Pritzker School of Medicine, University of Chicago, 5841 S. Maryland Ave, Chicago, IL 60637.
Department of Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina.
Acad Radiol. 2018 Oct;25(10):1333-1343. doi: 10.1016/j.acra.2018.04.004. Epub 2018 May 7.
The authors of this study used the perspectives of residency program directors (PDs) nationally to explore whether trainees are adequately prepared to utilize and interpret medical imaging as interns, to identify the types of imaging skills most important for residency, and to begin to address current shortcomings in radiology education.
The authors created a survey using a modified version of Accreditation Council for Graduate Medical Education radiology milestones and sent it to 100 randomly selected PDs each in pediatrics, internal medicine, obstetrics and gynecology, and general surgery. The survey asked PDs to assess the actual and desired imaging skills of their incoming interns, the incoming interns' variability of skill level upon matriculation, and which imaging skills were most important from the PDs' perspective.
PDs from all specialties identified a significant shortcoming relative to their expectations for both image interpretation and utilization skills. Additionally, PDs identified a significant variability in imaging skills, and described that variability as a hindrance to their programs. All of the potential imaging skills were rated as highly important with little clinically relevant difference between them.
This multidisciplinary national survey found a deficiency in imaging education among interns across specialties and substantiates calls for formalized and improved radiology education in undergraduate medical education. Additionally, PDs had difficulty distinguishing which skills were most important, suggesting an unclear understanding of imaging ability needs for interns in respective specialties. More specific needs assessments are warranted on a national level.
本研究的作者采用全国住院医师培训项目主任的观点，探讨住院医师在实习期间是否充分准备好使用和解读医学影像，确定住院医师培训中最重要的影像技能类型，并开始解决当前放射科教育中的不足。
作者使用经改良的住院医师规范化培训放射科里程碑评估标准，创建了一项调查，并向儿科、内科、妇产科和普通外科各随机选择的 100 名主任发送了该调查。该调查要求主任评估即将到来的实习医生的实际和期望的影像技能、他们的入学实习医生的技能水平差异，以及主任认为哪些影像技能最重要。
所有专业的主任都发现，与他们对图像解读和使用技能的期望相比，存在显著的不足。此外，主任们发现影像技能存在显著差异，并表示这种差异对他们的项目造成了阻碍。所有潜在的影像技能都被认为非常重要，彼此之间几乎没有临床相关差异。
这项多学科的全国性调查发现，各专业的实习医生在影像教育方面存在不足，证实了在本科医学教育中需要进行规范化和改进的放射科教育。此外，主任们难以区分哪些技能最重要，这表明他们对各专业实习医生的影像能力需求认识不清。有必要在全国范围内进行更具体的需求评估。
