An investigation into the clinical scope of practice of MRI reporting radiographers within the United Kingdom

Journal article


Mitchell, M. and Lockwood, P. 2023. An investigation into the clinical scope of practice of MRI reporting radiographers within the United Kingdom. Radiography. 29 (3), pp. 489-495. https://doi.org/10.1016/j.radi.2023.02.015
AuthorsMitchell, M. and Lockwood, P.
Abstract

Introduction: Radiographers have been reporting Magnetic Resonance Imaging (MRI) examinations for over ten years, and there is an increasing body of evidence confirming the efficacy of this role expansion. However, little is known about the clinical scope of practice of radiographers undertaking this enhanced level of practice. The aim of this study was to investigate the clinical scope of practice of MRI reporting radiographers within the United Kingdom (UK).

Methods: MRI reporting radiographers who are actively reporting within the UK were invited to participate in a short online survey investigating the anatomical areas reported, clinical referral pathways and onward referral practices they routinely undertake. The survey was distributed via social media channels with snowball sampling encouraged.

Results: There were n=14 responses received, with an estimated response rate of 21.5%. The majority(93% n=13/14) practised in England, with one response from Scotland. All participants (n=14/14)undertook reporting of general practitioner (GP) and community healthcare practitioner's referrals, with 93% reporting for outpatient referrers. There was statistically significant variation in the anatomical areas reported when compared against those qualified less than two years and those qualified over ten years(p¼0.003). No other statistically significant variation was seen.

Conclusion: There was no statistical difference in the implementation of MRI reporting by radiographers identified. All participants indicated reporting for GP and community healthcare practitioner referrers which align well with the implementation of community diagnostic centre rollout across the UK. Implication for practice: This is believed to be the first study of its kind in the realm of MRI reporting. The study has suggested that MRI reporting radiographers are well placed to contribute to the rollout of community diagnostic centres within the UK.

KeywordsMagnetic resonance imaging ; Reporting; Scope of practice; Referrals; Radiographers; MRI
Year2023
JournalRadiography
Journal citation29 (3), pp. 489-495
PublisherElsevier
ISSN10788174
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2023.02.015
Official URLhttps://www.sciencedirect.com/science/article/pii/S1078817423000500
Publication dates
Online04 Mar 2023
Publication process dates
Accepted15 Feb 2023
Deposited06 Mar 2023
Publisher's version
License
File Access Level
Open
Output statusPublished
References

1. NHS England and NHS Improvement (2022) Diagnostic Imaging Dataset Statistical Release. Available at: https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/202... (Accessed: 28/12/2022)

2. Halliday, K., Maskell. G., Beeley. L. and Quick. E. (2020) Radiology GIRFT Programme National Specialty Report. Available at: https://gettingitrightfirsttime.co.uk/wp-content/uploads/2020/11/GIR... (Accessed: 28/12/2022)

3. The Royal College of Radiologists (2021) Clinical Radiology UK Workforce Census Report 2020, The Royal College of Radiologists. Available at: http://www.rcr.ac.uk/publications.aspx?PageID=310&PublicationID=... (Accessed: 28/12/2022).

4. Care Quality Commission (2018) Radiology review A national review of radiology reporting within the NHS in England A national review of radiology reporting within the NHS in England. Available at: https://www.cqc.org.uk/publications/themed-work/radiology-review (Accessed: 28/12/2022).

5. Department of Health (2003) ‘Radiography Skills Mix: A report on the four-tier service delivery model’, (June), pp. 1–48. Available at: https://webarchive.nationalarchives.gov.uk/+/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4007123. (Accessed: 28/12/2022).

6. Woznitza, N., Pittock. L. Elliot. J. and Snaith. B. (2021) ‘Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey’, BJR|Open. British Institute of Radiology, 3(1). doi: 10.1259/bjro.20210003.

7. Stevens, B. J. (2019) ‘A survey assessment of reporting radiographers’ scope of practice in the West Midlands region of the United Kingdom’, Radiography, 25(3), pp. 214–219. doi: 10.1016/j.radi.2019.01.006.

8. Piper, K., Buscall, K. and Thomas, N. (2010) ‘MRI reporting by radiographers: Findings of an accredited postgraduate programme’, Radiography. Elsevier Ltd, 16(2), pp. 136–142. doi: 10.1016/j.radi.2009.10.017.

9. Brealey, S., Piper. K., King. D., Bland. M., Caddick. J., Campbell. P., 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). doi: 10.1016/j.ejrad.2013.05.024.

10. 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, 24(4), pp. 366–369. doi: 10.1016/j.radi.2018.05.006.

11. Piper, K., Mitchell. M., Griffin. K., Morgan. T., Roy. A., Thomas. A., Pittock. L., Woznitza. N., Faruqui. R. and Sakel. M. (2020) ‘Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study’, Radiography. W.B. Saunders. doi: 10.1016/J.RADI.2020.10.016.

12. Estall, H. and Mitchell, M. (2020) ‘MRI reporting radiographers - A survey assessment of number and areas of practice within the United Kingdom’, Radiography. Elsevier Ltd, 27(2), pp. 568–173. doi: 10.1016/j.radi.2020.11.017.

13. Heales, C. J. J., Mills, K. and Ladd, E. (2021) ‘Radiographer advanced and consultant practice and community diagnostic hubs – a vision for the future’, Radiography. Elsevier Ltd, 27(xxxx), pp. S28–S33. doi: 10.1016/j.radi.2021.05.004.

14. Lockwood, P. (2020) ‘An evaluation of CT head reporting radiographers’ scope of practice within the United Kingdom’, Radiography. W.B. Saunders Ltd, 26(2), pp. 102–109. doi: 10.1016/j.radi.2019.09.001.

15. Piper, K. J. and Buscall, K. L. (2008) ‘MRI reporting by radiographers: The construction of an objective structured examination’, Radiography, 14(2), pp. 78–89. doi: 10.1016/j.radi.2007.02.003.

16. Donovan, T. and Manning, D. J. (2006) ‘Successful reporting by non-medical practitioners such as radiographers, will always be task-specific and limited in scope’, Radiography, 12(1), pp. 7–12. doi: 10.1016/j.radi.2005.01.004.

17. The Royal College of Radiologists (2018) Standards for interpretation and reporting of imaging investigations Second edition, Clinical Radiology. Available at: https://www.rcr.ac.uk/publication/standards-interpretation-and-repor... (Accessed: 28/12/2022).

18. Bowers, D. (2020) Medical statistics from scratch: An introduction for health professionals. Proquest Ebook Central [Online]. Available at: https://ebookcentral.proquest.com/lib/canterburychristchurch/reader.... (Accessed: 28/12/2022)

19. Herzog, M.H., Francis, G and Clarke, A. (2019) Understanding statistics and experimental design: how not to lie with statistics. Library.open.org. Available at : https://library.oapen.org/bitstream/handle/20.500.12657/23029/100713... (Accessed: 06/08/2022). (Accessed: 28/12/2022)

20. Health Education England (2017) Multi-professional framework for advanced clinical practice in England, Health Education England. Available at: https://www.hee.nhs.uk/sites/default/files/documents/multi-professio... (Accessed: 28/12/2020).

21. Harris, R. (2013) Code of professional conduct, Society of Radiographers. doi: 10.1177/030802269005300406.

22. The Health and Care Professions Council (2016) ‘Standards of conduct , and ethics’, Hcpc, pp. 1–17. Available at: https://www.hcpc-uk.org/standards/standards-of-proficiency/ (Accessed 28/12/2022)

23. Murray, C. J. et al. (2012) ‘Disability-adjusted life years (DALYs) for 291 diseases and injuries in: a systematic analysis for the Global Burden of Disease Study 2010’, Lancet, 380, pp. 2197–223.

24. Babatunde, O. O., Bishop. A., Cottrell. E., Jordan. J., Corp. N., Humphries. K., Hadley-Barrrows. T., Huntley. A and Van der Windt. D. (2020) ‘A systematic review and evidence synthesis of non-medical triage, self-referral and direct access services for patients with musculoskeletal pain’, PLoS ONE. Public Library of Science, 15(7 July). doi: 10.1371/journal.pone.0235364

25. Richards, M. (2020) Diagnostics: Recovery and Renewal. Available at: https://www.england.nhs.uk/wp-content/uploads/2020/10/BM2025Pu-item-... (Accessed 28/12/2022)

26. Society of Radiographers (2013) Preliminary Clinical Evaluation and Clinical Reporting by Radiographers: Policy and Practice Guidance, Society of Radiographers. Available at: https://www.sor.org/learning/document-library/preliminary-clinical-e... (Accessed 28/12/2022)

27. Wu, M., Zhao, K. and Fils-Aime, F. (2022) ‘Response rates of online surveys in published research: A meta-analysis’, Computers in Human Behavior Reports. Elsevier Ltd, 7(May), p. 100206. doi: 10.1016/j.chbr.2022.100206.

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