Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.
AJR Am J Roentgenol. 2011 Jul;197(1):263-9. doi: 10.2214/AJR.10.5834.
The purpose of this study was to investigate the training and attitudes of senior residents regarding breast imaging.
In 2008 a follow-up survey was completed by a chief or senior resident at 201 radiology training programs in North America. Questions included organization of breast imaging rotation, resident responsibilities, clinical practice protocols at the institution, resident impressions regarding breast imaging, and resident interest in performing breast imaging after residency. Results were compared with those of a survey completed in 2000.
Of 201 training programs, 200 (99.5%) had dedicated breast imaging rotations; 190 (95%), 12 weeks or longer; and 39 (19%), 16 weeks or longer. Residents regularly performed real-time ultrasound imaging in 138 programs (69%), needle localization in 159 (79%), ultrasound-guided biopsy in 154 (77%), and stereotactically guided biopsy in 145 programs (72%). One hundred sixty-two residents (81%) reported that interpreting mammograms was more stressful than interpretation of other imaging studies; 143 (71%) believed that only breast imaging subspecialists should interpret mammograms; and 104 (52%) would not consider pursuing a breast imaging fellowship. As in 2000, the most common reasons cited for not considering a fellowship were lack of interest in the field, fear of lawsuits, and the stressful nature of the job.
Residency programs have devoted more time to breast imaging and made improvements in their curricula, but current residents report decreased opportunities to perform some studies and procedures. Although most residents would not consider a fellowship and did not want to interpret mammograms in future practice, the percentage of residents who would not consider breast imaging as a subspecialty has decreased since 2000. An accurate picture of current breast imaging curricula and variations among residency programs is necessary to identify and correct systemic problems and to improve the training of future breast imagers.
本研究旨在调查高年住院医师在乳腺影像学方面的培训和态度。
2008 年，对北美 201 个放射学培训项目的一名主任或高年住院医师进行了一项随访调查。问题包括乳腺影像学轮转的组织、住院医师的职责、机构内的临床实践方案、住院医师对乳腺影像学的印象以及住院医师在完成住院医师培训后对进行乳腺影像学检查的兴趣。结果与 2000 年完成的一项调查进行了比较。
在 201 个培训项目中，有 200 个（99.5%）有专门的乳腺影像学轮转；190 个（95%），12 周或更长时间；39 个（19%），16 周或更长时间。138 个项目（69%）的住院医师定期进行实时超声检查，159 个项目（79%）进行穿刺定位，154 个项目（77%）进行超声引导活检，145 个项目（72%）进行立体定向活检。162 名住院医师（81%）报告说，阅读乳腺 X 线片比阅读其他影像学研究更有压力；143 名（71%）认为只有乳腺影像学专家才能阅读乳腺 X 线片；104 名（52%）不考虑进行乳腺影像学研究。与 2000 年一样，不考虑研究金的最常见原因是对该领域缺乏兴趣、害怕诉讼以及工作压力大。
住院医师培训项目已经在乳腺影像学方面投入了更多的时间，并改进了他们的课程，但目前的住院医师报告说，他们进行某些研究和操作的机会减少了。尽管大多数住院医师不考虑研究金，也不想在未来的实践中阅读乳腺 X 线片，但自 2000 年以来，不考虑乳腺影像学作为一个亚专业的住院医师比例有所下降。准确了解当前的乳腺影像学课程和住院医师培训项目之间的差异，对于发现和纠正系统问题以及提高未来乳腺成像师的培训水平是必要的。
