Bassett L W, Cassady C I, Gold R H
Iris Cantor Center for Breast Imaging, UCLA Medical Center.
AJR Am J Roentgenol. 1991 Jan;156(1):59-62. doi: 10.2214/ajr.156.1.1898571.
We conducted a telephone interview of all 207 accredited diagnostic radiology residency training programs listed in the American Medical Association's Directory of Graduate Medical Education Programs. Resident training in mammography was offered in 206 programs, and 35% of the programs had initiated this training within the past 3 years. Residents had an assigned block of time to do mammography in 84% of the programs. Of the 206 programs, 40% had rotations devoted exclusively to mammography, with 82% of the exclusive rotations lasting from 4 to 8 weeks. Residents were performing localization procedures in 91% of the programs and dictating cases in 81%. A distinction was made between screening and diagnostic examinations by 35% of the training institutions, at least in terms of the fee for the examination. Radiologists who devoted at least half of their practice to mammography taught in 52% of the programs. The American College of Radiology has granted accreditation in mammography to 29% of the programs. Although almost all accredited residency training programs offer training in mammography, there are some deficiencies in this training. More residents need to gain the experience of dictating mammography reports and need to learn about the distinctions between screening and diagnostic mammography. Despite the anticipated deluge of screening examinations in the next decade, there were only 17 fellowships that included at least 6 months of mammography identified in 15 (7%) of the institutions; only 11 of these were full-time 1-year breast imaging fellowships.
我们对美国医学协会《研究生医学教育项目目录》中列出的所有207个经认可的诊断放射学住院医师培训项目进行了电话访谈。206个项目提供了乳腺X线摄影的住院医师培训，其中35%的项目在过去3年内启动了该培训。84%的项目为住院医师安排了专门的时间进行乳腺X线摄影。在这206个项目中，40%有专门用于乳腺X线摄影的轮转，其中82%的专门轮转持续4至8周。91%的项目中住院医师在进行定位操作，81%的项目中住院医师在撰写病例报告。35%的培训机构对筛查和诊断性检查进行了区分，至少在检查费用方面。52%的项目由至少将一半业务时间用于乳腺X线摄影的放射科医生授课。美国放射学会已对29%的项目授予了乳腺X线摄影认证。尽管几乎所有经认可的住院医师培训项目都提供乳腺X线摄影培训，但该培训仍存在一些不足。更多住院医师需要获得撰写乳腺X线摄影报告的经验，并需要了解筛查和诊断性乳腺X线摄影之间的区别。尽管预计未来十年筛查检查数量会大量增加，但在15家（7%）机构中仅发现17个包含至少6个月乳腺X线摄影培训的 fellowship项目；其中只有11个是为期一年的全职乳腺影像fellowship项目。
