一项多中心观察性试点研究，评估使用可信赖的专业活动清单对诊断性乳腺成像中住院医师旋转中期形成反馈的影响

IF 3.8 2区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Academic Radiology Pub Date : 2025-04-10 DOI:10.1016/j.acra.2025.02.029

Monica M. Sheth MD , Priscilla J. Slanetz MD, MPH , Petra Lewis MB.BS , Ryan W. Woods MD, MPH , El Berkaoui Ali , Nancy R. Fefferman MD , Caroline R. Paul MD

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引用次数: 0

摘要

理性与客观形成性反馈是提高居民学习的重要策略。本研究的目的是评估在实施诊断性乳腺成像特定可信赖专业活动的中期轮换检查表后，对住院医师形成性反馈的频率、质量和感知的影响。材料和方法在这项经irb批准的多中心研究中，采用六步方法学来制定基于EPA的验证清单，参与者实施前和实施后的调查，并分析收集到的数据。结果32名住院医师中有26名（81%）和9名教学主治医师中有7名（78%）认为结构化反馈表有助于评估住院医师在乳腺影像学诊断轮转中的表现。9位参与者中有9位（100%）表示，这提高了他们提供具体、及时、可操作和周到反馈的能力，9位参与者中有6位（67%）认为他们的反馈更有条理。32名住院医生中有27名（84%）发现，他们收到的反馈使他们能够在剩余的轮岗期间根据需要改进的地方调整学习。结论：从住院医生和主治医生的角度来看，采用结构化的基于epa的检查表进行轮转中期反馈可以提高住院医生形成性反馈的频率和质量。

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A Multicenter Observational Pilot Study Evaluating the Effect of Using an Entrustable Professional Activity Checklist on Resident Mid-Rotation Formative Feedback in Diagnostic Breast Imaging

Rational and Objective

Formative feedback is an important strategy to improve resident learning. The purpose of our study is to evaluate the impact on frequency, quality and perceptions of resident formative feedback after implementation of a diagnostic breast imaging specific entrustable professional activity based mid-rotation checklist.

Material and Methods

In this IRB-approved multicenter study, a six-step methodology was used to develop the validated EPA based checklist, participant pre- and post-implementation surveys, and analyze the collected data.

Results

26 out of 32 (81%) residents and 7 out of 9 (78%) teaching attendings found the structured feedback checklist helpful in evaluating residents' performance on the diagnostic breast imaging rotation. 9 of 9 (100%) attending stated it improved their ability to give specific, timely, actionable and thoughtful feedback and 6 of 9 (67%) agreed that their feedback was more structured. 27 of 32 (84%) residents found that the feedback they received allowed them to tailor their studying to areas that needed improvement during the remainder of their rotation.

Conclusion

Mid-rotation feedback using a structured EPA-based checklist improves the frequency and quality of resident formative feedback from both a residents’ and attendings’ perspective.

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来源期刊

Academic Radiology 医学-核医学

CiteScore

7.60

自引率

10.40%

发文量

432

审稿时长

18 days

期刊介绍： Academic Radiology publishes original reports of clinical and laboratory investigations in diagnostic imaging, the diagnostic use of radioactive isotopes, computed tomography, positron emission tomography, magnetic resonance imaging, ultrasound, digital subtraction angiography, image-guided interventions and related techniques. It also includes brief technical reports describing original observations, techniques, and instrumental developments; state-of-the-art reports on clinical issues, new technology and other topics of current medical importance; meta-analyses; scientific studies and opinions on radiologic education; and letters to the Editor.