Rao Vijay M, Levin David C
Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, PA 19107, USA.
J Am Coll Radiol. 2005 Dec;2(12):1016-8. doi: 10.1016/j.jacr.2005.05.009.
Although many medical organizations have issued training standards for various types of diagnostic imaging, these standards tend to be arbitrary and may not adequately address the question of how much training is necessary or sufficient. In this article, the authors review the evidence pertaining to this question, which shows that acquiring expertise in imaging is a lifelong process and that there may never be such a thing as "enough" training. It is therefore likely that even though some nonradiologist physicians may meet the standards developed by some organizations, they will not have achieved the expertise that comes with long years of experience or subspecialty training in imaging. Payers and hospital credentials committees have a responsibility to patients to try to help reduce medical errors by ensuring that only those physicians who are best trained and most experienced are allowed to perform and interpret imaging studies.
尽管许多医学组织已经发布了各类诊断成像的培训标准，但这些标准往往具有随意性，可能无法充分解决需要多少培训才算必要或足够的问题。在本文中，作者回顾了与此问题相关的证据，这些证据表明，获得成像专业知识是一个终身的过程，而且可能永远不存在“足够”的培训这一说法。因此，即使一些非放射科医生可能符合某些组织制定的标准，他们也可能没有获得经过多年成像经验或专科培训所带来的专业知识。支付方和医院资格认证委员会对患者负有责任，应通过确保只有那些训练有素且经验丰富的医生才能进行和解读成像检查，来努力帮助减少医疗差错。
