Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
Can Assoc Radiol J. 2022 Aug;73(3):462-472. doi: 10.1177/08465371211049553. Epub 2021 Dec 16.
To gauge the level of interest in breast imaging (BI) and determine factors impacting trainees' decision to pursue this subspecialty. Canadian radiology residents and medical students were surveyed from November 2020 to February 2021. Training level, actual vs preferred timing of breast rotations, fellowship choices, perceptions of BI, and how artificial intelligence (AI) will impact BI were collected. Chi-square, Fisher's exact tests and univariate logistic regression were performed to determine the impact of trainees' perceptions on interest in pursuing BI/women's imaging (WI) fellowships. 157 responses from 80 radiology residents and 77 medical students were collected. The top 3 fellowship subspecialties desired by residents were BI/WI (36%), abdominal imaging (35%), and interventional radiology (25%). Twenty-five percent of the medical students were unsure due to lack of exposure. The most common reason that trainees found BI unappealing was repetitiveness (20%), which was associated with lack of interest in BI/WI fellowships (OR = 3.9, 95% CI: 1.6-9.5, = .002). The most common reason residents found BI appealing was procedures (59%), which was associated with interest in BI/WI fellowships (OR, 3.2, 95% CI, 1.2-8.6, = .02). Forty percent of residents reported an earlier start of their first breast rotation (PGY1-2) would affect their fellowship choice. This study assessed the current level of Canadian trainees' interest in BI and identified factors that influenced their decisions to pursue BI. Solutions for increased interest include earlier exposure to breast radiology and addressing inadequacies in residency training.
评估对乳腺成像（BI）的兴趣程度，并确定影响受训者选择该亚专业的因素。对 2020 年 11 月至 2021 年 2 月的加拿大放射科住院医师和医学生进行了调查。收集了培训水平、实际与理想的乳腺轮转时间、奖学金选择、对 BI 的看法以及人工智能（AI）将如何影响 BI 等信息。采用卡方检验、Fisher 精确检验和单变量逻辑回归来确定受训者对 BI/女性影像学（WI）奖学金的看法对其兴趣的影响。共收集了 80 名放射科住院医师和 77 名医学生的 157 份回复。住院医师最希望的前三名专业是 BI/WI（36%）、腹部成像（35%）和介入放射学（25%）。由于缺乏接触，25%的医学生不确定。受训者认为 BI 没有吸引力的最常见原因是重复性（20%），这与对 BI/WI 奖学金缺乏兴趣有关（OR=3.9，95%CI：1.6-9.5， =.002）。住院医师认为 BI 有吸引力的最常见原因是操作（59%），这与对 BI/WI 奖学金的兴趣有关（OR，3.2，95%CI，1.2-8.6， =.02）。40%的住院医师报告说，他们的第一次乳腺轮转（PGY1-2）更早开始会影响他们的奖学金选择。本研究评估了加拿大受训者目前对 BI 的兴趣水平，并确定了影响他们选择 BI 的因素。增加兴趣的解决方案包括更早地接触乳腺放射学和解决住院医师培训中的不足。
