Section of Pediatric Overnight Imaging, Cleveland Clinic Imaging Institute, 9500 Euclid Ave., Cleveland, OH, 44195, USA.
Department of Radiology, Temple University, Philadelphia, PA, USA.
Pediatr Radiol. 2020 Jun;50(7):907-912. doi: 10.1007/s00247-020-04647-8. Epub 2020 Mar 12.
Although the provision of pediatric emergency and trauma radiology has become increasingly prevalent in North America over the last few years, many hospitals differ in their models of providing after-hours coverage.
To describe the scope of after-hours radiology services provided in children's hospitals in North America, and the means by which different radiology departments deliver this coverage.
The Society for Pediatric Radiology Emergency and Trauma Imaging Committee developed a survey that we electronically distributed to a single representative from each of the 79 hospitals represented in the Society of Chiefs of Radiology at Children's Hospitals (SCORCH).
Completed questionnaires were submitted between Aug. 2, 2017, and Sept. 29, 2017, by 44/79 (56%) SCORCH representatives. Contemporaneous after-hours interpretation of radiographs (81%), ultrasounds (81%), body CT (79%) and neurologic CT (75%) with preliminary or final reports was common. Coverage was accomplished most commonly by a combination of evening and overnight shifts 17/44 (39%). Eleven of 44 (25%) hospitals used a model in which radiologists rotate working blocks of overnight service followed by blocks off service. Only 2/44 (5%) hospitals exclusively provided pager coverage after hours. Attending pediatric radiologists were assigned to the majority of after-hours shifts 110/175 (63%), but radiology trainees provided interpretations independently for varying periods of time at 19/44 (43%) surveyed hospitals. Incentives to work after hours included the option to work remotely, as well as additional income, time off, and academic time.
The model for delivering after-hours pediatric radiology coverage varies. Most hospitals, however, provide contemporaneous interpretations of radiographs, US, body CT and neurologic CT. Most institutions use evening shifts to extend coverage later, with many providing subsequent overnight coverage. Although most shifts are staffed by attending pediatric radiologists, radiology trainees commonly interpret studies independently for varying durations of time after hours.
尽管在过去几年中，北美的儿科急诊和创伤放射学服务已经越来越普遍，但许多医院在提供夜间覆盖的模式上存在差异。
描述北美儿童医院提供的夜间放射学服务范围，以及不同放射科提供这种覆盖的方式。
儿科放射学急诊和创伤成像委员会制定了一份调查，我们通过电子邮件分发给首席放射科医师协会（SCORCH）代表的每个医院的代表。
2017 年 8 月 2 日至 2017 年 9 月 29 日，共有 44/79（56%）的 SCORCH 代表提交了完整的调查问卷。常规进行的夜间放射照片（81%）、超声（81%）、全身 CT（79%）和神经 CT（75%）的即时或初步报告解读。最常见的覆盖方式是结合夜间和夜间轮班，共 17/44（39%）。11/44（25%）的医院采用放射科医生轮班完成夜间服务块，然后是休息块的模式。只有 2/44（5%）的医院仅在夜间提供寻呼机覆盖。110/175（63%）的调查医院的主治放射科医生被分配到大部分夜间轮班，但 19/44（43%）的医院的放射科住院医师在不同时间段内独立进行解释。夜间工作的激励措施包括远程工作的选择，以及额外的收入、休假和学术时间。
提供夜间儿科放射学服务的模式存在差异。然而，大多数医院都提供即时的放射照片、超声、全身 CT 和神经 CT 解读。大多数机构使用夜间轮班来延长覆盖时间，许多机构随后提供夜间覆盖。虽然大多数班次都由主治放射科医生担任，但放射科住院医师在夜间的不同时间段内独立进行解读。
