Eid Joseph J, Macedo Francisco Igor, Mittal Vijay K
General Surgery, Providence and Providence-Park Hospital, Southfield, Michigan, USA.
Postgrad Med J. 2017 Oct;93(1104):587-591. doi: 10.1136/postgradmedj-2016-134549. Epub 2017 Apr 11.
General surgery (GS) residents are often required to provide immediate preliminary interpretations of radiological images, especially in critical situations. It is unclear whether residents in Accreditation Council for Graduate Medical Education-accredited GS programmes receive sufficient radiological training to deliver adequate patient care.
Determine the utilisation of radiology rotations (RR) during GS residency.
Between February and March 2015, a pilot voluntary 19-item survey was electronically distributed to GS programme directors (PDs) regarding the availability and value of a RR during GS training.
A total of 234 PDs received the questionnaire and the response rate was 36.8% (n=86). Sixty-five (77.4%) PDs expected their trainees to interpret imaging studies in the acute setting; however, only 8.3% of programmes had a dedicated RR. RRs are more prevalent among community-based than university-based programmes (71.4% vs 27.9% p=0.003). The implementation of a RR may be limited due to insufficient number of GS residents in the department (p=0.002). 75.4% of PDs expect GS residents to confirm their findings with a radiologist. In those programmes with RR, most PDs (85.7%) believed that a dedicated rotation improved GS residents' understanding of radiological imaging.
The majority of PDs are currently not confident that GS residents are capable of interpreting radiological imaging independently; however, the implementation of a mandatory RR in GS residency curriculum yet seems to be controversial. Given the expectation of PDs and the continued need to improve patient care, the integration of a dedicated RR in GS training should be encouraged.
普通外科（GS）住院医师经常需要对放射影像提供即时的初步解读，尤其是在危急情况下。尚不清楚毕业医学教育认证委员会（ACGME）认证的GS项目中的住院医师是否接受了足够的放射学培训以提供充分的患者护理。
确定GS住院医师培训期间放射学轮转（RR）的利用情况。
2015年2月至3月期间，通过电子方式向GS项目主任（PDs）发放了一份由19个项目组成的试点自愿调查问卷，内容涉及GS培训期间RR的可用性和价值。
共有234名PDs收到问卷，回复率为36.8%（n = 86）。65名（77.4%）PDs期望他们的受训者在急性情况下解读影像学检查；然而，只有8.3%的项目有专门的RR。RR在社区项目中比大学项目中更普遍（71.4%对27.9%，p = 0.003）。由于科室中GS住院医师数量不足，RR的实施可能受到限制（p = 0.002）。75.4%的PDs期望GS住院医师与放射科医生确认他们的检查结果。在有RR的那些项目中，大多数PDs（85.7%）认为专门的轮转提高了GS住院医师对放射影像学的理解。
目前大多数PDs对GS住院医师独立解读放射影像的能力没有信心；然而，在GS住院医师课程中实施强制性RR似乎仍存在争议。鉴于PDs的期望以及持续改善患者护理的需求，应鼓励在GS培训中纳入专门的RR。
