McConnell J R, Baird M A
Radiology Department, Queen Elizabeth University Hospital, Glasgow, United Kingdom; Department of Medical Imaging and Radiation Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Wellington Road, Clayton, VIC 3800, Australia.
Department of Medical Imaging and Radiation Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, C129, Level 1, 10 Chancellors Walk, Clayton Campus, Wellington Road, Clayton, VIC 3800, Australia.
Radiography (Lond). 2017 Nov;23(4):321-329. doi: 10.1016/j.radi.2017.07.001. Epub 2017 Aug 1.
Public expectations regarding access to the emergency department (ED) challenges providers and policy makers with finite resources being stretched beyond capacity. To enable education of a greater numbers of doctors the format of the medical internship in Australia has changed and assumes that sufficient supervision is provided to interns to enable image interpretation skills development. Furthermore this assumes that appropriate foundational skills are established during undergraduate education.
A mixed methods approach using a convenience, self selecting sample population of radiographers and final year medical students was adopted. The study measured the interpretive ability of final year medical students and radiographers in musculo-skeletal trauma (MSK) plain radiographic images. An image test bank based upon radiologist consensual agreement was corrected for prevalence and bias. Performance across a range of measurements was completed and compared for statistical significance using Mann-Whitney U.
Results were divided to enable analysis across age ranges and types of skeletal presentation. Radiographer performance was better numerically and demonstrated statistically significant difference in several areas.
Radiographers have the knowledge base to assist junior doctors to clinically interpret the musculo-skeletal radiographic image. To meet the requirements of AMC and the Medical Board of Australia (MBA), a tailored clinically based educational system could be developed and provided by an accredited radiographer. Australian radiographers could also be employed to provide a safety net to avoid misinterpretation, such as seen in the UK commenting system, operating as an interprofessional team.
公众对急诊科就诊的期望给医疗服务提供者和政策制定者带来了挑战，有限的资源已不堪重负。为了让更多医生接受教育，澳大利亚医学实习的形式发生了变化，并假定会为实习生提供足够的监督，以促进其影像解读技能的发展。此外，这还假定在本科教育期间已建立了适当的基础技能。
采用混合方法，以放射技师和医学专业最后一年的学生为便利样本，进行自我选择。该研究测量了医学专业最后一年的学生和放射技师对肌肉骨骼创伤（MSK）普通X光片的解读能力。基于放射科医生共识协议的图像测试库针对患病率和偏差进行了校正。完成了一系列测量的表现，并使用曼-惠特尼U检验比较其统计学意义。
对结果进行了划分，以便按年龄范围和骨骼表现类型进行分析。放射技师在数值上表现更好，并且在几个方面显示出统计学上的显著差异。
放射技师具备协助初级医生对肌肉骨骼X光图像进行临床解读的知识基础。为满足澳大利亚医学委员会（AMC）和澳大利亚医学委员会（MBA）的要求，可以开发并由经过认证的放射技师提供量身定制的基于临床的教育系统。也可以聘请澳大利亚放射技师提供安全保障，以避免出现误读，就像英国评论系统那样，作为跨专业团队开展工作。
