Zhou G Z, Wong D D, Nguyen L K, Mendelson R M
Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Western Australia, Australia.
J Med Imaging Radiat Oncol. 2010 Feb;54(1):17-23. doi: 10.1111/j.1754-9485.2010.02132.x.
This study aims to evaluate medical student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures and to suggest how education could be improved. Fourth to sixth year medical students enrolled at a Western Australian university and interns from three teaching hospitals in Perth were recruited. Participants were asked to complete a questionnaire consisting of 26 questions on their background, knowledge of ionising radiation doses and learning preferences for future teaching on this subject. A total of 331 completed questionnaires were received (95.9%). Of the 17 questions assessing knowledge of ionising radiation, a mean score of 6.0 was obtained by respondents (95% CI 5.8-6.2). Up to 54.8% of respondents underestimated the radiation dose from commonly requested radiological procedures. Respondents (11.3 and 25.5%) incorrectly believed that ultrasound and MRI emit ionising radiation, respectively. Of the four subgroups of respondents, the intern doctor subgroup performed significantly better (mean score 6.9, P < 0.0001, 95% CI 6.5-7.3) than each of the three medical student subgroups. When asked for the preferred method of teaching for future radiation awareness, a combination of lectures, tutorials and workshops was preferred. This study has clearly shown that awareness of ionising radiation from diagnostic imaging is lacking among senior medical students and interns. The results highlight the need for improved education to minimise unnecessary exposure of patients and the community to radiation. Further studies are required to determine the most effective form of education.
本研究旨在评估医学生和实习医生对常见诊断成像程序中电离辐射暴露的认知,并就如何改进教育提出建议。招募了西澳大利亚大学四年级至六年级的医学生以及珀斯三家教学医院的实习医生。参与者被要求完成一份问卷,问卷包含26个关于他们的背景、电离辐射剂量知识以及对该主题未来教学的学习偏好的问题。共收到331份完整问卷(95.9%)。在评估电离辐射知识的17个问题中,受访者的平均得分为6.0(95%置信区间5.8 - 6.2)。高达54.8%的受访者低估了常见放射学检查程序的辐射剂量。受访者中分别有11.3%和25.5%错误地认为超声和磁共振成像会发出电离辐射。在受访者的四个亚组中,实习医生亚组的表现明显优于三个医学生亚组中的每一个(平均得分6.9,P < 0.0001,95%置信区间6.5 - 7.3)。当被问及未来辐射认知教学的首选方法时,讲座、辅导课和工作坊相结合的方式更受青睐。本研究清楚地表明,高年级医学生和实习医生对诊断成像中的电离辐射缺乏认知。结果凸显了改进教育以尽量减少患者和社区不必要辐射暴露的必要性。需要进一步研究以确定最有效的教育形式。