Department of Urology, Ninewells Hospital, Dundee, UK
Department of Urology, Ninewells Hospital, Dundee, UK.
Postgrad Med J. 2021 May;97(1147):321-324. doi: 10.1136/postgradmedj-2020-139094. Epub 2021 Jan 15.
Facilitating radiological imaging for patients is an essential task for foundation year (FY) doctors. Achieving competence in this task can significantly enhance patient management. We evaluated the confidence and skills of FY doctors in facilitating radiological imaging before and after introduction of formal training. Twenty surgical FYs working at a large teaching hospital were surveyed to evaluate their baseline level of competence in booking and discussing imaging with radiology colleagues. Parameters were measured on a Likert scale, including confidence in discussing requests and satisfaction of their own performance following discussions with radiologists. Eight radiology consultants were surveyed to evaluate their opinions on FYs' communication and established areas for improvement. A teaching session was then delivered to improve communication skills. Furthermore, Previous investigation results, Answer you need from the scan, Clinical status and story, Crucial: how urgent is the scan, Safety (PACCSS) poster was introduced to remind the FYs of the salient information required when discussing imaging. One month after the intervention, the initial participants were resurveyed. Based on a 10-point Likert scale, the FYs demonstrated a mean improvement in self-reported confidence (2.1±1.1, p<0.01), and in satisfaction of own performance after a discussion (1.7±1.1, p<0.01). We identified deficiencies in surgical FY doctors' confidence and skills in facilitating radiological imaging. There was a demonstrable benefit with focused training in improving these skills. This could potentially provide significant benefits in patient care and management. Interspecialty communication should be introduced into undergraduate and postgraduate educational curriculum.
协助患者进行放射影像学检查是住院医师（FY）的一项重要任务。在该任务中获得能力可以显著增强患者管理。我们评估了 FY 医生在引入正式培训前后协助放射影像学检查的信心和技能。对在一家大型教学医院工作的 20 名外科 FY 进行了调查，以评估他们在与放射科同事预约和讨论影像学方面的基本能力水平。参数在李克特量表上进行测量，包括与放射科医生讨论请求时的信心和对自己表现的满意度。对 8 名放射科顾问进行了调查，以评估他们对 FY 沟通的意见以及已确定的改进领域。然后提供了一个教学课程来提高沟通技巧。此外，还介绍了先前的调查结果、从扫描中需要的答案、临床情况和病史、关键：扫描的紧急程度、安全性（PACCSS）海报，以提醒 FY 在讨论影像学时需要注意的重要信息。干预一个月后，最初的参与者再次接受调查。根据 10 分制的李克特量表，FY 报告的自我报告信心平均提高了（2.1±1.1，p<0.01），讨论后对自己表现的满意度也提高了（1.7±1.1，p<0.01）。我们发现外科 FY 医生在协助放射影像学检查方面的信心和技能存在不足。有针对性的培训可以显著提高这些技能。这可能为患者护理和管理提供重要的好处。专科间沟通应该纳入本科和研究生教育课程。
