Rozenshtein Anna, Heitkamp Darel E, Muhammed Tan Lucien H, Sclamberg Joyce S, Paladin Angelisa M, Smith Stacy E, Nguyen Jeremy B, Robbin Mark
Department of Radiology, Westchester Medical Center, New York Medical College, 100 Woods Road, Valhalla, NY, 10595.
Department of Radiology, Indiana University, Indianapolis, Indiana.
Acad Radiol. 2016 Jul;23(7):861-9. doi: 10.1016/j.acra.2016.03.005. Epub 2016 Jun 8.
The Association of Program Directors in Radiology regularly surveys its members regarding issues of importance to support radiology residency programs and their directors.
This is an observational cross-sectional study using two Web-based surveys posed to the Association of Program Directors in Radiology membership in the fall of 2014 (49 items) and the spring of 2015 (46 items) on the subjects of importance to the members, including the Accreditation Council on Graduate Medical Education Milestones, the Non-Interpretative Skills Curriculum, the American Board of Radiology Core Examination, the effect of the new resident testing and program accreditation paradigms on training outcomes, the 2015 Residency Match, the Interventional Radiology/Diagnostic Radiology (IR/DR) Residency, and Program Director (PD)/Program Coordinator resources.
Responses were collected electronically, results were tallied using SurveyMonkey software, and qualitative responses were tabulated or summarized as comments. Findings were reported during the 63rd annual meeting of the Association of University Radiologists. The maximal response rate was 33% in the fall of 2014 and 36% in the spring of 2015.
PDs believed that the radiology Milestones, now largely implemented, did not affect overall resident evaluation, was not reflective of resident experience, and actually made evaluation of residents more difficult. PDs also felt that although the American Board of Radiology oral examination had been a better test for clinical practice preparedness, their new residents knew at least as much as before. There was little evidence of recall reemergence. The radiology training community saw a drop in residency applicant quality as demonstrated by the United States Medical Licensing Examination scores and clinical rotation grades. Because the new IR/DR Residency positions were to be funded at the expense of the traditional DR positions, the majority of PDs expected a negative effect of the impending IR/DR match on their DR recruitment. PDs were in favor of a unified clinical radiology curriculum similar to the Radiological Society of North America online physics modules.
放射学项目主任协会定期就对支持放射学住院医师培训项目及其主任至关重要的问题对其成员进行调查。
这是一项观察性横断面研究，使用了2014年秋季（49项）和2015年春季（46项）向放射学项目主任协会成员进行的两项基于网络的调查，主题包括对成员重要的事项，如毕业后医学教育认证委员会的里程碑、非解释性技能课程、美国放射学会核心考试、新的住院医师测试和项目认证模式对培训结果的影响、2015年住院医师匹配、介入放射学/诊断放射学（IR/DR）住院医师培训以及项目主任（PD）/项目协调员资源。
通过电子方式收集回复，使用SurveyMonkey软件统计结果，并将定性回复制成表格或总结为评论。研究结果在大学放射学家协会第63届年会上报告。2014年秋季的最大回复率为33%，2015年春季为36%。
项目主任认为，目前已基本实施的放射学里程碑并未影响对住院医师的总体评估，不能反映住院医师的经历，实际上还使对住院医师的评估更加困难。项目主任还认为，尽管美国放射学会口试对临床实践准备情况的测试更好，但他们的新住院医师所知至少与以前一样多。几乎没有证据表明出现回忆重现。美国医学执照考试成绩和临床轮转成绩表明，放射学培训界的住院医师申请人质量有所下降。由于新的IR/DR住院医师培训职位将以牺牲传统诊断放射学职位为代价获得资金，大多数项目主任预计即将到来的IR/DR匹配对他们招聘诊断放射学住院医师会产生负面影响。项目主任赞成类似于北美放射学会在线物理模块的统一临床放射学课程。
