A multicenter cardiovascular MR network for tele-training and beyond: setup and initial experiences.

Abstract

Training in cardiovascular MR (CMR) is an important topic in times of growing acceptance of the method for accurate diagnosis and management of cardiovascular disease. However, off-site training is becoming less acceptable with increasing cost and time pressures. We introduce a novel CMR network, capable of providing, remotely, part of CMR training and continuous expert support. By providing a technical and operational blueprint, we want to share our experience in building teaching networks. Conceptual, technical, and content-related characteristics of our teaching methods are introduced. A total of 97 participants in traditional fellowship CMR teaching and novel module-based network teaching were surveyed to assess their CMR performance. The number of hospitals in our CMR network increased from five in 2009 to 14 in 2014. A total of 79% of network hospitals conducted >100 CMR scans annually. Among these network hospitals are four small institutions (<400 beds), and five medium-sized hospitals (400-1,000 beds). Network teaching reduced off-site training to only five weeks. The time to the first independently conducted CMR scans was one week, with network teaching, but >1 month for 32% of participants in traditional CMR teaching. The CMR network enables experts from distant locations to supervise and control CMR scans in a distant hospital, in real time. CMR networks provide an efficient teaching platform with a minimum of off-site time for trainees. Real-time remote supervision and scan control capabilities support the decentralization of CMR expertise and enables even small and rurally located institutions to offer high-quality CMR scans.