从2008年到2020年使用国家医疗保险专注分析,演变实习生参与放射科医生的工作量
Judah Burns1, YoonKyung Chung2, Elizabeth Y Rula3
1Albert Einstein College of Medicine, Department of Radiology, Montefiore Medical Center, Bronx, New York; Vice Chair of Radiology Education, Montefiore Medical Center; and Chair, Subcommittee on Methodology, Committee on Imaging Appropriateness, American College of Radiology.
放射科医生教学居民的比例有所增加,但学员参与他们的工作量显著下降. 这一趋势可能会影响放射学教育的质量.
科学领域:
- 医学教育 医学教育
- 放射学 劳动力分析
- 医疗保健管理的管理
背景情况:
- 提高生产力需求和实践巩固可能会影响放射学学员的教育角色.
- 了解实习生参与的转变对于维持教育标准至关重要.
研究的目的:
- 评估放射学实习生参与在照射放射学家工作负载中的国家时间变化.
- 确定影响学员参与诊断成像解释的因素.
主要方法:
- 对美国放射科医生的医疗保险服务费数据 (2008-2020年) 的分析.
- 通过GC修饰器识别教学放射科医生,用于实习生监督.
- 使用计费工作相对价值单位计算实习生参与率.
主要成果:
- 在2008年至2020年期间,参与教学的放射科医生比例从13.6%增加到20.4%.
- 在研究期间,实习生在教学放射科医生工作量中的平均参与率从35.3%下降到24.5%.
- 在各种放射科医生和实践特征中观察到实习生参与率的下降.
结论:
- 虽然越来越多的放射科医生正在教学,但他们的工作量越来越多地排除了学员.
- 这种减少的实习生参与可能会对放射学住院教育的质量产生负面影响.
- 需要进一步研究这种"分散效应"的含义.
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