Epsom & St Helier's University Hospitals NHS Trust, Dorking Road, Epsom, Surrey KT18 7EG, UK.
Department of Radiology, Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, Norfolk NR4 7UY, UK; Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich NR4 7UQ, UK.
Clin Radiol. 2021 Sep;76(9):650-658. doi: 10.1016/j.crad.2021.04.005. Epub 2021 May 14.
To identify the standard of core and subspecialist musculoskeletal (MSK) training across deaneries in the UK.
An online survey of 46 questions with responses in Likert scale or dichotomous formats was distributed to members of the Society of Radiologists in training, British Society of Skeletal Radiologists (BSSR), Training Programme Directors and the Royal College of Radiologists (RCR) Junior Radiology Forum representatives for national training schemes across the country. Responses were analysed descriptively with narrative analysis of free-text comments.
One hundred and seventy-eight participants completed the survey. Forty-six percent (81/178) were core trainees (ST1-3), 47% (84/178) were subspecialist trainees, and 7% (13/178) were newly qualified consultants (<2 years in post). All (178/178) of the participants had a dedicated MSK rotation, with a duration of ≥3 months in 76% (136/178). Only one-third received a dedicated period in MSK ultrasound and only 60% (107/178) had been actively involved in interventional procedures during their training. Overall, 21% (37/178) and 42% (75/178) of participants rated the quality of their MSK training as excellent and good, respectively. The majority (93%, 168/178) thought that MSK training could be improved, especially for ultrasound (62%, 110/178) and interventional computed tomography (CT) or fluoroscopy (57%, 101/178).
There are inconsistencies in MSK training offered in the UK. Although the majority of trainees are satisfied, there were gaps and potential threats to the quality of training. MSK training is witnessing substantial demand from trainees and workforce strategists necessitating tactical investments to standardise and enhance its quality.
确定英国各地区医学放射学培训计划中核心和专业肌肉骨骼（MSK）培训的标准。
采用在线问卷调查的方式，向放射科住院医师培训协会、英国骨骼放射学会（BSSR）、培训计划主任以及皇家放射科医师学院（RCR）青年放射学论坛代表发放了 46 个问题的调查问卷，问题的回答采用李克特量表或二分格式。该调查覆盖了全国范围内的国家培训计划。对调查结果进行了描述性分析，并对自由文本评论进行了叙述性分析。
共有 178 名参与者完成了调查。46%（81/178）为核心培训医师（ST1-3），47%（84/178）为专业培训医师，7%（13/178）为新合格顾问（入职不到 2 年）。所有（178/178）参与者均接受了专门的 MSK 轮转，其中 76%（136/178）的轮转持续时间≥3 个月。仅有三分之一的参与者接受了专门的 MSK 超声培训，仅有 60%（107/178）在培训期间积极参与介入性操作。总体而言，分别有 21%（37/178）和 42%（75/178）的参与者对其 MSK 培训质量评价为优秀和良好。大多数（93%，168/178）参与者认为 MSK 培训可以改进，特别是在超声（62%，110/178）和介入性 CT 或透视（57%，101/178）方面。
英国提供的 MSK 培训存在不一致性。尽管大多数培训医师对培训感到满意，但培训质量仍存在差距和潜在威胁。MSK 培训受到培训医师和劳动力战略制定者的强烈需求，需要进行战术投资以标准化和提高培训质量。
