同行学习对紧急放射学的不成比例的影响
Jan Czerminski1, Jay K Pahade1, Melissa A Davis1
1Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, TE2, New Haven, CT, 06520, USA.
Emergency radiology
|January 23, 2024
概括
紧急放射科医生获得的同行学习反 (潜在的学习机会 - PLO) 比其他子专业要多得多. 这种更高的反率可能会影响他们的压力和职业满意度,这是由于数量和速度等因素造成的.
科学领域:
- 放射学 放射学是一门学科.
- 医学教育 医学教育
- 提高质量 提高质量
背景情况:
- 同行学习,利用潜在的学习机会 (PLO),在放射学中越来越多地用于从错误中学习.
- 紧急放射科医生解释了各种患者群体的广泛检查,在24 / 7参与覆盖范围内工作.
研究的目的:
- 调查紧急放射科医生是否与其他子专业相比,收到不成比例的PLO提交人数.
- 探索这种反差异对紧急放射科医生的压力和职业满意度的潜在影响.
主要方法:
- 在一个大型学术医疗中心对PLO提交的3年后期分析.
- 评估了PLO的子专业分布,并与每部分的照射放射科医生数量相关联.
- 数据与在急诊室和医院系统中进行的总研究进行了比较,使用ANOVA和后期分析.
主要成果:
- 紧急放射科医生收到PLO提交的文件的数量是下一个最接近的子专业的2.5倍.
- 即使在病例数量正常化后,紧急放射科医生每1000个研究中也获得了更多的PLO (1.59对0.85,p=0.04).
- 紧急放射科医生每年收到更多的PLO提交,每次收到的放射科医生.
结论:
- 紧急放射科医生比非紧急放射科医生获得的PLO反要多得多.
- 潜在的促成因素包括更高的错误率,对快速交付时间的需求,工作量增加和事后偏见.
- 这种差异需要进一步调查其对紧急放射科医生的福祉和职业满意度的影响.
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