Bailey Lin H, Jeffries Deborah O, Bailey Jason J, Pinsky Renee W, Bailey Janet E, Nan Bin, Ma Tianwen, Klein Katherine A
Department of Radiology, Michigan Medicine-University of Michigan, 2910A TC SPC 5326, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA.
Emerg Radiol. 2018 Aug;25(4):375-380. doi: 10.1007/s10140-018-1593-z. Epub 2018 Mar 3.
Our aim was to assess and address the challenges radiology residents face when managing breast imaging emergencies on call and to determine if targeted educational interventions improved resident confidence and knowledge.
We created surveys to determine resident comfort level with and knowledge of appropriate management of breast imaging emergencies. We also created structured educational interventions to improve resident confidence and knowledge. The effectiveness of these interventions was assessed with pre- and post-intervention surveys given to the 43 residents at our institution.
Thirty-six of the 43 residents at our institution completed both surveys. The results showed that 33 of 36 residents (91.7%) felt an increase in their comfort level after utilizing one or both of the interventions. There was also significant improvement in resident knowledge; the average resident score on the knowledge questions improved from 40 to 68% (p < 0.0001).
Managing breast imaging emergencies on call can be challenging and stressful for residents. Educational interventions such as our targeted teaching tools can significantly improve resident confidence and knowledge. Presenting dedicated teaching materials directed at a previously identified knowledge deficit and source of stress significantly improved resident knowledge base and confidence in managing breast imaging emergencies on call.
我们的目标是评估并应对放射科住院医师在应对乳腺影像急诊时所面临的挑战，并确定有针对性的教育干预措施是否能提高住院医师的信心和知识水平。
我们设计了调查问卷，以确定住院医师对乳腺影像急诊适当管理的舒适度和知识水平。我们还设计了结构化教育干预措施，以提高住院医师的信心和知识水平。通过对我们机构的43名住院医师进行干预前和干预后的调查，评估这些干预措施的有效性。
我们机构的43名住院医师中有36名完成了两项调查。结果显示，36名住院医师中有33名（91.7%）在使用一项或两项干预措施后感到舒适度有所提高。住院医师的知识水平也有显著提高；知识问题的平均住院医师得分从40%提高到了68%（p < 0.0001）。
应对乳腺影像急诊对住院医师来说可能具有挑战性且压力较大。像我们有针对性的教学工具这样的教育干预措施可以显著提高住院医师的信心和知识水平。针对先前确定的知识缺陷和压力源提供专门的教学材料，可显著改善住院医师的知识库以及应对乳腺影像急诊的信心。
