Is the Training of Imaging Informatics Personnel in New Zealand Adequate?

Abstract

The purpose of this study of Imaging Informatics Professionals (IIPs) in New Zealand was to assess their experience, background, educational qualifications and needs for support and continuing education. The IIP role includes administration of DICOM modalities, picture archiving and communication systems (PACS),radiology information systems (RIS) and many additional software and hardware systems, including the interface to New Zealand's nationwide individual electronic medical records (EMR) system. Despite the complexity of current systems, training programmes for IIPs are almost non-existent in Australasia. This cross-sectional qualitative case study used triangulated data sources, via online questionnaire, interview and critical incident analysis. Demographic data was also obtained from the questionnaire. Participants included about one third of the IIPs in New Zealand. Quantitative results were summarised with descriptive statistics or frequency data. Qualitative data was assessed by iterative multi-staged thematic analysis. This study found that the IIP role is undertaken by personnel from diverse backgrounds. Most of the IIPs learned what they know from vendors and on the job. Many feel that their biggest issue is in not knowing what they do not know and therefore not having sufficient understanding of the imaging informatics field. Only one IIP had any formal certification in PACS administration. Most respondents indicated their desire for some form of additional training. The number of IIPs in New Zealand healthcare is very small, so neither a formal training programme nor regulatory body is viable or justified. However, IIPs believe there is a need for education, regulation and recognition that their role is a critical component in healthcare.