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美国放射学住培项目中放射科呼叫助理分诊计划的现状。

The Current State of Radiology Call Assistant Triage Programs Among US Radiology Residency Programs.

机构信息

Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.

Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.

出版信息

Acad Radiol. 2018 Feb;25(2):250-254. doi: 10.1016/j.acra.2017.09.019. Epub 2017 Nov 22.

Abstract

RATIONALE AND OBJECTIVES

Given increasing volume and workflow interruptions in radiology, we sought to identify and characterize radiology call assistant triage (RCAT) programs among US radiology residency programs.

MATERIALS AND METHODS

A survey was created using Qualtrics survey software and emailed to all members of the Association of Program Directors in Radiology listserv. A total of 296 active members belong to this listserv, including program directors and assistant program directors. The survey included questions about the existence and specifics of a call triage assistant program.

RESULTS

Data were obtained from 88 active members of the Association of Program Directors in Radiology (30% response rate). Of those, 20 programs (23%) have an RCAT program. Triage assistant staffing includes nonmedical or clerical staff (60%), medical students (30%), first-year radiology residents (5%), and technologists (5%). All respondents with RCAT programs report satisfaction with their program and plan to continue. A significant majority (75%) have no plans to change, whereas the remaining 25% are considering program expansion and pay increases. Among residency programs without RCAT programs, none reported termination of their triage program. The most common reasons for not having triage assistants include cost, lack of awareness, differing opinions on utility, and the presence of 24/7 attending coverage.

CONCLUSION

Twenty US radiology residency programs report having an RCAT program. All report satisfaction with their program despite different staffing models. RCAT programs may represent an effective measure in limiting interruptions and potentially decreasing interpretative errors made by residents on call.

摘要

背景与目的

鉴于放射科的工作量和工作流程中断不断增加,我们试图确定并描述美国放射学住院医师培训计划中的放射科呼叫助理分诊 (RCAT) 计划。

材料与方法

使用 Qualtrics 调查软件创建了一份调查,并通过电子邮件发送给放射学项目主任协会的所有成员列表服务。共有 296 名活跃成员属于该列表服务,包括项目主任和助理项目主任。该调查包括有关呼叫分诊助理计划的存在和具体情况的问题。

结果

从放射学项目主任协会的 88 名活跃成员中获得了数据(响应率为 30%)。其中,20 个项目(23%)有 RCAT 计划。分诊助理人员包括非医疗或文书人员(60%)、医学生(30%)、第一年放射科住院医师(5%)和技术员(5%)。所有拥有 RCAT 计划的受访者都对其计划表示满意,并计划继续。绝大多数(75%)没有计划改变,而其余 25%的人正在考虑扩大计划并增加薪酬。在没有 RCAT 计划的住院医师培训计划中,没有一个报告终止其分诊计划。没有分诊助理的最常见原因包括成本、缺乏意识、对效用的不同看法以及 24/7 主治医生覆盖的存在。

结论

20 个美国放射学住院医师培训计划报告拥有 RCAT 计划。尽管人员配备模式不同,但所有计划都对其计划表示满意。RCAT 计划可能是限制中断并潜在减少值班住院医师犯的解释性错误的有效措施。

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