Chalfant James S, Pittman Sarah M, Kothari Pranay D, Chong Alice, Grimm Lars J, Sohlich Rita E, Leung Jessica W T, Downey John R, Cohen Ethan O, Ojeda-Fournier Haydee, Hoyt Anne C, Joe Bonnie N, Feig Stephen A, Trinh Long, Rosen Eric L, Aminololama-Shakeri Shadi, Ikeda Debra M
David Geffen School of Medicine at University of California, Los Angeles, Department of Radiological Sciences, Santa Monica, CA, USA.
Stanford University School of Medicine, Department of Radiology, Stanford, CA,USA.
J Breast Imaging. 2021 Mar 9;3(3):354-362. doi: 10.1093/jbi/wbab021. eCollection 2021 May-Jun.
To determine the impact of the COVID-19 pandemic on breast imaging education.
A 22-item survey addressing four themes during the early pandemic (time on service, structured education, clinical training, future plans) was emailed to Society of Breast Imaging members and members-in-training in July 2020. Responses were compared using McNemar's and Mann-Whitney tests; a general linear model was used for multivariate analysis.
Of 136 responses (136/2824, 4.8%), 96 U.S. responses from radiologists with trainees, residents, and fellows were included. Clinical exposure declined during the early pandemic, with almost no medical students on service (66/67, 99%) and fewer clinical days for residents (78/89, 88%) and fellows (48/68, 71%). Conferences shifted to remote live format (57/78, 73%), with some canceled (15/78, 19%). Compared to pre-pandemic, resident diagnostic (75/78, 96% vs 26/78, 33%) ( < 0.001) and procedural (73/78, 94% vs 21/78, 27%) ( < 0.001) participation fell, as did fellow diagnostic (60/61, 98% vs 47/61, 77%) ( = 0.001) and procedural (60/61, 98% vs 43/61, 70%) ( < 0.001) participation. Most thought that the pandemic negatively influenced resident and fellow screening (64/77, 83% and 43/60, 72%, respectively), diagnostic (66/77, 86% and 37/60, 62%), and procedural (71/77, 92% and 37/61, 61%) education. However, a majority thought that decreased time on service (36/67, 54%) and patient contact (46/79, 58%) would not change residents' pursuit of a breast imaging fellowship.
The pandemic has had a largely negative impact on breast imaging education, with reduction in exposure to all aspects of breast imaging. However, this may not affect career decisions.
确定2019冠状病毒病（COVID-19）大流行对乳腺影像教育的影响。
2020年7月，通过电子邮件向乳腺影像学会成员和接受培训的成员发送了一份包含22个项目的调查问卷，该问卷涉及大流行早期的四个主题（服务时间、结构化教育、临床培训、未来计划）。使用McNemar检验和Mann-Whitney检验对回复进行比较；采用一般线性模型进行多变量分析。
共收到136份回复（136/2824，4.8%），其中包括来自带教放射科医生、住院医师和研究员的96份美国回复。在大流行早期，临床接触机会减少，几乎没有医学生参与服务（66/67，99%），住院医师（78/89，88%）和研究员（48/68，71%）的临床天数也减少。会议改为远程直播形式（57/78，73%），一些会议被取消（15/78，19%）。与大流行前相比，住院医师的诊断（75/78，96%对26/78，33%）（<0.001）和操作（73/78，94%对21/78，27%）（<0.001）参与度下降，研究员的诊断（60/61，98%对47/61，77%）（=0.001）和操作（60/61，98%对43/61，70%）（<0.001）参与度也下降。大多数人认为大流行对住院医师和研究员的筛查（分别为64/77，83%和43/60，72%）、诊断（66/77，86%和37/60，62%）和操作（71/77，92%和37/61，61%）教育产生了负面影响。然而，大多数人认为服务时间减少（36/67，54%）和患者接触减少（46/79，58%）不会改变住院医师对乳腺影像研究员职位的追求。
大流行对乳腺影像教育产生了很大的负面影响，乳腺影像各方面的接触机会都有所减少。然而，这可能不会影响职业决策。
