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面向医学实习生和主治医生的X射线治疗安全与意识教育。

X-ray therapy safety and awareness education for medical trainees and attending physicians.

作者信息

Smith Mckinley, Yanko Emma, Huynh Melissa, Chan Garson

机构信息

College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.

出版信息

Can Urol Assoc J. 2023 Feb;17(2):25-31. doi: 10.5489/cuaj.8087.

Abstract

INTRODUCTION

Medical imaging involving ionizing radiation is common in the clinical setting. Little is known about the level of radiation safety training for medical trainees and attending physicians. We sought to identify the level of radiation safety knowledge and training at the undergraduate, postgraduate, and attending physician level.

METHODS

A 29-question survey was sent by email to two sites in Canada. We pooled the results of medical students, residents, and attending physicians. The primary outcome was to describe the amount of radiation safety training among these groups. The secondary outcomes were to describe the frequency of radiation exposure, level of radiation knowledge, and preferred training method for radiation safety.

RESULTS

Of 115 surveys that were properly completed, 31 (26.9%) medical students, 17 (14.7%) residents, and 67 (58.3%) attending physicians responded. A greater number of medical students (41.9%) reported they had zero hours of training time for radiation safety compared to attending physicians (14.9%) (p<0.05). A higher number of attending physicians (47.8%) and residents (64.7%) participated in patient care involving fluoroscopy daily or at least several times per week compared to medical students (3.2%) (p<0.001). Attending physicians had the greatest number of correct responses to radiation safety questions. Online courses and workshops were the preferred training methods.

CONCLUSIONS

Radiation safety training is an important component of medical education for medical trainees and attending physicians. Current radiation safety training requirements and procedures at various levels of medical training in Canada should be addressed. Implementing radiation safety education may improve adherence to the radiation safety principles.

摘要

引言

涉及电离辐射的医学成像在临床环境中很常见。对于医学实习生和主治医生的辐射安全培训水平,人们了解甚少。我们试图确定本科、研究生和主治医生层面的辐射安全知识和培训水平。

方法

通过电子邮件向加拿大的两个地点发送了一份包含29个问题的调查问卷。我们汇总了医学生、住院医师和主治医生的调查结果。主要结果是描述这些群体中辐射安全培训的数量。次要结果是描述辐射暴露的频率、辐射知识水平以及辐射安全的首选培训方法。

结果

在115份正确完成的调查问卷中,有31名(26.9%)医学生、17名(14.7%)住院医师和67名(58.3%)主治医生做出了回应。与主治医生(14.9%)相比,更多的医学生(41.9%)报告他们的辐射安全培训时间为零小时(p<0.05)。与医学生(3.2%)相比,更多的主治医生(47.8%)和住院医师(64.7%)每天或每周至少几次参与涉及荧光透视的患者护理(p<0.001)。主治医生对辐射安全问题的正确回答数量最多。在线课程和研讨会是首选的培训方法。

结论

辐射安全培训是医学实习生和主治医生医学教育的重要组成部分。加拿大各级医学培训中当前的辐射安全培训要求和程序应得到解决。实施辐射安全教育可能会提高对辐射安全原则的遵守情况。

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