Chew F S
Department of Radiology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157-1088, USA.
Acad Radiol. 1999 Feb;6(2):102-11. doi: 10.1016/S1076-6332(99)80489-9.
The author developed a technique for residency program evaluation, called "quantitative profiling," that is based on computer retrieval of radiologic reports. The hypothesis was that it would provide insights into the contributions of residents to clinical service, measures of resident experience and productivity for program evaluation, and benchmarks for comparison.
The radiology residency program of a major teaching hospital was studied retrospectively from 1989 to 1997. The number of radiologic reports signed by individual residents and faculty members was retrieved. The clinical experience of the 1993-1997 cohort of residents was described according to subspecialty area and modality.
Residents signed 46.5% of all reports, with a mean total of 14,445 reports +/- 1,292 per resident during the entire residency. The distribution of examinations was as follows: thoracic, 42.1%; musculoskeletal, 26.1%; abdominal, 13.4%; sonography, 8.7%; neuroradiology, 4.3%; nuclear, 2.4%; breast, 1.6%; and vascular, 1.4%. The most frequently reported results were for one-view chest radiography.
Quantitative profiling can help track the range and progress of resident experience, help determine the deployment of residents, and provide empirical data upon which decisions to modify residency programs may be based.
作者开发了一种住院医师培训项目评估技术，称为“定量剖析”，该技术基于放射学报告的计算机检索。假设是它将深入了解住院医师对临床服务的贡献、住院医师经验和生产力的衡量指标以用于项目评估，以及用于比较的基准。
对一家大型教学医院1989年至1997年的放射科住院医师培训项目进行回顾性研究。检索了由各个住院医师和教员签署的放射学报告数量。根据亚专业领域和检查方式描述了1993 - 1997年住院医师队列的临床经验。
住院医师签署了所有报告的46.5%，在整个住院医师培训期间，每位住院医师平均签署报告总数为14445份±1292份。检查分布如下：胸部，42.1%；肌肉骨骼，26.1%；腹部，13.4%；超声，8.7%；神经放射学，4.3%；核医学，2.4%；乳腺，1.6%；血管，1.4%。最常报告的结果是单视图胸部X线摄影。
定量剖析有助于跟踪住院医师经验的范围和进展，有助于确定住院医师的部署，并提供可作为修改住院医师培训项目决策依据的实证数据。
