Monash University, Clayton, Victoria, Australia.
Royal Melbourne Hospital, Parkville, Victoria, Australia.
J Med Radiat Sci. 2024 Sep;71(3):403-411. doi: 10.1002/jmrs.787. Epub 2024 May 7.
In 2020, the Medical Radiation Practice Board of Australia made several revisions to its professional capabilities. To address this, medical radiation practitioners, including diagnostic radiographers, are required to escalate urgent findings in all radiographic settings. However, the confidence of radiographers in articulating descriptions of radiographic findings varies despite this requirement. This cross-sectional study explores how the implementation of eportfolio affects student self-perceived confidence in identifying and describing radiographic findings in both an academic and a clinical setting.
A Qualtrics survey was distributed to second-year radiography students who had used eportfolios. The survey comprised of four questions using a Likert-scale and one open-ended question. Quantitative data were analysed using the Wilcoxon signed-rank test and qualitative data was thematically assessed.
Overall, 55 of 65 radiographic students (85%) completed the survey. Confidence (strongly agree and agree) decreased from 89% to 74% between academic and clinical environments when identifying abnormalities, and 89% to 73% when describing findings. This finding highlights the challenges students face when in the clinical environment. Wilcoxon signed rank test analysed a statistically significant relation between the two environments (P < 0.05). However, the relationship between identifying and describing skills was not statistically significant (P > 0.05). Following a review of the qualitative data, three recurring themes were identified among responses.
ePortfolios assist in improving confidence in identification and description of radiographic abnormalities, particularly in an academic setting. The clinical environment presents unique challenges which may limit student clinical performance; however, this requires further investigation.
2020 年，澳大利亚医学辐射实践委员会对其专业能力进行了多次修订。为了解决这个问题，医学辐射从业者，包括诊断放射技师，被要求在所有放射学环境中上报紧急发现。然而，尽管有这一要求，放射技师在表达放射学发现描述方面的信心却各不相同。这项横断面研究探讨了电子档案在学术和临床环境中对学生自我感知识别和描述放射学发现能力的影响。
向使用电子档案的二年级放射技师学生发放了一份 Qualtrics 调查。该调查包括四个使用李克特量表的问题和一个开放式问题。使用 Wilcoxon 符号秩检验对定量数据进行分析，对定性数据进行主题评估。
共有 65 名放射科学生中的 55 名（85%）完成了调查。在识别异常时，学生的信心（强烈同意和同意）从学术环境的 89%下降到临床环境的 74%，在描述发现时，从 89%下降到 73%。这一发现凸显了学生在临床环境中面临的挑战。Wilcoxon 符号秩检验分析了两个环境之间存在统计学显著关系（P<0.05）。然而，识别和描述技能之间的关系没有统计学意义（P>0.05）。在对定性数据进行审查后，确定了三个反复出现的主题。
电子档案有助于提高识别和描述放射学异常的信心，特别是在学术环境中。临床环境带来了独特的挑战，可能会限制学生的临床表现；然而，这需要进一步调查。
