Radiation safety knowledge and practices among Irish orthopaedic trainees

Area of Science:

• Medical Imaging
• Orthopaedic Surgery
• Radiation Safety

Background:

• Fluoroscopy is extensively used in orthopaedic surgery, especially in trauma.
• Patient and staff exposure to ionizing radiation is a significant concern.
• Current knowledge and practices of orthopaedic trainees regarding radiation safety are underexplored.

Purpose of the Study:

• To assess the knowledge and practices of Irish orthopaedic trainees concerning ionizing radiation use.
• To identify gaps in radiation safety training and adherence to protective measures.

Main Methods:

• A confidential internet-based survey was distributed to 40 higher specialist trainees.
• The survey focused on radiation safety training and regular work practices.
• Data collected from 26 trainees (65% response rate).

Main Results:

• All trainees reported regular exposure to ionizing radiation.
• High compliance with body shields (96%), but lower use of thyroid shields.
• The 'as low as reasonably achievable' principle was practiced by 54%.
• Radiation safety training was variable; 65% attended a course, but only 54% felt adequately trained.
• Dosimeter use was poor (15%), with lack of availability cited as a barrier.

Conclusions:

• Irish orthopaedic trainees possess some radiation safety knowledge but do not consistently apply all protective measures.
• Barriers to implementing radiation safety practices include lack of availability and perceived impracticality.
• There is a need to improve radiation safety training and ensure availability of protective equipment for trainees.