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Published on: August 9, 2024
832
On-Call Radiology Resident Preliminary Report Major Discrepancies: A Meta-analysis.
Kathryn A Szymanski1, An T Hoang1, Dane Van Tassel2
1Creighton University School of Medicine-Phoenix Regional Campus, Phoenix, Arizona (K.A.S., A.T.H., D.V.T., P.K., C.M.P.).
Academic Radiology
|April 9, 2025
Summary
Radiology residents exhibit high accuracy on overnight call, with discrepancy rates varying by imaging modality and resident experience. Senior residents show lower error rates than junior residents.
Area of Science:
- Radiology
- Medical Education
- Quality Improvement
Background:
- Radiology residents gain independence through overnight call.
- Analyzing resident report discrepancies is crucial for patient care.
- Previous data on on-call resident error rates is fragmented.
Purpose of the Study:
- To consolidate data on radiology resident preliminary report discrepancy rates.
- To compare these rates across different imaging modalities.
- To evaluate discrepancy rates based on resident training year.
Main Methods:
- A systematic PubMed search was conducted in August 2024.
- Inclusion criteria were applied to select relevant studies.
- Statistical analysis was performed on pooled data from 20 studies (616,918 reports).
Main Results:
- Pooled major discrepancy rates: radiographs (0.64%), US (0.38%), CT (1.35%), MRI (1.86%).
- Discrepancy rates decreased with resident seniority: R1 (1.27%) to R4 (0.67%).
- Highest rate observed in first-year residents (R1) reading MRI (8.70%).
Conclusions:
- Radiology residents demonstrate high accuracy during independent call.
- Real-time supervision may expedite final reports; implementation is institution-specific.
- Standardization of discrepancy classification is recommended for future research.
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