Dacher J N, Charlin B, Bergeron D, Tardif J
Service de radio-pédiatrie, Hôpital Charles Nicolle, Rouen, France.
Can Assoc Radiol J. 1998 Jun;49(3):167-71.
Consultation is an important part of radiologic practice. Recently, many concerns have been expressed about the lack of emphasis on consultation skills as part of the training requirements for radiologists. In order to improve the teaching and assessment of trainees, we designed a qualitative study to specify the consultation skills expected from a trainee by the end of residency.
Three successive focus groups were held with professors of radiology, residents in radiology, and referring physicians. Participants were asked to identify the various competencies required from radiologic consultants (1) spontaneously, (2) by reacting to a previously generated list, and (3) by reacting to common clinical problems encountered in radiology.
Consultation skills thus identified were organized in a framework consisting of 2 groups: observable skills and standards of practice. Observable skills were subdivided into 5 "problem-setting" skills and 6 "results-management" skills. Seven qualities and attitudes identified were combined under the rubric "standards of practice."
The specification of these abilities and competencies through a consensus process should permit the teaching of these skills and their evaluation through objective, structured clinical examinations.
会诊是放射学实践的重要组成部分。最近，许多人对放射科住院医师培训要求中缺乏对会诊技能的重视表示担忧。为了改进对学员的教学和评估，我们设计了一项定性研究，以明确住院医师培训结束时学员应具备的会诊技能。
分别与放射学教授、放射科住院医师和转诊医师进行了三场连续的焦点小组讨论。要求参与者确定放射学会诊医师所需的各种能力，（1）自发地确定，（2）对之前列出的清单做出反应，以及（3）对放射学中常见的临床问题做出反应。
如此确定的会诊技能被组织在一个由两组组成的框架中：可观察技能和实践标准。可观察技能细分为5种“问题设定”技能和6种“结果管理”技能。确定的7种品质和态度被归为“实践标准”类别。
通过共识过程明确这些能力和技能，应有助于通过客观、结构化的临床考试来教授这些技能并对其进行评估。
