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          IAEA Trains African Auditors to Strengthen Quality of Diagnostic Care

          In June 2025, the IAEA trained health professionals from 19 African countries in the quality assurance methodology for diagnostic imaging (QUAADRIL). (Photo: J. O’Brien/IAEA)

          Thirty-two African health professionals from 19 countries are now qualified to serve as quality auditors for diagnostic radiology services after completing the first IAEA Quality Assurance Audit for Diagnostic Radiology Improvement and Learning (QUAADRIL) training course for specialists from across the continent. 

          The training took place in June at the IAEA’s headquarters in Vienna as part of a regional technical cooperation project to strengthen the capabilities of radiation health professionals and centres under the African Regional Cooperative Agreement for Research, Development and Training related to Nuclear Science and Technology (AFRA).

          The weeklong course equipped participants with the knowledge to serve as auditors and to train others on the IAEA’s QUAADRIL methodology. Ghana will be the first country to benefit from the initiative, with a QUAADRIL audit mission scheduled for 17 to 21 November to support national efforts to improve clinical practices and enhance patient safety.

          A Growing Need for Quality Cancer Care 

          The training aimed to strengthen the quality of diagnostic radiology as countries across the globe face a growing burden of non-communicable diseases, including cancer. Through its Rays of Hope initiative, the IAEA provides equipment, training and quality control assessments to support countries in expanding cancer care through nuclear and radiation medicine. 

          “As countries expand radiation medicine capacities, quality assurance is paramount for the safe and effective use of lifesaving diagnostic and therapeutic equipment,” said May Abdel-Wahab, Director of the IAEA Division of Human Health. “The IAEA has created a comprehensive quality assurance methodology to advise hospitals, centres and institutions on standards and processes within medical imaging and improve services.” 

          Training participants included radiologists, radiographers, medical physicists and quality assurance officers from Algeria, Botswana, Burkina Faso, Egypt, Gabon, Ghana, Kenya, Lesotho, Malawi, Mauritania, Morocco, Niger, Senegal, South Africa, Sudan, Tunisia, the United Republic of Tanzania, Zambia and Zimbabwe.

          “By expanding the pool of national, regional and international auditors proficient in the IAEA methodology, we are improving the capacity and skills of radiation medicine professionals in Africa,” said Gashaw Gebeyehu Wolde, Acting Director of the IAEA Division for Africa

          Participants at an IAEA training conducting practical exercises on the QUAADRIL methodology to audit diagnostic imaging services. (Photo: J. O’Brien/IAEA) 

           

          Multiplying Knowledge by Training the Trainers 

          Throughout the week, participants engaged in group exercises to develop their communication, leadership and teamwork skills. They also participated in a mock clinical audit to practice critical thinking, empathy and adaptability. 

          “Splitting participants into groups of auditors and auditees simulates the audit process, helping learners understand both perspectives. Auditors practice objective questioning and analysis while auditees experience how to respond professionally and transparently,” said Harry Delis, a medical radiation physicist at the University of Patras and one of the course lecturers. “This interactive method fosters deeper understanding, collaboration and confidence in handling real-life professional situations.”

          Participants will share their new knowledge in their home countries, expanding the reach of the training and quality assurance in diagnostic radiology. 

          “The QUAADRIL training will directly support our efforts to strengthen patient safety and optimize practices in both governmental and private hospitals where I work in Egypt,” said Rehab Elsheikh, Deputy Director of the Radiology Imaging Technology Department at Misr University for Science and Technology. “I am eager to apply what I have learned and to share this knowledge with colleagues to enhance our national practices.”

          Audits for Improved Quality 

          Developed in 2010, the IAEA Quality Assurance Audit for Diagnostic Radiology Improvement and Learning assesses a facility’s procedures, data and infrastructure to improve the quality of services provided. The IAEA offers QUAADRIL audits upon request and free of charge, providing recommendations for relevant professionals. 

          The IAEA also conducts comprehensive audits in radiation oncology (QUATRO) and nuclear medicine (QUANUM), which are likewise available free of charge to countries and facilities around the world. 

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