Hudson Sarah R, Little David, Mathew Anup, Rosof-Williams Diana, Pathiraja Fiona, Varghese Kabir, Stephenson James
1 Gastrointestinal Imaging Group, Department of Radiology, University Hospitals of Leicester , Leicester , UK.
2 Department of Radiology, Consultant Radiologist, Royal United Hospitals Bath NHS Foundation Trust , Bath , UK.
Br J Radiol. 2017 Dec;90(1080):20170156. doi: 10.1259/bjr.20170156. Epub 2017 Sep 13.
To collect radiology trainees' views on training for clinic-multidisciplinary team meetings (MDTMs), identify aspects requiring improvement and develop a guide to aid training. This is central to quality assurance and is within the core RCR curriculum.
The Junior Radiology Forum National Training Survey 2015 was emailed to 1222 UK trainees. Questions related to role in MDTMs, training, use of the MDTM eportfolio tool and experience of leading meetings.
611 radiology trainees responded. 22% received teaching in MDTM preparation. 29% of trainees use the eportfolio MDT assessment tool. 76% of trainees who run MDTMs have adequate preparation time. 18% always review cases with a consultant prior to a meeting. 7% of trainees always debrief with a consultant. 9.7% have been asked to lead an MDTM which they did not feel comfortable with. Most trainees think trainees should be running MDTMs post FRCR2B.
There are currently deficits in teaching and consultant supervision when trainees are learning to participate in MDTMs. Formal teaching sessions and timetabled preparation/debrief time with a consultant should be available. Trainees should not be asked to lead meetings without adequate support. This also ensures a safe MDTM environment for the patient. The eportfolio assessment tool can be used to sign off competence levels before independently leading an MDTM. Advances in knowledge: These results suggest shortfalls in the current model for preparing radiology trainees for their central role in clinico-MDT meetings. Using this data, a guide for trainees has been written to address these deficits.
收集放射科住院医师对临床多学科团队会议（MDTM）培训的看法，确定需要改进的方面，并制定一份有助于培训的指南。这对质量保证至关重要，且属于皇家放射科医师学会（RCR）核心课程内容。
2015年初级放射学论坛全国培训调查通过电子邮件发送给1222名英国住院医师。问题涉及在MDTM中的角色、培训、MDTM电子档案袋工具的使用以及主持会议的经验。
611名放射科住院医师做出回应。22%接受过MDTM准备方面的教学。29%的住院医师使用电子档案袋MDT评估工具。76%主持MDTM的住院医师有足够的准备时间。18%的住院医师在会议前总是与顾问一起复查病例。7%的住院医师总是与顾问进行总结汇报。9.7%的住院医师曾被要求主持他们感觉不自在MDTM。大多数住院医师认为住院医师在通过FRCR2B考试后应主持MDTM。
目前住院医师在学习参与MDTM时，教学和顾问指导方面存在不足。应提供正式的教学课程以及与顾问安排好的准备/总结汇报时间。在没有足够支持的情况下，不应要求住院医师主持会议。这也为患者确保了安全的MDTM环境。电子档案袋评估工具可用于在独立主持MDTM之前确定能力水平。知识进展：这些结果表明，目前为放射科住院医师在临床MDT会议中发挥核心作用做准备的模式存在不足。利用这些数据，已为住院医师编写了一份指南以弥补这些不足。
