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Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
Published on: August 9, 2024
First year radiology residents not taking call: will there be a difference?
William M Strub1, James L Leach, Jun Ying
1Department of Radiology, University of Cincinnati, 234 Goodman Street ML 0761, Cincinnati, OH 45267, USA. williamstrub@hotmail.com
Emergency Radiology
|January 26, 2007
Summary
First-year radiology residents had a higher discrepancy rate on overnight reads, but the difference was small. Many discrepancies were false positives, with follow-up imaging showing no abnormality.
Area of Science:
- Radiology
- Medical Education
Background:
- Debate exists regarding first-year residents taking overnight calls.
- Assessing resident experience level's impact on preliminary radiograph interpretations is crucial.
Purpose of the Study:
- To analyze discrepancies in overnight resident preliminary reads of emergency department radiographs.
- To determine if resident experience level influences interpretation accuracy.
Main Methods:
- Prospective interpretation of 13,213 radiographs by residents overnight at a Level I Trauma Center.
- Documentation of discrepancies by staff radiologists and examination of patient records for adverse outcomes.
Main Results:
- An overall discrepancy rate of 0.9% (120/13,184) was observed.
- First-year residents had a 1.59% discrepancy rate, higher than other residents (0.39-0.56%).
- Follow-up imaging revealed 59.2% of discrepancies were false positives.
Conclusions:
- While first-year residents show a higher discrepancy rate, the difference is marginal and its clinical significance is debatable.
- A significant portion of discrepancies identified during overnight reads are false positives, as confirmed by follow-up imaging.
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