■居民通常在夜间和周末轮班,在大学医院发布放射学研究的初步读数。这对于独立面对复杂案件时加强决策技能至关重要。然而,病人的安全和学术经验之间应该有一个平衡,因为有人对学员的解释的准确性表示了一些担忧。这项工作旨在评估和表征放射科居民发布的初步报告中的差异。
放射科医生填写了一份调查问卷,以评估考虑诊断的学员的初步报告,发现描述,临床方法的改变,和重要的发现。考虑模态进行分析,成像类型,身体部位,和居民学年。采用显著性水平α为0.05的卡方检验进行组间比较。
■共审查了9072项研究。主要和次要整体差异率分别为1.7%和8.3%,分别。轻微差异率,发现描述,关键发现的识别随着学年的增加而提高,总体和模态。CT的差异率低于MR,神经影像学的差异率低于身体影像学研究。腹部/骨盆CT和腰椎MR的主要和次要差异率最高,分别。百分之二的报告存在差异,可能会导致医疗方法发生变化。
■差异率很低,与文献报道的差异相当。随着居民学年的增加,这些比率往往会提高。我们的结果表明,放射科居民对夜班和周末的覆盖是一种有益于教育过程而不会对患者安全产生负面影响的做法。
UNASSIGNED: Residents usually cover night and weekend shifts issuing the preliminary reading of radiological studies in university hospitals. This is essential to strengthening decision-making skills when facing complex cases independently. However, there should be a balance between patient safety and academic experience since some concern has been expressed about the accuracy of the interpretations generated by trainees. This work aims to evaluate and characterize the discrepancies in preliminary
reports issued by radiology residents.
UNASSIGNED: Radiologists filled out a questionnaire to evaluate preliminary
reports of trainees considering diagnosis, findings description, clinical approach changes, and critical findings. Analysis was performed considering modality, imaging type, body part, and resident academic year. A Chi-square test with a significance level α of 0.05 was used to make group comparisons.
UNASSIGNED: A total of 9072 studies were reviewed. Major and minor overall discrepancy rates were 1.7% and 8.3%, respectively. Minor discrepancy rate, findings description, and critical findings identification improved with increasing academic year, both overall and by modality. Discrepancy rates were lower for CT than MR and neuroimaging than for body-imaging studies. The highest major and minor discrepancy rates as abdomen/pelvis CT and lumbar-spine MR, respectively. Two percent of
reports presented discrepancies that could generate a medical approach change.
UNASSIGNED: Discrepancy rates are low and comparable with those reported in the literature. These rates tend to improve as the resident\'s academic year increases. Our results suggest that radiology residents\' coverage of night shifts and weekends is a practice that benefits the educational process without negatively impacting patient safety.