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美国放射学会适宜性标准的应用:对放射科住院医师和项目主任的一项调查

The use of ACR Appropriateness Criteria: a survey of radiology residents and program directors.

作者信息

Powell Daniel K, Silberzweig James E

机构信息

New York Presbyterian-Columbia Campus, Department of Radiology, 622 West 168th Street, PB1-301, New York, NY 10032.

Mount Sinai Beth Israel, Department of Radiology, 16th Street @ 1st Avenue, 2 Karpas, New York, NY 10003.

出版信息

Clin Imaging. 2015 Mar-Apr;39(2):334-8. doi: 10.1016/j.clinimag.2014.10.011. Epub 2014 Oct 22.

Abstract

PURPOSE

Assess the utilization of American College of Radiology Appropriateness Criteria (ACR-AC) among radiology residency program directors (PDs) and residents.

METHODS

Radiology PD and resident survey.

RESULTS

Seventy-four percent (46/62) of PDs promote ACR-AC in education (P<.05), and 84% (317/376) of residents have read at least a few (P<.05). Seventy-four percent (74/100) of first-year residents compared to 56.8% (157/276) of second- to fourth-year residents report at least occasional faculty reference of ACR-AC (P<.05). ACR-AC are well regarded (P<.05), but 40% believe that they are perplexing.

CONCLUSION

There is widespread resident awareness of ACR-AC and integration into resident training. However, faculty are only beginning to teach with them, and radiologists are not citing them with clinicians.

摘要

目的

评估美国放射学会适宜性标准(ACR-AC)在放射科住院医师培训项目主任(PDs)和住院医师中的使用情况。

方法

对放射科PD和住院医师进行调查。

结果

74%(46/62)的PDs在教育中推广ACR-AC(P<.05),84%(317/376)的住院医师至少读过一些(P<.05)。74%(74/100)的一年级住院医师表示至少偶尔有教员提及ACR-AC,相比之下,二年级至四年级住院医师的这一比例为56.8%(157/276)(P<.05)。ACR-AC受到好评(P<.05),但40%的人认为它们令人困惑。

结论

住院医师对ACR-AC普遍知晓并已融入住院医师培训。然而,教员才刚刚开始使用它们进行教学,放射科医生也未与临床医生一同引用这些标准。

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