Should Radiological Assessment be Part of Core General Surgery Competency? A Survey of the General Surgery Residents.


Journal

World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052

Informations de publication

Date de publication:
06 2022
Historique:
accepted: 18 02 2022
pubmed: 11 4 2022
medline: 4 5 2022
entrez: 10 4 2022
Statut: ppublish

Résumé

Radiological assessment is an important skill to develop in general surgery training. Therefore, we aimed to determine general surgery residents' points of view on receiving formal radiology didactics. We performed an anonymous survey of general surgery residents throughout the USA. The survey queried the residents' postgraduate year, training program type, diagnostic radiology education in their training program, as well as the residents' comfort level in interpreting various imaging modalities, followed by a series of images to assess the residents' ability to interpret images showing various surgical disease processes. A total of 365 residents responded to the survey. In total, 76.6% of the respondent states that there is no structured didactic session in their program on radiological studies. However, 66.3% felt that interpretation of radiological images should be used to determine surgical competency and promotion to the next academic year. In terms of accurately reading images-68.7% of the residents were able to read an X-ray showing cecal volvulus correctly, 51.9% were able to read a cholangiogram correctly, and 95.3% were correctly read an X-ray showing free under the diaphragm. Most residents favored having radiological assessments as part of the competency evaluation. Furthermore, a curriculum and inbuilt training structure that aims to ensure residents develop competent clinical image interpretation abilities may enhance the development and retention of such skills, ultimately influencing patient outcomes.

Sections du résumé

BACKGROUND
Radiological assessment is an important skill to develop in general surgery training. Therefore, we aimed to determine general surgery residents' points of view on receiving formal radiology didactics.
METHODS
We performed an anonymous survey of general surgery residents throughout the USA. The survey queried the residents' postgraduate year, training program type, diagnostic radiology education in their training program, as well as the residents' comfort level in interpreting various imaging modalities, followed by a series of images to assess the residents' ability to interpret images showing various surgical disease processes.
RESULTS
A total of 365 residents responded to the survey. In total, 76.6% of the respondent states that there is no structured didactic session in their program on radiological studies. However, 66.3% felt that interpretation of radiological images should be used to determine surgical competency and promotion to the next academic year. In terms of accurately reading images-68.7% of the residents were able to read an X-ray showing cecal volvulus correctly, 51.9% were able to read a cholangiogram correctly, and 95.3% were correctly read an X-ray showing free under the diaphragm.
CONCLUSION
Most residents favored having radiological assessments as part of the competency evaluation. Furthermore, a curriculum and inbuilt training structure that aims to ensure residents develop competent clinical image interpretation abilities may enhance the development and retention of such skills, ultimately influencing patient outcomes.

Identifiants

pubmed: 35397751
doi: 10.1007/s00268-022-06504-1
pii: 10.1007/s00268-022-06504-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1270-1277

Informations de copyright

© 2022. The Author(s) under exclusive licence to Société Internationale de Chirurgie.

Références

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Auteurs

Hassan Aziz (H)

Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA. haziz@tuftsmedicalcenter.org.

Gavin Drumm (G)

Boston University, Boston, MA, USA.

Augustus Gleason (A)

Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.

Sam M Han (SM)

Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.

Saba Alvi (S)

Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.

Miklos Palotai (M)

Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

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