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Related Experiment Videos

Reporting instruction for radiology residents.

Chris Sistrom1, Linda Lanier, Anthony Mancuso

  • 1Department of Radiology, P.O. Box 100374, University of Florida, Gainesville, FL 32610, USA.

Academic Radiology
|January 30, 2004
PubMed
Summary

Radiology residents receive minimal formal instruction and evaluation in reporting, with 86% getting under an hour annually. Most programs use human transcription, and physician coding is common.

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Area of Science:

  • Medical Education
  • Radiology
  • Healthcare Administration

Background:

  • Formal instruction and evaluation in radiology reporting are crucial for resident development.
  • Current practices in radiology residency programs regarding reporting education are not well-documented.

Purpose of the Study:

  • To assess the extent of formal instruction and evaluation in reporting for radiology residents in the USA.
  • To document report generation methods and physician coding performance.

Main Methods:

  • An anonymous web-based survey was distributed to program directors of all accredited US radiology residencies.
  • Data collected included didactic instruction hours, report evaluation frequency, structured report usage, dictation methods, and physician coding practices.
  • A didactic activity index (DAI) was calculated and analyzed against program demographics.

Main Results:

  • 79% of residencies responded; 86% reported residents receive ≤1 hour of didactic reporting instruction annually.
  • 82% of programs formally grade 0-1 resident reports per year.
  • Human transcription (79%) dominates report generation; physician coding (ICD-9 30%, CPT 26%) is prevalent.
  • Speech recognition use is estimated at 38%.

Conclusions:

  • Radiology residents receive inadequate formal training in reporting.
  • Didactic activity is minimal and uniform across most program demographics, with military programs showing slightly higher engagement.
  • Current methods for report generation and coding highlight areas for potential improvement in resident education.

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