1927
Founded 1927 Founder and 1 st chairman Dr. I. Itzkovitch
Radiological clinic , Haifa 1929
X-rays department in Tel Aviv 1934
Historical price list of Radiological procedures 1934
1977
Israel Radiological Association • 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)
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: 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 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
written Final Medicine Surgery Pediatrics E.N.T Gastro Vascular Pulmunology .. …… Nuclear medicine Clinical Basic Research Radiology 3 6 6 45 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
CT examination per 1000 of population 95 95 90 90 85 85 80 80 75 75 70 70 65 65 60 60 55 55 50 50 1995 1995 1996 1996 1997 1997 1998 1998 1999 1999
MRI examinations per 1000 of population 8 7 . 5 7 6 . 5 6 5 . 5 5 1995 1995 1996 1996 1997 1997 1998 1998 1999 1999 18
CT units per 1,000,000 of population in different countries* in 2000 Country Ratio No. of units UK 6.1 360 Israel 6.3 38 Canada 7.3 224 N.Z. 8.9 34 Denmark 10.9 58 USA 13.3 3,570 Austria 25.8 209 Japan 84.4 10,693 * OE * OECD CD
ı ı ı ı ı ı ı ı ı ı ı MRI units per 1,000,000 of population in different countries* in 2000 Country Units Ratio Israel 9 1.4 Canada 78 2.5 UK 4.5 270 Australia 90 4.7 Denmark 35 6.6 USA 2,100 7.6 Austria 88 10.9 Japan 2,938 23.2 * OE * OECD CD
ı Distribution of CT exam. according to body region 1999 1999 1995 1995 Head 19 18 18 Abdomen 37 37 37 3 4 Spine Chest 27 27 24 Special 4 6 10 11 11 Skeletal
ı Distribution of MRI exam. according to body region 1999 1999 1995 1995 Head 32.7 37.8 Abdomen 39.4 28.4 Spine Chest Special Skeletal 3 22.5 4.1 20.7 1.8 1.7 3.8 4.01
ı Indications for CT investigation Other Infection Trauma 15.77% 2.05% 11.43% Oncologic Dis. 13.05% Follow-up 11.93% Pain invest. S.O.L 34.93% 10.84%
ı Indications for MRI investigation Other Infections 17.56% 0.33% Trauma 12.71% Oncologic Dis. 12.04% Follow-up Pain inves. 26.42% 22.24% S.O.L 8.70%
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