Aziz Hassan, Drumm Gavin, Gleason Augustus, Han Sam M, Alvi Saba, Palotai Miklos
Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.
Boston University, Boston, MA, USA.
World J Surg. 2022 Jun;46(6):1270-1277. doi: 10.1007/s00268-022-06504-1. Epub 2022 Apr 10.
Radiological assessment is an important skill to develop in general surgery training. Therefore, we aimed to determine general surgery residents' points of view on receiving formal radiology didactics.
We performed an anonymous survey of general surgery residents throughout the USA. The survey queried the residents' postgraduate year, training program type, diagnostic radiology education in their training program, as well as the residents' comfort level in interpreting various imaging modalities, followed by a series of images to assess the residents' ability to interpret images showing various surgical disease processes.
A total of 365 residents responded to the survey. In total, 76.6% of the respondent states that there is no structured didactic session in their program on radiological studies. However, 66.3% felt that interpretation of radiological images should be used to determine surgical competency and promotion to the next academic year. In terms of accurately reading images-68.7% of the residents were able to read an X-ray showing cecal volvulus correctly, 51.9% were able to read a cholangiogram correctly, and 95.3% were correctly read an X-ray showing free under the diaphragm.
Most residents favored having radiological assessments as part of the competency evaluation. Furthermore, a curriculum and inbuilt training structure that aims to ensure residents develop competent clinical image interpretation abilities may enhance the development and retention of such skills, ultimately influencing patient outcomes.
放射学评估是普通外科培训中一项需要培养的重要技能。因此，我们旨在确定普通外科住院医师对接受正规放射学教学的看法。
我们对美国各地的普通外科住院医师进行了一项匿名调查。该调查询问了住院医师的研究生年级、培训项目类型、其培训项目中的诊断放射学教育情况，以及住院医师对解读各种成像方式的舒适度，随后展示一系列图像以评估住院医师解读显示各种外科疾病过程图像的能力。
共有365名住院医师回复了调查。总体而言，76.6%的受访者表示他们的项目中没有关于放射学研究的结构化教学课程。然而，66.3%的人认为放射学图像解读应用于确定手术能力以及是否晋升到下一学年。在准确解读图像方面，68.7%的住院医师能够正确解读显示盲肠扭转的X光片，51.9%的人能够正确解读胆管造影，95.3%的人能够正确解读显示膈下游离气体的X光片。
大多数住院医师赞成将放射学评估作为能力评估的一部分。此外，旨在确保住院医师培养出胜任的临床图像解读能力的课程和内置培训结构可能会加强此类技能的发展和保持，最终影响患者的治疗结果。
