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过渡到实践:在效率和准确性方面加快速度。

Transitioning to Practice: Getting up to Speed in Efficiency and Accuracy.

作者信息

Patel Miral M, Kapoor Megha M, Whitman Gary J

机构信息

The University of Texas MD Anderson Cancer Center, Department of Breast Imaging, Houston, TX.

出版信息

J Breast Imaging. 2020 Dec 9;3(5):607-611. doi: 10.1093/jbi/wbaa100. eCollection 2021 Sep-Oct.

DOI:10.1093/jbi/wbaa100
PMID:34545352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8445236/
Abstract

The transition from trainee to breast radiologist is challenging. The many new responsibilities that breast radiologists acquire while establishing themselves as clinicians may increase stress and anxiety. Taking inventory of existing knowledge and skills and addressing deficits toward the end of one's training can be beneficial. New breast radiologists should expect to be slower and gain proficiency in the first several years out of training. Having realistic expectations for oneself with respect to screening mammography interpretation and following up on the subsequent diagnostic imaging workup of screening callback examinations can increase competence and confidence. Familiarity with the available literature to guide management in the diagnostic setting can increase efficiency. Planning ahead for localizations and biopsies also allows for efficiency while alleviating anxiety. Ultimately, adapting to a new work environment using a collaborative approach with primary healthcare providers, pathologists, and surgeons while remembering to have mentors within and beyond the field of radiology allows for a more successful transition.

摘要

从实习医生转变为乳腺放射科医生具有挑战性。乳腺放射科医生在确立自己为临床医生的过程中会承担许多新职责,这可能会增加压力和焦虑。在培训接近尾声时,梳理现有知识和技能并弥补不足会有所帮助。刚成为乳腺放射科医生的人在培训结束后的头几年应该预料到自己速度会较慢,之后才会逐渐熟练。对自己在乳腺钼靶筛查解读以及对筛查召回检查后续诊断成像检查的跟进方面抱有现实期望,可增强能力和信心。熟悉可用文献以指导诊断环境中的管理工作可提高效率。提前规划定位和活检也能提高效率,同时减轻焦虑。最终,通过与初级医疗保健提供者、病理学家和外科医生采用协作方式来适应新的工作环境,同时记住在放射学领域内外都要有导师,这样能实现更成功的转型。