues for radiography education providers.
Radiography 2009; 15: 101–5.
35. Leishman L. Can skeletal image reporting be taught online:
Perspectives of experienced reporting radiographers?
Radiography 2013; 19: 104–12.
36. Price RC, Le Masurier SB. Longitudinal changes in
extended roles in radiography: A new perspective.
Radiography 2007; 13: 18–29.
37. ACE Lung Cancer Pathway Cluster. Improving diagnostic
pathways for patients with suspected lung cancer: Final
Report. London: Macmillian, Cancer Research UK & NHS
England, 2017.
38. Woznitza N, Piper K, Rowe S, et al. Immediate reporting
of chest X-rays referred from general practice by reporting
radiographers: A single centre feasibility study. Clin Radiol
2018; 73: 507.e501–8.
39. Department of Health. The Handbook to the NHS
Constitution for England. Department of Health, London,
2012.

Permalink -

https://repository.canterbury.ac.uk/item/8v3zw/increasing-radiology-capacity-within-the-lung-cancer-pathway-centralised-work-based-support-for-trainee-chest-x-ray-reporting-radiographers

Download files

Supplemental file
jmrs.285.pdf
License: CC BY-NC 4.0
File access level: Open

  • 13
    total views
  • 1
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

COVID-19 and pneumothorax: a multicentre retrospective case series
Martinelli, A. W., Ingle, T, Newman, J., Nadeem, I., Jackson, K., Lane, N. D., Melhorn, J., Davies, H. E., Rostron, A. J., Adeni, A., Conroy, K., Woznitza, N., Matson, M., Brill, S. E., Murray, J., Shah, A., Naran, R., Hare, S. S., Collas, O., Bigham, S., Spiro, M., Huang, M. M., Iqbal, B., Trenfield, S., Ledot, S., Desai, S., Standing, L., Babar, J., Mahroof, R., Smith, I., Lee, K., Tchrakian, N., Uys, S., Ricketts, W., Patel, A. R. C., Aujayeb, A., Kokosi, M., Wilkinson, A. J. K. and Marciniak, S. J. 2020. COVID-19 and pneumothorax: a multicentre retrospective case series. European Respiratory Journal. 56 (3). https://doi.org/10.1183/13993003.02697-2020
Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks
Woznitza, N., Steele, R., Groombridge, H., Compton, E., Gower, S., Hussain, A., Norman, H., O'Brien, A. and Robertson, K. 2020. Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks. Radiography. https://doi.org/10.1016/j.radi.2020.08.004
Reporting radiographer peer review systems: a cross-sectional survey of London NHS Trusts
Woznitza, N., Steele, R, Hussain, A., Gower, S., Groombridge, H., Lofton, L., Lainchbury, J., Compton, E., Rowe, S. and Robertson, K. 2020. Reporting radiographer peer review systems: a cross-sectional survey of London NHS Trusts. Radiography. https://doi.org/10.1016/j.radi.2020.07.014
Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know
Stogiannos, N., Fotopoulos, D., Woznitza, N. and Malamateniou, C. 2020. Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know. Radiography. https://doi.org/10.1016/j.radi.2020.05.012
COVID-19: A case series to support radiographer preliminary clinical evaluation
Woznitza, N., Nair, A. and Hare, S. S. 2020. COVID-19: A case series to support radiographer preliminary clinical evaluation. Radiography. https://doi.org/10.1016/j.radi.2020.04.002
Delivery of a preliminary clinical evaluation web based short course in Finland
Pittock, L. and Woznitza, N. 2019. Delivery of a preliminary clinical evaluation web based short course in Finland.
Impact of radiographer immediate reporting of chest x-rays from general practice on the lung cancer pathway (radioX)
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Rowe, S., Bhowmik, A., Maughn, S., Piper, K. and Baldwin, D. 2019. Impact of radiographer immediate reporting of chest x-rays from general practice on the lung cancer pathway (radioX).
Targeted active screening for tuberculosis in Zimbabwe: are field digital chest X-ray ratings reliable?
Timire, C, Sandy, C., Ngwenya, M., Woznitza, N., Kumar, A. M. V., Takarinda, K. C., Sengai, T. and Harries, A. D. 2019. Targeted active screening for tuberculosis in Zimbabwe: are field digital chest X-ray ratings reliable? Public Health Action. 9 (3), pp. 96-101. https://doi.org/10.5588/pha.19.0003
Radiographer reporting of neurological magnetic resonance imaging examinations of the head and cervical spine: findings of an accredited postgraduate programme
Piper, K., Pittock, L. and Woznitza, N. 2018. Radiographer reporting of neurological magnetic resonance imaging examinations of the head and cervical spine: findings of an accredited postgraduate programme. Radiography. https://doi.org/10.1016/j.radi.2018.05.006
Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2018. Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis. Academic Radiology.
Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2018. Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site. Radiography. https://doi.org/10.1016/j.radi.2018.01.009
Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project
Snaith, B., Williams, S., Taylor, K., Tsang, Y., Kelly, J. and Woznitza, N. 2018. Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project. Radiography. https://doi.org/10.1016/j.radi.2018.05.001
Digital training platform for interpreting radiographic images of the chest
McLauchlin, L., Woznitza, N., Cairns, A., McFadden, S., Bond, R., Hughes, C., Elsayed, A., Finlay, D. and McConnell, J. 2018. Digital training platform for interpreting radiographic images of the chest. Radiography. 24 (2), pp. 159-164. https://doi.org/10.1016/j.radi.2017.12.010
Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study
Woznitza, N., Piper, K., Rowe, S. and Bhowmik, A. 2017. Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study. Clinical Radiology. https://doi.org/10.1016/j.crad.2017.11.016
Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Bhowmik, A., Rowe, S., Piper, K., Maughn, S. and Baldwin, D. 2017. Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial. Trials. 18 (521). https://doi.org/10.1186/s13063-017-2268-x
Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat
Bolderston, A., Watson, J., Woznitza, N., Westerink, A., Di Prospero, L., Currie, G., Beardmore, C. and Hewis, J. 2017. Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat. Radiography. 24 (1), pp. 3-8. https://doi.org/10.1016/j.radi.2017.09.005
Becoming a clinical radiographer: role, role development and specialisation
Woznitza, N. 2017. Becoming a clinical radiographer: role, role development and specialisation.
Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme
Pittock, L., Piper, K. and Woznitza, N. 2017. Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme.
The radiography workforce: current challenges and changing needs
Beardmore, C., Woznitza, N., Goodman, S. and Society & College of Radiographers 2016. The radiography workforce: current challenges and changing needs. The College of Radiographers.
Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model
Bajre, M., Pennington, M., Woznitza, N., Beardmore, C., Radhakrishnan, M., Harris, R. and Mccrone, P. 2017. Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model. Radiography. 23 (4), pp. 273-278. https://doi.org/10.1016/j.radi.2017.07.011
Twitter journal club in medical radiation science
Currie, G., Woznitza, N., Bolderston, A., Weserink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuig, C. and Nightingale, J. 2017. Twitter journal club in medical radiation science. Journal of Medical Imaging and Radiation Sciences. 48 (1), pp. 83-89. https://doi.org/10.1016/j.jmir.2016.09.001
Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni
Woznitza, N., Piper, K., West, C. and Rowe, S. 2014. Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni.
Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2015. Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists.
Team working in radiology: optimising care
Woznitza, N. 2016. Team working in radiology: optimising care.
Advanced practice in diagnostic imaging
Woznitza, N. 2016. Advanced practice in diagnostic imaging.
Team working in radiology: what is possible?
Woznitza, N., Piper, K., Ratcliff, C., McGuinness, N. and Rowe, S. 2016. Team working in radiology: what is possible?
The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century
Currie, G., Woznitza, N., Bolderston, A., Westerink, A., Waton, J., Beardmore, C., Di Prospero, L., McCuaig, C. and Nightingale, J. 2016. The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century.
Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club
Currie, G., Woznitza, N., Bolderston, A., Westerink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuaig, C. and Nightingale, J. 2016. Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club. Society of Nuclear Medicine and Molecular Imaging.
Chest x-ray interpretation by radiographers: diagnostic accuracy and influence on diagnostic reasoning
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2016. Chest x-ray interpretation by radiographers: diagnostic accuracy and influence on diagnostic reasoning.
Diagnostic accuracy of radiographer chest x-ray reporting
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2016. Diagnostic accuracy of radiographer chest x-ray reporting.
The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists
Woznitza, N. 2016. The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists. PhD Thesis Canterbury Christ Church University School of Allied Health Professions
Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study
Lockwood, P., Pittock, L., Lockwood, C., Jeffery, C. and Piper, K. 2015. Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study. Radiography. 2015, pp. 1-5. https://doi.org/10.1016/j.radi.2015.06.005
AFROC analysis of reporting radiographer’s performance in CT head interpretation
Lockwood, P. and Piper, K. 2015. AFROC analysis of reporting radiographer’s performance in CT head interpretation. Radiography. 21 (3), pp. e90-e95. https://doi.org/10.1016/j.radi.2015.04.001
CT head reporting by radiographers: Findings of an accredited postgraduate programme
Lockwood, P. and Piper, K. 2013. CT head reporting by radiographers: Findings of an accredited postgraduate programme.
CT head reporting by radiographers: results of an accredited postgraduate programme
Lockwood, P., Piper, K. and Pittock, L. 2015. CT head reporting by radiographers: results of an accredited postgraduate programme. Radiography. 21 (3), pp. e85-e89. https://doi.org/10.1016/j.radi.2014.12.001
Chest reporting by radiographers: Findings of an accredited postgraduate programme.
Piper, K., Cox, S., Paterson, A., Thomas, A., Thomas, N., Jeyagopal, N. and Woznitza, N. 2014. Chest reporting by radiographers: Findings of an accredited postgraduate programme. Radiography. 20 (2), pp. 94-99. https://doi.org/10.1016/j.radi.2014.01.003
Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S., Grayson, K. and Bothamley, G. 2014. Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme. Radiography. 20 (3), pp. 223-229. https://doi.org/10.1016/j.radi.2014.03.002
Optimizing patient care in radiology through team-working: A case study
Woznitza, N., Piper, K., Rowe, S. and West, C. 2014. Optimizing patient care in radiology through team-working: A case study. Radiography. 20 (3), pp. 258-263. https://doi.org/10.1016/j.radi.2014.02.007
Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession
Smith, Tony, Harris, J., Woznitza, N., Marese, S. and Sale, C. 2015. Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession. Journal of Medical Radiation Sciences. 62 (3), pp. 204-211. https://doi.org/10.1002/jmrs.115
e-Learning for Healthcare – Image Interpretation Project
Woznitza, N., e-Learning for Healthcare and College of Radiographers 2012. e-Learning for Healthcare – Image Interpretation Project. e-Learning for Healthcare.
An unusual cause of respiratory distress
Woznitza, N., Datsopolous, S., Shukla, R. and Aladangady, N. 2012. An unusual cause of respiratory distress. Archives of Disease in Childhood. 97, pp. A12-A13. https://doi.org/10.1136/archdischild-2012-301885.30
Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S. and Grayson, K. 2013. Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom.
Radiographer clinical reporting
Woznitza, N. 2014. Radiographer clinical reporting.
Commentary: radiographer reporting
Woznitza, N. 2014. Commentary: radiographer reporting. Journal of Medical Radiation Sciences. 61 (2), pp. 66-68. https://doi.org/10.1002/jmrs.51
Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations
Woznitza, N., Piper, K., Bothamley, G. and Burke, S. 2014. Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations.
Optimizing patient care in radiology through team-working: audit data
Woznitza, N. 2014. Optimizing patient care in radiology through team-working: audit data.
Optimizing neonatal X-ray quality: results of an audit
Woznitza, N., Hayes, N., Malshava, N. and McGuinness, D. 2014. Optimizing neonatal X-ray quality: results of an audit.
Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer
Woznitza, N., Piper, K., Aladangady, N., Iliadis, K., Prakash, R. and Santos, R. 2014. Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer.
Advanced radiographic practice in adult chest imaging
Woznitza, N. 2014. Advanced radiographic practice in adult chest imaging.
The implementation of a radiographic reporting service for trauma examinations of the skeletal system in 4 NHS trusts. NHS Executive South Thames funded research project
Piper, K., Paterson, A. and Ryan, C. 1999. The implementation of a radiographic reporting service for trauma examinations of the skeletal system in 4 NHS trusts. NHS Executive South Thames funded research project. Canterbury Christ Church University.
Interpretation of clinical imagingexaminations by radiographers:a programme of research
Piper, K. 2014. Interpretation of clinical imagingexaminations by radiographers:a programme of research. PhD Thesis Canterbury Christ Church University Faculty of Health and Wellbeing
Observer agreement in the reporting of knee and lumbar spine Magnetic Resonance (MR) Imaging examinations: selectively trained MR radiographers and consultant radiologists compared with an index radiologist
Brealey, S., Piper, K., King, D., Bland, M., Caddick, J., Gibbon, A., Highland, A., Jenkins, N., Petty, D. and Warren, D. 2013. Observer agreement in the reporting of knee and lumbar spine Magnetic Resonance (MR) Imaging examinations: selectively trained MR radiographers and consultant radiologists compared with an index radiologist. European Journal of Radiology. 82 (10). https://doi.org/10.1016/j.ejrad.2013.05.024
Skeletal reporting by radiographers: a review of 27800 cases
Piper, K. 2012. Skeletal reporting by radiographers: a review of 27800 cases.
ABCs of preliminary plain film image assessment
Williams, I. and Piper, K. 2012. ABCs of preliminary plain film image assessment.
Variation in accident and emergency musculoskeletal appendicular radiographic reports and the development of a report template
Paterson, A., Piper, K. and Ryan, C. 2001. Variation in accident and emergency musculoskeletal appendicular radiographic reports and the development of a report template. British Journal of Radiology. 74 (Supp.), p. 46.
Accuracy of radiographer reporting of magnetic resonance imaging for suspected acoustic neuroma
Gillmore, K., Piper, K., Byrne, J., Jeffree, M. and Millar, J. 2001. Accuracy of radiographer reporting of magnetic resonance imaging for suspected acoustic neuroma. British Journal of Radiology. 74 (S), p. 4.
The implementation of a radiographic reporting service for trauma examinations of the skeletal system
Piper, K. and Ryan, C. 1998. The implementation of a radiographic reporting service for trauma examinations of the skeletal system.
The development of a postgraduate diploma in Clinical Reporting (Radiography)
Davies, S., Piper, K., McKay, L. and Paterson, A. 1994. The development of a postgraduate diploma in Clinical Reporting (Radiography).
Using MRI for ankylosing spondylitis
Estall, H., Rennie, W. and Piper, K. 2012. Using MRI for ankylosing spondylitis. Imaging & Therapy Practice, Jan.
Clinical reporting in radiography: invited presentation
Piper, K. 1995. Clinical reporting in radiography: invited presentation.
The accuracy of radiographers' reports in accident and emergency examinations of the skeletal system
Piper, K. 1997. The accuracy of radiographers' reports in accident and emergency examinations of the skeletal system.
The accuracy of radiographers' reports in examinations of the skeletal system
Piper, K. 1997. The accuracy of radiographers' reports in examinations of the skeletal system.
Reporting by radiographers: findings of an accredited postgraduate skeletal reporting programme in the UK
Piper, K. 1997. Reporting by radiographers: findings of an accredited postgraduate skeletal reporting programme in the UK.
UK forges ahead with radiographer reporting
Thomas, A., Manning, D. and Piper, K. 2004. UK forges ahead with radiographer reporting. Diagnostic Imaging Europe, Feb/Mar.
The implementation of a radiographic reporting service for skeletal trauma
Paterson, A. and Piper, K. 1999. The implementation of a radiographic reporting service for skeletal trauma.
The implementation of a radiographic reporting service for skeletal trauma
Paterson, A. and Piper, K. 2000. The implementation of a radiographic reporting service for skeletal trauma.
The implementation of a radiographic reporting service
Piper, K. 2000. The implementation of a radiographic reporting service.
Abnormality detection in the appendicular skeleton: a practical workshop on professional responsibilities and subtle abnormalities
Piper, K. and Paterson, A. 2002. Abnormality detection in the appendicular skeleton: a practical workshop on professional responsibilities and subtle abnormalities.
MRI reporting by radiographers: the construction of an objective structured examination
Piper, K. 2007. MRI reporting by radiographers: the construction of an objective structured examination.
Chest reporting by radiographers
Piper, K. and Cox, S. 2011. Chest reporting by radiographers.
Can reporting radiographers produce clinically relevant reports?
Woznitza, N. and Piper, K. 2011. Can reporting radiographers produce clinically relevant reports?
Clinical reporting by radiographers in the UK
Piper, K. 2009. Clinical reporting by radiographers in the UK.
MRI reporting by radiographers: findings of an accredited postgraduate programme
Piper, K. and Thomas, N. 2008. MRI reporting by radiographers: findings of an accredited postgraduate programme.
MRI reporting by radiographers: findings of an accredited postgraduate programme
Piper, K., Buscall, K. and Thomas, N. 2010. MRI reporting by radiographers: findings of an accredited postgraduate programme. Radiography. 16 (2), pp. 136-142. https://doi.org/10.1016/j.radi.2009.10.017
Factors influencing the development and implementation of advanced and consultant radiographer practice – a review of the literature
Kelly, J., Piper, K. and Nightingale, J. 2008. Factors influencing the development and implementation of advanced and consultant radiographer practice – a review of the literature. Radiography. 14 (s1), pp. e71-e78. https://doi.org/10.1016/j.radi.2008.11.002
Reporting by radiographers: Neurological magnetic resonance imaging examinations of the head and cervical spine
Piper, K. 2009. Reporting by radiographers: Neurological magnetic resonance imaging examinations of the head and cervical spine.
Incidence and location of diabetic foot ulcer recurrence in Maltese people with diabetes
Springett, K., Galea, A. and Bungay, H. 2007. Incidence and location of diabetic foot ulcer recurrence in Maltese people with diabetes.
Principles of image interpretation and search strategies
Williams, I. and Piper, K. 2010. Principles of image interpretation and search strategies.
Workshop to launch: ''Web-based short course in initial image interpretation of the appendicular skeleton''
Williams, I. and Piper, K. 2010. Workshop to launch: ''Web-based short course in initial image interpretation of the appendicular skeleton''.
Rationale for computed tomography head radiographer reporting
Williams, I. and Piper, K. 2010. Rationale for computed tomography head radiographer reporting.
Pre-testing of initial image interpretation skills
Williams, I. and Piper, K. 2010. Pre-testing of initial image interpretation skills.
Radiographer role development and image interpretation skills
Williams, I. and Piper, K. 2010. Radiographer role development and image interpretation skills.
Reporting for radiographers
Piper, K. and Field-Boden, Q. 1996. Reporting for radiographers. The Radiographer.
Clinical reporting in radiography
Piper, K. 1998. Clinical reporting in radiography.
ST funded research report - Implementation of a radiographic reporting service in four NHS Trusts: Initial findings
Piper, K. 1998. ST funded research report - Implementation of a radiographic reporting service in four NHS Trusts: Initial findings.
Skin protection for use with caustics in podiatric practice: efficiency of a polymer paint
Plummer, J., Springett, K. and Phillips, G. 2004. Skin protection for use with caustics in podiatric practice: efficiency of a polymer paint. British Journal of Podiatry. 7 (3), pp. 68-70.
Accuracy of radiographers' reports in the interpretation of radiographic examinations of the skeletal system: a review of 6796 cases
Piper, K., Paterson, A. and Godfrey, R. 2005. Accuracy of radiographers' reports in the interpretation of radiographic examinations of the skeletal system: a review of 6796 cases. Radiography. 11 (1), pp. 27-34. https://doi.org/10.1016/j.radi.2004.05.004
Defining the research question
Springett, K. and Campbell, J. 2007. Defining the research question. in: Campbell, J. (ed.) A Guide to Research for Podiatrists Keswick M & K Publishing. pp. 8-16
A case study of a Baker's cyst
Piper, K. and Mitchell, M. 2007. A case study of a Baker's cyst. Synergy.
Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study
Otter, S., Lucas, K., Springett, K., Moore, A., Davies, K., Cheek, L., Young, A. and Walker-Bone, K. 2010. Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study. Clinical Rheumatology. 29 (3), pp. 255-271. https://doi.org/10.1007/s10067-009-1312-y
Initial image interpretation of appendicular skeletal radiographs: A comparison between nurses and radiographers
Piper, K. and Paterson, A. 2009. Initial image interpretation of appendicular skeletal radiographs: A comparison between nurses and radiographers. Radiography. 15 (1), pp. 40-48. https://doi.org/10.1016/j.radi.2007.10.006
Radiographic interpretation of the appendicular skeleton: A comparison between casualty officers, nurse practitioners and radiographers
Coleman, L. and Piper, K. 2009. Radiographic interpretation of the appendicular skeleton: A comparison between casualty officers, nurse practitioners and radiographers. Radiography. 15 (3), pp. 196-202. https://doi.org/10.1016/j.radi.2007.12.001
MRI reporting by radiographers: The construction of an objective structured examination
Piper, K. and Buscall, K. 2008. MRI reporting by radiographers: The construction of an objective structured examination. Radiography. 14 (2), pp. 78-89. https://doi.org/10.1016/j.radi.2007.02.003