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乳腺 X 线摄影的未来:放射科住院医师的经验、态度和看法。

The future of mammography: radiology residents' experiences, attitudes, and opinions.

机构信息

Health Outcomes Research Group, Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.

出版信息

AJR Am J Roentgenol. 2010 Jun;194(6):1680-6. doi: 10.2214/AJR.09.3735.

DOI:10.2214/AJR.09.3735
PMID:20489113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3647341/
Abstract

OBJECTIVE

The objective of our study was to assess the experiences and preferences of radiology residents with respect to breast imaging.

MATERIALS AND METHODS

We surveyed radiology residents at 26 programs in New York and New Jersey. Survey topics included plans for subspecialty training, beliefs, and attitudes toward breast imaging and breast cancer screening and the likelihood of interpreting mammography in the future.

RESULTS

Three hundred forty-four residents completed the survey (response rate, 62%). The length of time spent training in breast imaging varied from no dedicated time (37%) to 1-8 weeks (40%) to more than 9 weeks (23%). Most respondents (97%) agreed that mammography is important to women's health. More than 85% of residents believed that mammography should be interpreted by breast imaging specialists. Respondents shared negative views about mammography, agreeing with statements that the field was associated with a high risk of malpractice (99%), stress (94%), and low reimbursement (68%). Respondents endorsed several positive attributes of mammography, including job availability (97%), flexible work schedules (94%), and few calls or emergencies (93%). Most radiology residents (93%) said that they were likely to pursue subspecialty training, and 7% expressed interest in breast imaging fellowships.

CONCLUSION

Radiology residents' negative and positive views about mammography seem to be independent of time spent training in mammography and of future plans to pursue fellowship training in breast imaging. Systematic assessment of the plans and preferences of radiology residents can facilitate the development of strategies to attract trainees to careers in breast imaging.

摘要

目的

我们研究的目的是评估放射科住院医师在乳腺成像方面的经验和偏好。

材料与方法

我们对纽约和新泽西 26 个项目的放射科住院医师进行了调查。调查主题包括专业培训计划、对乳腺成像和乳腺癌筛查的信念和态度,以及未来解读乳房 X 线照片的可能性。

结果

344 名住院医师完成了调查(应答率为 62%)。在乳腺成像方面的培训时间从无专门时间(37%)到 1-8 周(40%)到超过 9 周(23%)不等。大多数受访者(97%)认为乳房 X 线摄影对女性健康很重要。超过 85%的住院医师认为乳房 X 线摄影应由乳腺成像专家进行解读。受访者对乳房 X 线摄影有负面看法,他们同意乳房 X 线摄影领域与高医疗事故风险(99%)、压力(94%)和低报酬(68%)相关的说法。受访者对乳房 X 线摄影的几个积极属性表示认可,包括工作机会(97%)、灵活的工作时间表(94%)和很少有电话或紧急情况(93%)。大多数放射科住院医师(93%)表示他们可能会接受专业培训,7%的人对乳腺成像奖学金感兴趣。

结论

放射科住院医师对乳房 X 线摄影的负面和正面看法似乎与在乳房 X 线摄影方面的培训时间以及未来追求乳腺成像 fellowship培训的计划无关。对放射科住院医师的计划和偏好进行系统评估,可以为吸引学员从事乳腺成像工作制定策略。

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J Am Coll Radiol. 2007 Aug;4(8):547-50. doi: 10.1016/j.jacr.2007.02.004.
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Cancer. 2007 Jun 15;109(12):2405-9. doi: 10.1002/cncr.22723.
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