Umanes Marfred M, Clayton Elizabeth O, Iglesias Brenda, Whicker Emily A, Olgun Z Deniz, Donaldson William, Hogan MaCalus
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
The Orthopaedic Center of Saint Louis, Chesterfield, Missouri.
JB JS Open Access. 2025 Jun 20;10(2). doi: 10.2106/JBJS.OA.25.00042. eCollection 2025 Apr-Jun.
Orthopaedic surgeons are among the top 3 medical professionals most exposed to ionizing radiation and must minimize the risks of ionizing radiation to patients, themselves, and staff. Best practice principles, including "As low as reasonably achievable" (ALARA), guide clinical practice, ensuring radiation exposure is clinically justified and performed by trained professionals. Currently, few studies assess radiation knowledge among academic orthopaedic surgery departments. The aims of this study are to investigate the radiation fund of knowledge and safety practices within an academic Department of Orthopaedic Surgery and identify the availability of and level of satisfaction with communal lead personal protective equipment (PPE) at the various hospital locations associated with the academic institution.
A REDCap anonymous web-based survey was given to orthopaedic surgery residents, fellows, physician assistants, faculty, and others within the Department of Orthopaedic Surgery. Data on knowledge of radiation safety training and best operating practices were collected. Knowledge and practice scores were calculated. ANOVA and -test analyses were used to compare score outcomes between adequately and inadequately trained personnel, with a p-value <0.05 indicating statistical significance.
Fifty-eight orthopaedic surgery personnel responded to the survey: 21 (36.21%) residents, 9 (15.52%) fellows, 5 (8.62%) professors, 6 (10.34%) associate professors, 6 (10.34%) assistant professors, and 11 (18.97%) physician assistants. The average knowledge and practice scores were 9.72/20 and 19.63/48 points, respectively. Comparison of scores based on self-reported adequacy level of training on radiation safety was statistically significant. PPE availability was low (43.11%), although satisfaction with communal lead aprons was high (60.8%) across hospital locations.
There is an opportunity to enhance radiation safety knowledge and practices among the personnel of the Department of Orthopaedic Surgery at the academic institution. Communal PPE availability across hospital locations also warrants improvement.
骨科外科医生是暴露于电离辐射风险最高的三大医学专业人员之一，必须将电离辐射对患者、自身及工作人员的风险降至最低。包括“合理可行尽量低”（ALARA）在内的最佳实践原则指导临床实践，确保辐射暴露在临床上具有正当理由，并由经过培训的专业人员进行操作。目前，很少有研究评估学术性骨外科科室人员的辐射知识。本研究的目的是调查一所学术性骨外科科室的辐射知识储备和安全实践情况，并确定与该学术机构相关的各医院地点共用铅制个人防护装备（PPE）的可用性及满意度水平。
通过基于网络的REDCap平台对骨外科住院医师、研究员、医师助理、教员及其他人员进行匿名调查。收集有关辐射安全培训知识和最佳操作规范的数据。计算知识和实践得分。采用方差分析和t检验分析比较训练充分和训练不足人员的得分结果，p值<0.05表示具有统计学意义。
58名骨外科人员参与了调查：21名（36.2%）住院医师、9名（15.5%）研究员、5名（8.6%）教授、6名（10.3%）副教授、6名（10.3%）助理教授和11名（18.9%）医师助理医师。知识和实践的平均得分分别为9.72/20分和19.63/48分。基于自我报告的辐射安全培训充分程度的得分比较具有统计学意义。PPE的可用性较低（43.1%），不过各医院地点对共用铅制防护围裙的满意度较高（60.8%）。
该学术机构的骨外科人员有机会增强辐射安全知识和实践。各医院地点共用PPE的可用性也有待提高。
