Mansoori Bahar, Golnari Pedram, Sharifi Arghavan, Khoshpouri Pegah, Chalian Hamid, Herrmann Karin, Chalian Majid
Department of Radiology, University of Washington Medical Center, Seattle, Washington, USA.
Department of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
J Ultrasound Med. 2021 Apr;40(4):731-740. doi: 10.1002/jum.15443. Epub 2020 Aug 28.
Comprehensive training in ultrasound (US) imaging during radiology residency is crucial if radiologists are expected to maintain a substantial role in this widely used imaging modality. This study aimed to evaluate the current curriculum of US training among radiology residency programs across the country via a nationwide survey.
A 28-question survey was distributed among all academic radiology departments in the United States and their radiology residents. The survey consisted of 4 sections: general demographic information, training information, clinical competency, and adequacy of training (perspective). The Student t test and 1-way analyses of variance were performed to assess statistical significance.
Overall, 256 residents from 32 states completed the questionnaire. Only 114 (45%) residents reported having a dedicated rotation for performing US studies. Although 228 (89%) of trainees believed they received adequate experience for interpreting US studies, only 66 (26%) of them had the same belief about performing them. Only 116 (45%) of the residents were comfortable operating the US machines in their departments. Higher years of residency training, having a dedicated rotation for performing US studies, and having more than 10 hours per year of didactic lectures and/or more than 5 hours per year of case conferences dedicated to US had a positive impact on the residents' clinical competency and perspective (all P < .05).
Most radiology residents do not feel confident in performing US examinations by themselves. However, higher clinical competency was reported in the residents who had dedicated rotations for performing US studies and received more hours of US lectures and case conferences throughout their residency.
如果期望放射科医生在这种广泛应用的成像方式中继续发挥重要作用，那么在放射科住院医师培训期间进行全面的超声（US）成像培训至关重要。本研究旨在通过全国性调查评估全国放射科住院医师培训项目中US培训的当前课程设置。
向美国所有学术性放射科及其放射科住院医师发放了一份包含28个问题的调查问卷。该调查包括4个部分：一般人口统计学信息、培训信息、临床能力以及培训的充分性（看法）。采用学生t检验和单因素方差分析来评估统计学意义。
总体而言，来自32个州的256名住院医师完成了问卷。只有114名（45%）住院医师报告有专门的轮转来进行US检查。尽管228名（89%）受训者认为他们在解读US检查方面获得了足够的经验，但只有66名（26%）的人对进行US检查有同样的看法。只有116名（45%）住院医师对在其科室操作US机器感到得心应手。更高的住院医师培训年限、有专门的轮转来进行US检查以及每年有超过10小时的理论讲座和/或每年有超过5小时专门针对US的病例讨论会，对住院医师的临床能力和看法有积极影响（所有P < 0.05）。
大多数放射科住院医师对自己独立进行US检查缺乏信心。然而，那些有专门的轮转来进行US检查并且在整个住院医师培训期间接受了更多小时的US讲座和病例讨论会的住院医师，报告的临床能力更高。
