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 Table of Contents  
LETTER TO EDITOR
Year : 2017  |  Volume : 6  |  Issue : 4  |  Page : 414

Quality assurance training course on chest radiography in Laos


1 TWS Medical Center, Bangkok, Thailand
2 Tropical Medicine Department, Hainan Medical University, Haikou, China

Date of Web Publication17-Nov-2017

Correspondence Address:
Pathum Sookaromdee
TWS Medical Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_139_17

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How to cite this article:
Sookaromdee P, Wiwanitkit V. Quality assurance training course on chest radiography in Laos. Int J Mycobacteriol 2017;6:414

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Quality assurance training course on chest radiography in Laos. Int J Mycobacteriol [serial online] 2017 [cited 2019 Aug 22];6:414. Available from: http://www.ijmyco.org/text.asp?2017/6/4/414/218626



Dear Editor,

The report on “Quality assurance training course on chest radiography in Laos” is very interesting.[1] Ohkado et al. reported that “the training course had a positive impact on the quality of chest radiography (CXR) among a sample of trainees of radiological technologists (RTs) in Laos.”[1] In fact, Ohkado et al. also already reported a highly similar observation from the study in the Philippines.[2],[3] Indeed, quality is an important concept in medicine at present and should be implemented in any field of clinical work. Quality assurance is an important process in investigative medicine. The education system might be a good mean to promote good attitude and practice. Based on education view, the method of teaching should be discussed. As noted by Terashita et al., “Student self-efficacy was thought to increase through self-directed learning, which is one of the aims of problem-based learning;”[4] hence, stimulation for having self-continuous education by practitioner is necessary for improving the skill and maintaining the quality of the practitioner.

Nevertheless, the sustainability of the quality is very important. Continuous education is required.[5] Regular proficiency testing and quality check according to continuous quality improvement concept are important. In clinical practice, this is the general requirement for the maintenance of clinical certification of practitioners.[6] For developing countries in Indochina (including Laos, Myanmar, and Cambodia), lack of expert and good clinical education system is a common problem. To maintain quality during poor infrastructure and limited budget is an actual challenge for the developing countries in Indochina. Indeed, in developed country such as Japan, Iwatani concluded that “the knowledge-creating process among the medical professionals has been associated with many problems.”[7] Hence, it is no doubt that there is a more serious problem in the developing countries with limited resource.

Focusing in detail on the present report by Ohkado et al.,[1] there is also a technical concern on pediatric chest radiography. Specific training for performing service to this specific population is needed.[8] The experience of the RT is also an important parameter determining the success and quality of the CXR. Langen et al. found that “The group with very little experience in pediatric radiology showed worse results,”[8] corresponding to the training program. Finally, although there is quality assurance, we should not forget that the error can still occur in practice. In investigative medicine, despite the certification for quality management by international standards the error in laboratory is still observable at a high rate.[9] Close monitoring of the possible error in the process is still required despite a good system for maintenance of the quality.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ohkado A, Mercader M, Date T. Does a quality assurance training course on chest radiography for radiological technologists improve their performance in Laos? Int J Mycobacteriol 2017;6:302-6.  Back to cited text no. 1
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2.
Ohkado A, Luna P, Querri A, Mercader M, Yoshimatsu S, Coprada L, et al. Impact of a training course on the quality of chest radiography to diagnose pulmonary tuberculosis. Public Health Action 2015;5:83-8.  Back to cited text no. 2
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3.
Ohkado A, Poblete R, Mercader M, Querri A, Agujo P, Tang F, et al. Effectiveness of a training course on the quality assurance of chest radiography in the Philippines. Int J Tuberc Lung Dis 2012;16:379-83.  Back to cited text no. 3
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4.
Terashita T, Tamura N, Kisa K, Kawabata H, Ogasawara K. Problem-based learning for radiological technologists: A comparison of student attitudes toward plain radiography. BMC Med Educ 2016;16:236.  Back to cited text no. 4
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5.
Reid J. The dynamics of certification. Radiol Technol 2012;83:414-5.  Back to cited text no. 5
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6.
Rhodes RS. Maintenance of certification. Am Surg 2007;73:143-7.  Back to cited text no. 6
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7.
Iwatani Y. The medical technologist as a key professional in medical care in the 21st century. Rinsho Byori 2008;56:915-23.  Back to cited text no. 7
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8.
Langen HJ, Kohlhauser-Vollmuth C, Muras S, Stenzel M, Beer M. Training program for radiologic technologists for performing chest X-rays at inspiration in uncooperative children. Rofo 2009;181:237-41.  Back to cited text no. 8
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9.
Wiwanitkit V. Types and frequency of preanalytical mistakes in the first Thai ISO 9002:1994 certified clinical laboratory, a 6-month monitoring. BMC Clin Pathol 2001;1:5.  Back to cited text no. 9
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