Chief and Senior Investigator, Radiation Epidemiology Branch (retired) and currently NIH Scientist Emerita, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Division Chief and Professor of Pediatric Radiology (retired), University of Kentucky Children's Hospital, University of Kentucky, Lexington, Kentucky, and currently Chair of Committee 3 of the International Commission on Radiological Protection, Ottawa, Canada.
J Am Coll Radiol. 2023 Feb;20(2):251-264. doi: 10.1016/j.jacr.2022.08.010. Epub 2022 Sep 19.
US physicians in multiple specialties who order or conduct radiological procedures lack formal radiation science education and thus sometimes order procedures of limited benefit or fail to order what is necessary. To this end, a multidisciplinary expert group proposed an introductory broad-based radiation science educational program for US medical schools. Suggested preclinical elements of the curriculum include foundational education on ionizing and nonionizing radiation (eg, definitions, dose metrics, and risk measures) and short- and long-term radiation-related health effects as well as introduction to radiology, radiation therapy, and radiation protection concepts. Recommended clinical elements of the curriculum would impart knowledge and practical experience in radiology, fluoroscopically guided procedures, nuclear medicine, radiation oncology, and identification of patient subgroups requiring special considerations when selecting specific ionizing or nonionizing diagnostic or therapeutic radiation procedures. Critical components of the clinical program would also include educational material and direct experience with patient-centered communication on benefits of, risks of, and shared decision making about ionizing and nonionizing radiation procedures and on health effects and safety requirements for environmental and occupational exposure to ionizing and nonionizing radiation. Overarching is the introduction to evidence-based guidelines for procedures that maximize clinical benefit while limiting unnecessary risk. The content would be further developed, directed, and integrated within the curriculum by local faculties and would address multiple standard elements of the Liaison Committee on Medical Education and Core Entrustable Professional Activities for Entering Residency of the Association of American Medical Colleges.
美国许多专业的医师在进行或安排放射学检查时，缺乏正规的放射科学教育，因此有时会开出效益有限的检查单，或者未能开出必要的检查单。有鉴于此，一个多学科专家组为美国医学院提出了一个基础广泛的放射科学教育方案。课程的建议临床内容将传授放射学、透视引导程序、核医学、放射肿瘤学以及识别需要特殊考虑的患者亚组的知识和实践经验，这些患者亚组在选择特定的电离或非电离诊断或治疗性放射程序时需要特殊考虑。临床方案的关键组成部分还将包括有关电离和非电离辐射程序的获益、风险以及共同决策的以患者为中心的沟通的教育材料和直接经验，以及关于环境和职业接触电离和非电离辐射的健康影响和安全要求。贯穿始终的是对最大限度地提高临床获益同时限制不必要风险的循证指南的介绍。该内容将由当地教职员进一步开发、指导和融入课程，并涵盖美国医学院协会联络委员会医学教育标准和核心可委托专业活动的多个标准要素。
