Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Department of Mechanical Engineering, Catholic University of Leuven, Leuven, Belgium; Department of Radiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Phys Med. 2018 Oct;54:30-33. doi: 10.1016/j.ejmp.2018.09.006. Epub 2018 Sep 27.
The main aim of medical physics training in radiology residency is to have appropriate and safer imaging of patients and safety of personnel. The need to have adequate coverage of medical physics and radiation safety in curricula of radiology residency is well perceived, but it is not known how far it is implemented in practice.
We have analysed the data from 67 countries on medical physics teaching and assessment of residents in radiology programs, considering differences between countries in function of their human development index (HDI).
The results indicate that teaching of medical physics by radiologists rather than by medical physicists is very common and there is relationship with the developmental status of a country. The majority of countries with very high HDI used a written test (69%) for medical physics topics, often in combination with other subjects (63%). Further, there is lack of direct involvement of medical physicists during the examination phase of residents. Geographically, it can be seen that Latin American countries in particular lack involvement of medical physicists during both the teaching and examination phase.
The lack of adequate involvement of medical physicists in training and in the formal examination of radiology residents in both developed and developing countries is a matter of concern with likely implications on patient and staff safety.
放射科住院医师医学物理学培训的主要目的是为患者进行适当和更安全的影像学检查，并确保工作人员的安全。人们已经充分认识到有必要在放射科住院医师的课程中充分涵盖医学物理学和辐射安全知识，但目前尚不清楚在实践中实施的程度如何。
我们分析了来自 67 个国家的关于放射科住院医师医学物理学教学和评估的数据，同时考虑了不同国家在人类发展指数（HDI）方面的差异。
结果表明，由放射科医生而不是医学物理学家教授医学物理学的情况非常普遍，而且这与国家的发展状况有关。大多数人类发展指数非常高的国家（69%）都使用书面测试（69%）来评估医学物理学主题，通常与其他科目结合使用（63%）。此外，在住院医师的考试阶段缺乏医学物理学家的直接参与。从地域上可以看出，特别是拉丁美洲国家，在教学和考试阶段都缺乏医学物理学家的参与。
在发达国家和发展中国家，医学物理学家都未能充分参与培训和对放射科住院医师的正式考核，这令人担忧，可能会对患者和工作人员的安全产生影响。
