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在黑暗中度过的一个夜晚:放射科医学生的值班经历

Spending an Evening in the Dark: The Radiology Medical Student Call Experience.

作者信息

Monks Dennis, Pagano Brian, Hartman Matthew

机构信息

Department of Radiology, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA.

Department of Radiology, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA.

出版信息

Curr Probl Diagn Radiol. 2017 Sep-Oct;46(5):369-372. doi: 10.1067/j.cpradiol.2017.04.008. Epub 2017 Apr 14.

Abstract

The level of independent decision-making required of a radiology resident, as well as the acuity of studies populating the worklist, differ between the normal workday and a call shift. However, unlike clerkships where call is standard, medical students in radiology typically only have half of the true resident experience. To expose our rotating medical students to what a future career in radiology might actually look like, we implemented a required call shift as part of our medical student curriculum. All rotating third- and fourth-year medical students were assigned a single 3-hour short call shift alongside a radiology resident during the final week of their rotation. Following this shift, students answered questions via anonymous online survey regarding their perceptions of radiology (primary end point) as well as workload and role of radiology in the clinical care of patients (secondary end points). Following medical student call, 63% of students reported a more positive view of radiology as a career. Additionally, 57% felt that radiology residents work as much or more than other specialties while one call, and several students identified communication issues regarding indications or appropriateness of studies. While we hope that this overwhelmingly positive experience will draw more students into radiology as a career, we also believe that many participating medical students will benefit from a greater understanding of what a radiologist׳s job entails, as well as how this may be affected by communication issues or increased utilization of imaging.

摘要

放射科住院医师所需的独立决策水平,以及工作清单上检查的紧急程度,在正常工作日和值班期间是不同的。然而,与标准的值班制实习不同,放射科的医学生通常只有真正住院医师一半的经历。为了让轮转的医学生了解放射科未来职业的实际情况,我们在医学生课程中设置了必需的值班环节。所有轮转的大三和大四医学生在轮转的最后一周,会与一名放射科住院医师一起被安排一次3小时的短值班。值班结束后,学生们通过匿名在线调查回答有关他们对放射科的看法(主要终点)以及放射科在患者临床护理中的工作量和作用(次要终点)的问题。医学生值班后,63%的学生对放射科作为一种职业的看法更为积极。此外,57%的学生认为放射科住院医师在一次值班期间的工作量与其他专科相当或更多,还有几名学生指出了有关检查指征或合理性的沟通问题。虽然我们希望这种压倒性的积极体验能吸引更多学生投身放射科事业,但我们也相信,许多参与的医学生将从更深入了解放射科医生的工作内容以及这可能如何受到沟通问题或成像检查使用增加的影响中受益。

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