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Inicio Radiología (English Edition) Online training in radiology during the COVID-19 pandemic
Journal Information
Vol. 64. Issue 5.
Pages 433-444 (September - October 2022)
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960
Vol. 64. Issue 5.
Pages 433-444 (September - October 2022)
Update in Radiology
Full text access
Online training in radiology during the COVID-19 pandemic
Formación online en Radiología en tiempos de COVID
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960
C.F. Muñoz-Núñez
Servicio de Radiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain
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Table 2. Social media in medical imaging societies in Spain. SERAM's Twitter, Instagram and Facebook accounts, various accounts associated with SERAM and accounts of SERAM's affiliates (accessed 4 May 2022).
Abstract

The COVID-19 pandemic has changed the methods used for teaching radiology in medical schools, residency programs, and continuing medical education. The need to continue training in radiology in a situation requiring physical distancing has led to the massive use of online methods, and this is where internet has provided a solution to mitigate the problem. This paper aims to present a series of useful, freely accessible resources that share the #FOAMRad philosophy for online training in radiology during the COVID-19 pandemic.

Keywords:
Internet
Radiology
Education
Medical
Education, Distance/methods
Resumen

La pandemia por COVID-19 ha alterado de forma significativa la metodología que tradicionalmente se ha empleado para la enseñanza de la Radiología en pregrado, posgrado y formación continuada. La necesidad de continuar con la formación en Radiología bajo una situación de distanciamiento físico ha provocado el uso masivo de metodología online y aquí es donde Internet se ha constituido en una solución para mitigar el problema. El objetivo de este trabajo es presentar una serie de recursos útiles de acceso gratuito que comparten la filosofía #FOAMRad para la formación online en Radiología en estos tiempos de COVID.

Palabras clave:
Internet
Radiología
Educación
Médica
Educación, Distancia/métodos
Full Text
Introduction

The COVID-19 pandemic has significantly altered the methods traditionally used to teach Radiology in undergraduate, postgraduate and continuing education.1–4 The suspension of face-to-face classes and clinical placements has had a negative impact on the theoretical and practical training of students of Medicine.2 In Radiology departments, the relocation of resident interns and specialist radiologists to other departments to carry out functions of other specialities, and the physical distance between residents and the specialist radiologists who supervise them, have undeniably contributed to limiting postgraduate training.3 The suspension of clinical sessions, meetings of multidisciplinary committees and conferences, courses and congresses has put a brake on the continuing medical training of specialist radiologists. These obstacles have led to the search for alternatives to alleviate the negative consequences of the pandemic on Radiology training and have led to the extensive use of other teaching methods.1,2,5–8

The need to continue training in radiology in a situation requiring physical distancing has led to the massive use of online methods, and this is where internet has provided a solution to mitigate the problem.1,2,5–8 The massive use of communication platforms for the live transmission of webinars and congresses has become popular, with Zoom probably being the most used.9 The Girona Imaging Diagnosis and Treatment Continuing Education Platform, directed by Dr Salvador Pedraza, is a good example of the use of Zoom to give free-access web-based online continuing education seminars (Fig. 1). This platform has made it possible to keep clinical sessions going during the pandemic and is accredited by the Consell Català de la Formaciò Continuada de les Professions Sanitàries [Catalan Council for the Continuing Education of Healthcare Professions]. Between 1 February 2021 and 11 March 2022, 228 sessions were held (S. Pedraza [personal communication], 19 May 2022).10 Free-access internet training resources have also been used on a huge scale.11 The collection of free training resources on the internet in medicine is generically referred to as Free Open Access Meducation (FOAM). FOAM is a term coined in June 2012, although its philosophy is older and includes blogs, podcasts, tweets, online videos, text documents, photographs, Facebook groups and more. FOAM should be considered as an aid to medical training and is in no way intended to replace it. FOAM resources need to be easily accessible and portable, making them ideal for asynchronous learning and the flipped classroom model.12 Unlike the traditional model, in which the students attend the lessons given by the teacher and then do the assigned tasks or homework, in the flipped classroom model, the students first study the theoretical concepts provided by the teacher and the classroom time is used to answer questions, do practical activities and engage in relevant debates with the content.13 The FOAM resources in general medicine can be found searching for the hashtag #FOAMed. In radiology, the hashtag used to search for free resources is #FOAMRad. During the pandemic, lists of online resources organised into directories have been generated, such as the document #FOAMRad Resources14, accessible via https://bit.ly/foamrad, created and updated by Dr Patricia Salazar, from the University of Emory (United States). Other free and up-to-date radiology training resource listings are the general radiology resource directory RadiologyEducation.com15 and the paediatric radiology resource directory PediatricRadiology.com16, both maintained by paediatric radiologist Dr Michael P. D’Alessandro, from the University of Iowa (United States).

Figure 1.

Girona Imaging Diagnosis and Treatment Continuing Education Platform. This platform has made it possible to maintain clinical sessions during the pandemic and is a good example of the use of Zoom to conduct online accredited continuing education webinars.

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Social media have been used in radiology training and are a resource which has also been used for this purpose during the COVID-19 pandemic.17–20

The aim of this article is to present a series of useful free-access resources which share the #FOAMRad philosophy for online training in radiology in these times of COVID-19. The list of available resources is very extensive and those selected are the most relevant from the author's point of view.

General basic resourcesGeneral websites

A number of websites can be considered general as they do not specialise in any specific subspeciality of radiology. They are up-to-date and are visited daily by thousands of users.

Introduction to Radiology (https://introductiontoradiology.net/) is an interactive online tutorial from the University of Virginia Health System in Charlottesville (United States). It is a classic radiology website which covers various basic topics with mixed organisation of contents, although mainly by organs and systems.21

Learning Radiology (http://learningradiology.com/index.htm) is a website developed and maintained by Dr William Herring, from the Einstein Medical Center in Philadelphia (United States), which was created with the aim of replacing the paper notes that accompanied the lectures for medical residents and medical students. Its focus is mainly on classic conventional radiology. It currently has more than 5000 pages of contents and is very popular, with more than 10,000 visitors a day and over 23 million pages of content viewed each year. This website has given rise to the publication of the bestselling textbook Radiology: Recognizing the basics, which is currently in its fourth edition in English and which also has an edition in Spanish. The website also makes extensive use of social networks, with more than 800,000 followers in total, a YouTube channel and Facebook, Twitter and Instagram accounts (Fig. 2).22

Figure 2.

Learning Radiology. Website designed and maintained by Dr William Herring, from the Einstein Medical Center in Philadelphia (United States), which was created with the aim of replacing the paper notes that accompanied the lectures for medical residents and medical students (http://learningradiology.com/index.htm).

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Radiology Assistant (https://radiologyassistant.nl/) is the educational website of the Radiological Society of the Netherlands. It was created by Dr Robin Smithuis with the aim of providing up-to-date and free education to radiology residents and radiologists. The information it offers is focused on common clinical problems where imaging plays a major role in patient care and the superb diagrams and text really stand out. Radiology Assistant is also a non-profit organisation and has the status of public benefit organisation (PBO [Algemeen Nut Beogende Instelling; ANBI in the Netherlands]). In addition to the aim of providing radiology education, they assist in medical care in Southeast Asia. Although it is a free-access website, they also offer a paid application for iOS and Android mobile devices, and the profits are used for their activities as a PBO.23

Radiopaedia (https://radiopaedia.org/) is a free radiology resource based on "Wiki" technology which aims to compile the knowledge and experience of radiologists and other healthcare professionals from around the world to create the best world reference in radiology. Collaboration on this Wiki is open and anyone can contribute and even modify the contents, which are reviewed by editors and expert advisers before final publication. It is currently the most visited radiology website in the world. The educational material it contains can essentially be divided into articles, case reports and case report playlists.24

Collections of cases

Training in radiology is very dependent on being able to view images and recognise findings, so radiology case collections are a key tool. There are a number collections on the Internet with thousands of cases, usually organised by organs and systems.

Eurorad (https://www.eurorad.org/teaching-cases) is a peer-reviewed educational website supported by the European Society of Radiology (ESR) which, based on radiology cases, aims to provide an educational environment for radiologists, radiology residents and students from all over the world. The cases can be studied as complete cases with a known diagnosis or as problem cases with the diagnosis to be resolved. Collaboration on Eurorad is open and anyone can contribute with case reports, which are reviewed by editors before final publication. It currently contains more than 7500 cases that can be searched by diagnosis, keywords or organ and system section. Each case contains relevant medical history, imaging findings, discussion, differential diagnosis, final diagnosis and references, and is assigned a Digital Object Identifier (DOI) enabling it to be cited.25

The RSNA Case Collection (https://cases.rsna.org/) is the online collection of radiology cases of the Radiological Society of North America(RSNA), developed and created by radiologists and also peer-reviewed. The aim is for it to be used as an educational tool and for clinical decision making. The cases are organised by radiological subspeciality and consist of images, relevant clinical information about the case, differential and final diagnosis, discussion and references. Collaboration is open and anyone can contribute cases, with each case assigned a DOI so it can be cited.26

MedPix (https://medpix.nlm.nih.gov/home) is a free-access online database of medical images, cases and clinical topics that currently includes more than 12,000 cases, 9000 topics, and nearly 59,000 images and is sponsored by the US National Library of Medicine (NLM). Collaboration on MedPix is open, so anyone can contribute with cases, which are reviewed by editors. The material is organised by organs and systems, pathology category, signs and symptoms, etc. Cases can be searched using various descriptors. It also offers free online AMA CME Category 1 credits.27

Curricula in radiology

A number of different radiology scientific institutions and organisations sponsor websites from which basic curricula can be accessed which really are quintessential study plans in radiology.

Radiology Resident Core Curriculum Lecture Series (https://radiologyresidentcorelectures.com/) is a website supported by the Association of University Radiologists (AUR) in the United States, from which we can access a series of 20−30 min online lectures, created specifically for radiology residents and delivered by some of the best teachers from the different radiology subspecialities in the US. The goal is to provide a series of free access lectures organised by radiology subspecialities that make up the core curriculum for diagnostic radiology.28

Cleveland Clinic Pediatric Radiology (https://www.cchs.net/onlinelearning/cometvs10/pedrad/default.htm) is a website run by the Cleveland Clinic (United States) which consists of a full curriculum in paediatric radiology provided through tutorials organised into learning modules. For each of its 65 learning modules, a certificate of completion can be obtained after passing a multiple-choice test. About 25,000 students and 400 residency programmes are registered on this website.29

The BSNR Educational Programme (https://bsnr.org.uk/education/modules/) is a structured online programme of webinars covering the basic curriculum for training in diagnostic neuroradiology from the British Society of Neuroradiologists (BSNR). The total duration of the programme is two years and it is mainly aimed at residents in their final years of training in radiology. The webinars are broadcast weekly and, although they are free, in order to attend you have to be previously registered. It is also possible to access the recordings of the seminars already broadcast through the link https://bsnr.org.uk/education/recordings/.30

Subspeciality websites

There are a number of websites on radiology subspecialities it is useful to know about because of their quality and their eminently educational mission.

Breast Rads (https://breastrads.com/) is a breast radiology educational platform created and maintained by Dr Charmi Vijapura, from the Department of Radiology at the University of Cincinnati (United States). It contains a core collection of reference cases for exam preparation and rotations, a mammography/ultrasound case collection and an MRI case collection, reference guides, articles and lectures.31

Learn Abdominal Radiology (https://www.learnabdominal.com/home) is an educational abdominal radiology website for medical students, residents and medical specialists created by Dr Michael Hartung, from the University Wisconsin in Madison (United States). It contains a five-day virtual elective course on abdominal computed tomography (CT) for medical students, residents and fellows, with beginner and advanced level cases, created specifically to aid training in abdominal radiology during the COVID-19 pandemic. This website contains a lot of material, including how to read a CT of the abdomen/pelvis and how to report on one, a general collection of CT cases, and a collection of abdominal MRI cases.32

Learning Neuroradiology (https://sites.google.com/a/wisc.edu/neuroradiology/home) is a website created by Dr Tabby Kennedy from the University of Wisconsin in Madison (United States), whose goal is to teach the fundamentals of neuroradiology. As in the previous case, it also contains a five-day elective virtual rotation in neuroradiology with goals to be met and a syllabus. The content includes sections dedicated to medical imaging techniques, skull and spinal anatomy, how to read a skull CT and description of basic pathologies, among others.33 Dr Tabby Kennedy’s teaching work in neuroradiology has been recognised by a number of different American scientific societies with various awards and her great educational efforts on the internet have certainly contributed to this recognition34,35 (Fig. 3).

Figure 3.

Learning Neuroradiology. Website created by Dr Tabby Kennedy, from the University of Wisconsin in Madison (United States), whose goal is to teach the fundamentals of neuroradiology. Dr Tabby Kennedy's educational work in neuroradiology has been recognised with various awards from different US scientific societies (https://sites.google.com/a/wisc.edu/neuroradiology/home).

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Learn Neuroradiology (https://learnneuroradiology.com/) is a website dedicated to neuroradiology, edited by Dr Brent Weinberg, from the University of Emory, Dr Michael Hoch, from the University of Pennsylvania and Dr Katie Carpenter Bailey, from the University of South Florida, all in the United States. Although intended primarily for radiologists, including residents, fellows and specialist radiologists, it may also be useful to non-radiologists, medical students and others. This website contains extensive amounts of material and is essentially structured into a series of short videos, publications or articles which describe different topics related to neuroradiology and is organised mainly by diseases or pathologies. All the educational videos that appear on the website can be found on its YouTube channel.36

Learning Head and Neck Radiology (https://www.learningheadandneck.com/) is an educational website edited by Dr Tabby Kennedy of the University of Wisconsin in Madison (United States), who is also editor of the above-mentioned Learning Neuroradiology. It is dedicated to head and neck radiology, and its contents are divided into how to read a neck CT, neck anatomy with CT, head and neck cases, and virtual classroom.37

Pediatric Imaging (https://pediatricimaging.org/) is a website which contains a paediatric radiology text book and digital library and is edited by Dr Michael P. D’Alessandro, from the University of Iowa (United States). It includes more than 100 paediatric radiology differential diagnoses and covers more than 700 paediatric diseases, illustrated with more than 800 case reports. It is currently visited by more than 6000 users a day.38

Teaching IR (https://www.teachingir.com/) is an educational website on vascular/interventional radiology edited by Dr Jeff Elbich, from Virginia Commonwealth University in Richmond (United States). It is aimed at preparation for the US Radiology Core Exam through comprehensive teaching and interactive questions. After registering on the website, the user has access to a learning progress monitoring panel, a curriculum organised as a learning guide divided by year of residency, with objectives, educational material and questions, and an illustrated anatomy module with cases.39

Social media

We should differentiate social networks from social media. Social media are a group of internet applications developed from the Web 2.0 model which enable the creation and exchange of user-generated content.40,41 The Web 2.0 model allows the two-way flow of information between users while the previous Web 1.0 model, prior to 2004, only allowed one-way exchange of information between the generator and the end user.17 An online or virtual social network is an internet community where individuals interact, often using profiles that present their public persona and network to others, using social media.42

According to data from February 2022, there are currently 40.7 million social media users in Spain (87.1% of the population), with their number having progressively increased since social media were introduced.43 The most used are WhatsApp (91%), Facebook (73.3%), Instagram (71.7%) and Twitter (46.7%).43 In the last survey consulted in 2022, YouTube was not included as a social medium; however, the same survey in January 2021 showed YouTube as the second most used social media, with a high percentage of users (89.3%) immediately behind WhatsApp (89.5%),44 which confirms its importance.

Social media are also used in radiology,45 especially for training.15,18,19,46,47 Although the social media mentioned above are the most widely used, there are others with a lower percentage of users, but which have also been used as vehicles for training in radiology, such as Second Life,48 TikTok49 and Reddit.50

Although social media appear to be good tools for radiology education due to the ability to combine text, image and sound, they are not without potential drawbacks,19 particularly in relation to trust, recognition of work done, fairness and privacy. The lack of systems able to measure student progress makes it difficult to assess the validity of social media as effective educational tools.19 Lack of peer review of content can lead to unintentional sharing of incorrect information between educators and learners.19 Time spent in the preparation of educational material does not tend to be recognised as academic merit and there are also barriers limiting access to this educational material; the fact that the use of social media decreases with age and the use of one social medium or another is also age-dependent (for example, in the US, 71% of adults aged 18–29 use Instagram, while only 13% of adults over 65 do so).51

The most popular social media and their role in radiology training are reviewed below.

YouTube

YouTube (https://www.youtube.com, San Bruno, California, United States) is a video hosting website founded in 2005.52 Today it is the most used free video sharing platform in the world and one of the most used social media.52

YouTube content is organised into channels, with each channel similar to a profile page, and on each channel there is a series of videos. The videos tab contains all the videos on the channel, listed in reverse chronological order with the most recent listed first. The lists tab contains the playlists, each of which groups videos that share the same theme. In the community tab, the person or people in charge of the channel can communicate with the users. In the information section, there is a description of the channel and its statistics are shown. YouTube incorporates a search engine to help you find the videos of interest. There are multiple radiology channels on YouTube set up for educational purposes (Table 1).

Table 1.

Popular YouTube channels dedicated to Radiology education (accessed 4 May 2022).

Name of channel  Subscribers  Videos  Date created  Viewings 
RadiologyChannel  120,000  91  22/09/2012  4,566,010 
123Radiology  105,000  100  17/12/2011  14,632,682 
Radiology Video-Radiology Made Easy  66,600  799  30/11/2011  7,739,245 
Navigating Radiology  60,400  32  08/01/2016  2,605,412 
Radiology and Imaging for Students  51,700  82  20/01/2020  2,352,590 
Radiology Nation  39,600  15  08/02/2017  2,506,379 
Yale Radiology and Biomedical Imaging  37,200  145  23/09/2015  2,396,781 
CTisUS  33,100  2459  22/09/2009  3,071,670 
Chris Beaulieu  32,000  47  09/08/2008  2,418,866 
Educational Radiology Channel ERC  23,700  1286  28/03/2015  812,676 
Radiology Residency UM/JMH  23,100  31  08/06/2014  1,462,901 
Radiology Headquarters  13,700  57  13/03/2016  425,651 
Radiology Education by Joseph W. Owen, MD  6590  81  29/06/2011  334,518 

Modified from Staziaki et al.52

Facebook

Facebook (https://www.facebook.com, Menlo Park, California, United States) was founded in 2004. It is a social medium in which there are personal accounts called profiles and accounts of organisations or businesses called pages. Therefore, if for educational purposes, it is recommended to use an organisation or page account to avoid mixing personal and professional information.46

Facebook has been used for education in radiology53 and there are also groups which represent real virtual communities, where their members share common interests. There are numerous Facebook groups on medical topics with widely varying interests. Depending on the settings, membership can be open to the public or restricted. Members interact with posts which can take various formats (questions, comments, links, images, etc). Comments or reactions are generated from these posts which then become a real virtual conversation on a topic of interest. In radiology there are a number of different Facebook groups.54

In 2016, Facebook launched its live online broadcast platform known as Facebook Live, created for users to communicate with their friends and followers in real time. When you click on “go live” the program requests access to the camera and microphone, and starts streaming video. Along with the video, the platform also has a comments section enabling the sharing of posts during the broadcast. After the live broadcast is over, Facebook automatically sends the recording to the user's web page for viewing and subsequent comments. In radiology Facebook Live has also been used for education.55

Instagram

Instagram (https://www.instragam.com, Menlo Park, California, United States, was founded in 2010 and is a social medium based on images obtained with mobile devices (phones and tablets). The user takes an image or video, can then edit it, write a comment, add hashtags, and finally share the resulting image or video in a post. Later, other users can interact with the post by adding comments and reactions. On Instagram, unlike Facebook or Twitter, the image is essential for the post, while the text is optional.54 By focusing on the image, Instagram becomes an ideal candidate for radiology education.18,56 Posts on Instagram have limits with regard to content; videos have a limit of 60 s, comments are limited to 2200 characters and hashtags to 30. One drawback of Instagram is that it does not support external hyperlinks.46Table 2 lists SERAM’s [Sociedad Española de Radiología Médica (Spanish Society of Medical Radiology)] Instagram accounts and those of its sections, and Table 3, those of the various European scientific societies dedicated to medical imaging.

Table 2.

Social media in medical imaging societies in Spain. SERAM's Twitter, Instagram and Facebook accounts, various accounts associated with SERAM and accounts of SERAM's affiliates (accessed 4 May 2022).

Scientific society  Twitter account  Instagram account  Facebook account 
Sociedad Española de Radiología Médica (SERAM)  @SERAM_RX  seramrx  https://www.facebook.com/rxseram 
Residentes SERAM [SERAM Residents]  @residentesSERAM  residentes.seram  – 
Club Bibliográfico SERAM [SERAM Literature Club]  @cbSERAM  –  – 
Revista Radiología [Radiology Journal]  @RevistaRADIOLO2  –  – 
Sociedad Española de Diagnóstico por Imagen del Abdomen (SEDIA) [Spanish Abdominal Diagnostic Imaging Society]  @sediabdomen  sediabdomen  https://www.facebook.com/sedia.abdomen.1 
Sociedad Española de Neurorradiología (SENR) [Spanish Society of Neuroradiology]  @SENR_org  –  https://www.facebook.com/profile.php?id=100057663870719 
Sociedad Española de Radiología Musculoesquelética (SERME) [Spanish Society of Musculoskeletal Radiology]  @MSKSerme  mskserme  – 
Sociedad Española de Imagen Cardiotorácica (SEICAT) [Spanish Society of Cardiothoracic Imaging]  @SEICAT_RAD  –  – 
Sociedad Española de Radiología Pediátrica (SERPE) [Spanish Society of Paediatric Radiology]  @SE_Rad_Ped  –  https://www.facebook.com/serpe.es 
Sociedad Española de Diagnóstico por Imagen de la Mama (SEDIM) [Spanish Breast Diagnostic Imaging Society]  @SEDIM_RX  sedim.es  – 
Sociedad Española de Radiología Vascular e Intervencionista (SERVEI) [Spanish Vascular and Interventional Radiology Society]  @SERVEISoc  serveisoc_  https://www.facebook.com/servei.org/ 
Formación Pre- y Posgrado en Radiología (FORA) [Under- and Postgraduate Training in Radiology]  @formacionrx  –  – 
Sociedad Española de Gestión y Calidad (SEGECA) [Spanish Society for Management and Quality]  @SEGECA1  –  – 
Sociedad Española de Radiología de Urgencias (SERAU) [Spanish Emergency Radiology Society]  @SERAUWeb  –  https://www.facebook.com/SERAU-Sociedad-Española-de-Radiología-de-Urgencias-140995426249404 
Sociedad Española de Ultrasonidos (SEUS) [Spanish Ultrasound Society]  –  –  https://es-es.facebook.com/seus.org/ 
Table 3.

Social media in medical imaging societies in Europe. Twitter, Instagram and Facebook accounts of the various European scientific societies dedicated to medical imaging [accessed 6 May 2022].

Scientific society  Twitter account  Instagram account  Facebook account 
European Society of Radiology (ESR)  @myESR  myESR  https://www.facebook.com/myESR 
Cardiovascular and Interventional Radiological Society of Europe (CIRSE)  @cirsesociety  –  https://www.facebook.com/cirsesociety 
European Society of Emergency Radiology (ESER)  @ESERadiology  eseradiology  – 
European Society of Gastrointestinal and Abdominal Radiology (ESGAR)  @EsgarSociety  –  https://www.facebook.com/esgarsociety/ 
European Society of Urogenital Radiology (ESUR)  @EsurOffice  –  https://www.facebook.com/pages/category/Nonprofit-organization/European-Society-of-Urogenital-Radiology-110648267024418/ 
European Society of Thoracic Imaging (ESTI)  @ESTI_Society  –  – 
The European Society of Cardiovascular Radiology (ESCR)  @EscrOffice  –  https://business.facebook.com/myESCR?business_id=958267644198449 
European Society of Neuroradiology (ESNR)  @ESNRad  esneurorad  https://www.facebook.com/esnr.org 
European Society of Head and Neck Radiology (ESHNR)  @ESHNRSociety  –  – 
European Society of Musculoskeletal Radiology (ESSR)  @ESSRmsk  –  https://es-es.facebook.com/www.essr.org/ 
The European Society Of Paediatric Radiology (ESPR)  @ESPRSociety  –  https://www.facebook.com/ESPRSociety/ 
European Society of Breast Imaging (EUSOBI)  @EUSOBIyc  –  https://es-es.facebook.com/pg/eusobieuropeansociety/posts/ 
European Association of Nuclear Medicine (EANM)  @officialEANM  –  https://www.facebook.com/officialEANM 
European Society for Hybrid, Molecular and Translational Imaging (ESHIMT)  @ESHI_Society  –  https://www.facebook.com/ESHI.society/ 
European Society for Magnetic Resonance in Medicine and Biology (ESMRMB)  @ESMRMB  –  https://www.facebook.com/ESMRMB/ 
European Society of Oncologic Imaging (ESOI)  @myESOI  my_esoi  https://www.facebook.com/esoi.society 
European Society of Medical Imaging Informatics (EuSoMII)  @EuSoMII  eusomii  https://www.facebook.com/eusomii 
Twitter

Twitter (https://twitter.com, San Francisco, California, United States, was founded in 2006 and is a social medium based on user-to-user text posts called tweets. These have a limit of 280 characters, which means that Twitter is a short, direct means of communication. When the information you want to give is longer, there is the possibility of linking different publications, creating threads of tweets. In addition to text, users on Twitter can include images and videos, hashtags and external hyperlinks in their posts. Twitter is mainly used in radiology to receive news related to scientific meetings, medical publications and training.57Table 2 lists SERAM's Twitter accounts and those of its sections, and Table 3, those of the various European scientific societies dedicated to medical imaging.

Discord

Discord is an application originally conceived to create an online social network for PC gamers which was easy to use and had minimal impact on connection performance during the game. It is free and enables high-quality voice, video and text messaging. It is currently the video game industry standard for communication in game tournaments based on eSports and local area networks (LAN).58

RadDiscord is a server on the Discord platform created in October 2020 by Dr Grace G. Zhu, then a 4th year radiology resident at the University of Utah (United States). It came about as a direct consequence of the COVID-19 pandemic, as it was conceived to help radiology residents prepare together for their final exam, because of the difficulties with group studying face-to-face. It is the first international online radiology community to promote interaction in real time and allow its members to ask questions, discuss cases, debate difficult concepts, share recommendations and resources, receive advice for professional development and make friends. Many radiology educators and residents volunteer their time to help make this virtual community a success. To be part of it you have to be a verified radiologist and the link to learn more about the platform and request a membership is https://www.raddiscord.org/59 (Fig. 4).

Figure 4.

RadDiscord. Server for the Discord platform, whose creation was a direct consequence of the COVID-19 pandemic as an aid for final-exam preparation in the speciality of radiology, and which has become a true online international radiology community (https://www.raddiscord.org/).

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Conclusions

The COVID-19 pandemic has significantly altered the methods traditionally used to teach radiology in undergraduate, postgraduate and continuing education. The internet provides resources to complement radiology training through websites and social media and its use has increased during the pandemic due to physical distancing and the availability of these tools. This article includes a range of different resources of interest for training in radiology. However, in view of the large number of resources available and the fact that it consists of only a selection, the list is obviously partial and subjective.

Authorship

The author participated in the conception, writing and correction of the manuscript, approving the final text.

Funding

This research received no funding.

Conflicts of interest

The author declares that he has no financial interests or personal relationships which might have influenced the work reported in this article.

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