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放射学教育:面向所有医学生的放射学课程?

Radiology education: a radiology curriculum for all medical students?

作者信息

Zwaan Laura, Kok Ellen M, van der Gijp Anouk

机构信息

Institute of Medical Education Research Rotterdam (iMERR), Erasmus MC, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.

Department of Educational Research and Development, School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

出版信息

Diagnosis (Berl). 2017 Sep 26;4(3):185-189. doi: 10.1515/dx-2017-0009.

Abstract

Diagnostic errors in radiology are frequent and can cause severe patient harm. Despite large performance differences between radiologists and non-radiology physicians, the latter often interpret medical images because electronic health records make images available throughout the hospital. Some people argue that non-radiologists should not diagnose medical images at all, and that medical school should focus on teaching ordering skills instead of image interpretation skills. We agree that teaching ordering skills is crucial as most physicians will need to order medical images in their professional life. However, we argue that the availability of medical images is so ubiquitous that it is important that non-radiologists are also trained in the basics of medical image interpretation and, additionally in recognizing when radiological consultancy should be sought. In acute situations, basic image interpretations skills can be life-saving. We plead for a radiology curriculum for all medical students. This should include the interpretation of common abnormalities on chest and skeletal radiographs and a basic distinction of normal from abnormal images. Furthermore, substantial attention should be given to the correct ordering of radiological images. Finally, it is critical that students are trained in deciding when to consult a radiologist.

摘要

放射诊断中的错误很常见,可能会对患者造成严重伤害。尽管放射科医生和非放射科医生的表现存在很大差异,但后者经常解读医学影像,因为电子健康记录使整个医院都能获取影像。一些人认为非放射科医生根本不应诊断医学影像,医学院应专注于教授开单技能而非影像解读技能。我们同意教授开单技能至关重要,因为大多数医生在职业生涯中都需要开具医学影像检查单。然而,我们认为医学影像的获取如此普遍,非放射科医生接受医学影像解读基础知识的培训也很重要,此外还应培训他们识别何时应寻求放射科会诊。在紧急情况下,基本的影像解读技能可能会挽救生命。我们呼吁为所有医学生开设放射学课程。这应包括胸部和骨骼X光片常见异常的解读以及正常影像与异常影像的基本区分。此外,应高度重视放射影像的正确开具。最后,培训学生决定何时咨询放射科医生至关重要。

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