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Area of Science:

  • Medical Education
  • Radiology
  • Health Informatics

Background:

  • Report writing is a crucial residency skill, but objective performance assessment tools are lacking.
  • This study addresses the need for quantitative methods to track progress in radiology resident report writing.

Purpose of the Study:

  • To evaluate the Jaccard index's utility in objectively measuring learning curves in radiology resident report writing.
  • To determine if Jaccard similarity scores can illustrate performance progression throughout residency.

Main Methods:

  • Retrospective analysis of 246,984 radiology reports from 53 residents over five years.
  • Scoring reports using the Jaccard similarity coefficient to quantify edits between draft/preliminary and final reports.
  • Statistical comparison of Jaccard similarity across residency years, divisions, and modalities.

Main Results:

  • Mean Jaccard similarity for preliminary reports increased by 6% from the 1st to 5th year of residency (0.86 to 0.92).
  • Draft report Jaccard similarity showed a 14% increase over the five-year program (0.68 to 0.82).
  • Strong correlations were found between resident experience and report similarity across all analyses.

Conclusions:

  • Radiology resident report writing performance demonstrably improves with experience.
  • The Jaccard index serves as an effective, objective tool for evaluating resident training progress and guiding educational interventions.
  • Quantifiable improvements highlight the Jaccard index's value in radiology residency education.