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培训后放射科住院医师的实践准备情况如何?对魁北克法语区近期毕业生和系主任的调查。

How Well Are Radiology Residents Prepared for Practice After Training? A Survey of French-Speaking Quebec Recent Graduates and Department Chiefs.

机构信息

Department of Radiology, Radio-oncology and Nuclear Medicine, Faculty of Medicine, University of Montreal, Québec, Canada

Department of Radiology, Centre hospitalier universitaire Sainte-Justine, Montréal, Québec, Canada

出版信息

Can Assoc Radiol J. 2021 Aug;72(3):359-371. doi: 10.1177/0846537119899525. Epub 2020 Feb 28.

DOI:10.1177/0846537119899525
PMID:32106689
Abstract

OBJECTIVE

Radiology residents must fulfill a standardized curriculum to complete residency and pass a certification exam before they are granted a licence to practice. We sought to evaluate how well residency prepares trainees for practice as perceived by recent graduates and their department chiefs. Radiologists who graduated from the 4 Quebec radiology residency programs between 2005 and 2016 (n = 237) and Quebec radiology department chiefs (n = 98) were anonymously surveyed. Two electronic surveys were created, for recent graduates (74 questions) and for department chiefs (11 questions), with multiple-choice questions and open questions covering all fields of radiology. Surveys were administered between April and June 2016 using the Association des radiologistes du Québec database.

RESULTS

Response rate was 75 (31.6%) of 237 from recent graduates and 96% rated their training as excellent or good. Satisfaction with training in computed tomography and magnetic resonance imaging was high, with musculoskeletal (MSK) imaging, particularly MSK ultrasound (US), as well as pediatric, cardiac, and vascular imaging needing more training. Thirty-nine (39.8%) of 98 department chiefs answered the survey and highlighted weaknesses in the interpretation of conventional radiography, obstetrical US, and invasive procedures, as well as limited leadership and administrative skills. Recent graduates and department chiefs both reported difficulties in the ability to interpret daily volume of examinations as scheduled and invasive procedure competency.

CONCLUSION

This survey highlights areas of the radiology curriculum which may benefit from more emphasis during training. Adjustments in the residency program would ensure graduates are successful both in their certification exams and clinical practice.

摘要

目的

放射科住院医师必须完成标准化课程,才能完成住院医师培训并通过认证考试,获得行医执照。我们旨在评估最近的毕业生及其所在科室主任如何看待住院医师培训对实践的准备程度。 2005 年至 2016 年间,来自魁北克的 4 个放射学住院医师培训项目的 237 名放射科医生(毕业生)和 98 名魁北克放射科主任(科室主任)匿名接受了调查。为最近的毕业生(74 个问题)和科室主任(11 个问题)创建了两个电子调查,涵盖放射学的所有领域,包括多项选择题和开放式问题。调查于 2016 年 4 月至 6 月期间在魁北克放射医师协会数据库中进行。

结果

237 名毕业生中有 75 名(31.6%)回复了调查,其中 96%的人对培训给予了优秀或良好的评价。对 CT 和磁共振成像培训的满意度较高,而肌肉骨骼(MSK)成像,尤其是 MSK 超声(US),以及儿科、心脏和血管成像需要更多培训。98 名科室主任中有 39 名(39.8%)回答了调查,强调了常规放射摄影、产科 US 和介入性手术的解读能力较弱,以及领导和管理技能有限。最近的毕业生和科室主任都报告说,在按计划解读日常检查量和介入手术能力方面存在困难。

结论

这项调查强调了放射学课程中可能需要在培训中更加重视的领域。调整住院医师培训计划将确保毕业生在认证考试和临床实践中都取得成功。

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