Department of Surgery, University of South Carolina School of Medicine, Greenville Campus, Greenville Hospital System University Medical Center, Greenville, SC.
Department of Surgery, University of South Carolina School of Medicine, Greenville Campus, Greenville Hospital System University Medical Center, Greenville, SC.
J Vasc Surg. 2014 Mar;59(3):860-4. doi: 10.1016/j.jvs.2013.10.085. Epub 2013 Dec 19.
Endovascular volume during vascular surgery training has increased profoundly over recent decades, providing heavy exposure to ionizing radiation. The study purpose was to examine the radiation safety training and practices of current vascular surgery trainees.
An anonymous survey was distributed to all current U.S. trainees. Responses were compared according to the presence of formal radiation safety training and also the trainees' perception of their attendings' adherence to As Low As Reasonably Achievable (ALARA) strategies.
The response rate was 14%. Forty-five percent had no formal radiation safety training, 74% were unaware of the radiation safety policy for pregnant females, 48% did not know their radiation safety officer's contact information, and 43% were unaware of the yearly acceptable levels of radiation exposure. Trained residents knew more basic radiation safety information, and more likely wore their dosimeter badges (P < .05). Trained residents found their radiation safety officer helpful in developing safety habits; untrained residents relied on other residents (P < .05). Trainees who felt their attendings consistently practiced ALARA strategies more likely practiced ALARA themselves (P < .05).
The lack of formal radiation safety training in respondents may reflect an inadequate state of radiation safety education and practices among U.S. vascular surgery residents.
血管外科学培训在近几十年来发生了深刻的变化，手术中对电离辐射的暴露程度大大增加。本研究旨在研究当前血管外科学员的辐射安全培训和实践情况。
对所有当前的美国受训者进行了一项匿名调查。根据是否接受过正式的辐射安全培训，以及受训者对主治医生遵守尽可能降低原则（ALARA）策略的看法，对结果进行了比较。
回复率为 14%。45%的人没有接受过正式的辐射安全培训，74%的人不知道针对孕妇的辐射安全政策，48%的人不知道他们的辐射安全官的联系方式，43%的人不知道每年可接受的辐射暴露水平。接受过培训的住院医师知道更多的基本辐射安全信息，并且更有可能佩戴剂量计徽章（P<.05）。接受过培训的住院医师发现他们的辐射安全官在培养安全习惯方面很有帮助；未接受培训的住院医师则依赖其他住院医师（P<.05）。认为主治医生始终遵循 ALARA 策略的受训者自己更有可能遵循 ALARA 策略（P<.05）。
受访者中缺乏正式的辐射安全培训可能反映了美国血管外科学员在辐射安全教育和实践方面的不足。
