Lubisich J P, Bassett L W, Bresch J A, Jessop N W
Department of Radiological Sciences, University of California Los Angeles, School of Medicine 90024-6952, USA.
AJR Am J Roentgenol. 1996 May;166(5):1189-91. doi: 10.2214/ajr.166.5.8615267.
The purpose of this study was to survey the status of residency training in mammography, including mammography quality assurance, and to compare the results with previous surveys from 1990 and 1992.
A telephone interview was conducted with 213 chief residents and 11 other senior residents representing all 224 accredited residency programs in diagnostic radiology.
Compared with 1990, more programs had exclusive mammography rotations (74% versus 40%). The number of fellowships in breast imaging increased from 17 to 76. More training programs differentiated screening from diagnostic examinations (50% versus 35%). Compared with 1992, the percentage of residents who knew recommended frequencies of quality control procedures increased by 30% and the percentage who knew the maximum allowable radiation dose increased by 50%. Residents lacked fundamental knowledge about conducting medical audits, such as calculating the positive predictive value for biopsies.
More time is being devoted to breast imaging in diagnostic radiology residency training, and residents show greater knowledge about mammography quality assurance.
本研究旨在调查乳腺摄影住院医师培训的现状,包括乳腺摄影质量保证,并将结果与1990年和1992年的既往调查结果进行比较。
对代表所有224个经认可的诊断放射学住院医师培训项目的213名总住院医师和11名其他高级住院医师进行了电话访谈。
与1990年相比,更多的项目有专门的乳腺摄影轮转(74%对40%)。乳腺影像领域的奖学金数量从17个增加到76个。更多的培训项目区分了筛查和诊断检查(50%对35%)。与1992年相比,了解推荐的质量控制程序频率的住院医师百分比增加了30%,了解最大允许辐射剂量的住院医师百分比增加了50%。住院医师缺乏进行医学审核的基本知识,如计算活检的阳性预测值。
诊断放射学住院医师培训中用于乳腺影像的时间更多,住院医师对乳腺摄影质量保证的了解也更多。