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学员报告仪表板:一种增强对放射科学员报告反馈的工具。

Trainee report dashboard: tool for enhancing feedback to radiology trainees about their reports.

机构信息

From the Department of Radiology, Thomas Jefferson University, 132 S 10th St, Suite 1070, Philadelphia, PA 19107.

出版信息

Radiographics. 2013 Nov-Dec;33(7):2105-13. doi: 10.1148/rg.337135705. Epub 2013 Aug 26.

Abstract

During their radiology residency, trainees must learn multiple facets of radiology practice, including the writing of radiology reports. An important factor in the trainee's development of reporting skills is feedback from the attending radiologist on the trainee's preliminary reports. The quality and quantity of feedback may vary and are not typically documented. As radiology department workloads have increased and stricter limitations have been imposed on trainee work hours, less time is available for attending radiologists and trainees to perform a joint retrospective review of radiology reports. To compensate, the authors have developed a Web-based dashboard that provides trainees with case-specific feedback about their reports. Components include an attending radiologist-trainee report discrepancy logging and communication system that is integrated with the institutional picture archiving and communication system, an automated preliminary report-final report comparator, modules showing statistics related to the discrepancy logger and report comparator components, and a Web page that unifies these components with image and report display capabilities. Both the actual report feedback and the trainee's use of the system are documented, and the resultant data may be used for evaluating trainee competence in written communication, as mandated by the Accreditation Council for Graduate Medical Education. With these tools, trainees can obtain near-real-time feedback, which may pinpoint issues that can be corrected to improve the quality of their radiology reporting. This system, although it does not supplant face-to-face training sessions with attending radiologists, can augment traditional methods of learning.

摘要

在放射科住院医师培训期间,受训者必须学习放射科实践的多个方面,包括撰写放射科报告。在受训者报告技能的发展中,一个重要因素是主治放射科医生对受训者初步报告的反馈。反馈的质量和数量可能有所不同,并且通常没有记录。随着放射科工作量的增加和对受训者工作时间的严格限制,主治放射科医生和受训者用于联合回顾放射科报告的时间减少。为了弥补这一点,作者开发了一个基于 Web 的仪表板,为受训者提供有关其报告的特定于病例的反馈。组件包括一个主治放射科医生-受训者报告差异日志记录和通信系统,该系统与机构的图像存档和通信系统集成,一个自动的初步报告-最终报告比较器,显示与差异日志记录器和报告比较器组件相关的统计信息的模块,以及一个将这些组件与图像和报告显示功能统一的网页。实际报告反馈和受训者对系统的使用都有记录,并且可以根据毕业后医学教育认证委员会的要求,使用所得数据评估受训者在书面交流方面的能力。通过这些工具,受训者可以获得近乎实时的反馈,这可能会指出可以纠正的问题,以提高他们的放射科报告质量。虽然该系统不能替代与主治放射科医生的面对面培训课程,但可以补充传统的学习方法。

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