Alsulimani Loui, AlRasheed Basma, Saeed Afnan, Alabsi Hatim
Emergency Medicine, King Abdulaziz University Hospital, Jeddah, SAU.
Radiology, King Abdulaziz University Hospital, Jeddah, SAU.
Cureus. 2024 Apr 29;16(4):e59270. doi: 10.7759/cureus.59270. eCollection 2024 Apr.
Background Interpreting hand X-rays is crucial for emergency medicine residents to accurately diagnose traumatic injuries and conditions affecting the hand. This study aimed to assess the competency of emergency medicine residents in interpreting hand X-rays across three major regions in Saudi Arabia. Methodology We conducted a cross-sectional study involving 100 emergency medicine residents from the Central, Eastern, and Western regions of Saudi Arabia. Participants were presented with 10 clinical case scenarios each accompanied by hand X-rays and were asked to provide their interpretations. Assessment scores were calculated based on the proportion of correct answers for each case. Results Half of the participants (50 residents) fell within the age range of 25 to 27 years, with 61 male and 39 female participants, respectively. Residents in the third year of training (R3) exhibited the highest mean score of 74.83% ± 20.46%. Participants using desktops to view the images achieved the highest mean score of 75% ± 10.49% compared to those using smartphones or tablets. Significant associations were found between age (F = 4.072, p = 0.020), training level (F = 3.161, p = 0.028), and choice of viewing device (F = 7.811, p = 0.001) and assessment scores. Conclusions Our study highlighted that emergency medicine residents in Saudi Arabia demonstrate competent proficiency in interpreting hand X-rays, with higher competency observed among senior residents (R3 and R4), those aged 28 to 30 years, and those using desktops for image viewing.
背景 解读手部X光片对于急诊医学住院医师准确诊断手部创伤和病症至关重要。本研究旨在评估沙特阿拉伯三个主要地区的急诊医学住院医师解读手部X光片的能力。方法 我们进行了一项横断面研究，涉及来自沙特阿拉伯中部、东部和西部地区的100名急诊医学住院医师。向参与者展示了10个临床病例场景，每个场景都配有手部X光片，并要求他们给出解读。根据每个病例的正确答案比例计算评估分数。结果 一半的参与者（50名住院医师）年龄在25至27岁之间，男性和女性参与者分别为61名和39名。培训第三年的住院医师（R3）平均得分最高，为74.83%±20.46%。与使用智能手机或平板电脑的参与者相比，使用台式电脑查看图像的参与者平均得分最高，为75%±10.49%。发现年龄（F = 4.072，p = 0.020）、培训水平（F = 3.161，p = 0.028）和查看设备的选择（F = 7.811，p = 0.001）与评估分数之间存在显著关联。结论 我们的研究强调，沙特阿拉伯的急诊医学住院医师在解读手部X光片方面表现出一定能力，在高年级住院医师（R3和R4）、28至30岁的住院医师以及使用台式电脑查看图像的住院医师中观察到更高的能力。
