Notion as an Effective Free Simple Tool to Author and Publish a Resident Reference and Education Website on MRI Safety

Purpose: MRI safety is a frequent challenge for residents on call, especially for patients with implanted devices, hardware, or unique clinical scenarios. Existing guidelines can be difficult to access during urgent cases. To address this, we developed a practical website using Notion (Notion Labs, Inc.) to allow rapid review of MRI safety recommendations. We then evaluated its effectiveness in promoting informed decision making, workflow efficiency, and fostering a culture of safety.

Methods/Materials: Common MRI safety questions posed to residents on call were collected and distilled into decision trees by subject-matter experts. 

Using Notion’s free education plan, with no prior web-authoring experience, an R2 resident translated the decision trees, along with imaging examples and references, such as the ACR Manual on MR Safety, into an internal website.

The website was introduced to the program’s 43 radiology residents during a scheduled lecture. Pre- and six-week post-intervention surveys using a 5-point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree) were administered. Responses were stratified by resident year and assessed for MRI safety knowledge, decision-making confidence, and workflow efficiency.

Results: An internal website was created and launched within nine months by an R2 resident.

Survey results demonstrated overall improvement and positive reception. The statement “The educational materials provided have enhanced my understanding of MR safety” showed benefit across R1–R3 residents (R1 Pre: 2.4 ± 0.4 → Post: 3.2 ± 0.3; R2: 3.3 ± 0.4 → 4.5 ± 0.2; R3: 3.1 ± 0.2 → 4.5 ± 0.4), with no significant change among R4 residents (Pre: 3.6 ± 0.4 → Post: 4.0 ± 0.3). Across all years, the statement “The quality improvement project has positively influenced our department's safety culture” reflected a strong positive shift (Pre: 3.3 ± 0.2 → Post: 4.6 ± 0.1).

Conclusions: Notion is a powerful, easy-to-learn web application that enables cost-free educational website creation. By aggregating existing guidelines in an easy to access manner, we helped residents make evidence-based clinical decisions. Beyond MRI Safety, this approach can be used to address other resident educational needs.