Department of Emergency Medicine, Detroit Receiving Hospital/Sinai-Grace Hospital, Wayne State University School of Medicine, Detroit, Michigan.
J Emerg Med. 2020 Feb;58(2):299-304. doi: 10.1016/j.jemermed.2019.11.046. Epub 2020 Mar 25.
Interpretation of radiologic images is a critical skill for resident physicians in emergency medicine (EM), however, few training programs offer formal training in this realm. Time and money also need to be considered when adding to the curriculum of trainees.
We sought to determine the utilization and benefit of an asynchronous curriculum in the interpretation of diagnostic imaging.
Radiologic images were obtained from emergency department patients and presented to the trainees on a weekly basis from April to December 2017; discussion questions regarding the images were posed, all via the online workplace platform Slack. Trainees were surveyed prior to and 8 months after initiation of the curriculum to ascertain their confidence with radiologic image interpretation and their use of Slack.
Of the 36 potential resident physician participants in this study, 31 (86%) completed the pre-intervention survey and 28 (78%) completed the post-intervention survey. The curriculum was found to be beneficial to all respondents (100%) and increased their confidence with image interpretation from 2.93 ± 0.89 pre-intervention (5-point Likert scale) to 3.46 ± 0.83 post-intervention (p < 0.02). Seventy-five percent noted that they viewed the material "often" or "anytime new material was posted."
Use of an asynchronous curriculum in image interpretation increased the confidence of trainees and was well-utilized. The implications of this are far-reaching, given that a similar intervention could be undertaken for any topic in any specialty in medicine, and with no cost of money or didactic time.
对于急诊医学（EM）的住院医师来说，解读放射学图像是一项关键技能，但很少有培训计划为此提供正式培训。在增加学员课程时，还需要考虑时间和金钱。
我们旨在确定在诊断影像学解释中使用异步课程的效果和益处。
从 2017 年 4 月至 12 月，每周都会向学员提供急诊患者的放射学图像；通过在线工作平台 Slack 提出有关图像的讨论问题。在课程开始之前和之后的 8 个月，对学员进行调查，以确定他们对放射学图像解释的信心以及对 Slack 的使用情况。
在这项研究的 36 名潜在住院医师参与者中，有 31 名（86％）完成了干预前调查，有 28 名（78％）完成了干预后调查。该课程对所有受访者（100％）都有益，并将他们的图像解释信心从干预前的 2.93±0.89（5 分李克特量表）提高到干预后的 3.46±0.83（p<0.02）。75％的人表示他们经常或随时查看新发布的材料。
在图像解释中使用异步课程提高了学员的信心，并且得到了很好的利用。鉴于可以在医学的任何专业领域的任何主题上进行类似的干预，而且无需花费金钱或教学时间，因此这种方法具有深远的意义。
