评估加强住院医师培训对放射学独立急性报告的影响

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology Pub Date : 2025-07-16 DOI:10.1016/j.crad.2025.107025

S. Vadera , L. Pillai , Y. Griffin , W. Adair , A. Syed , H. Chotai , A. Rajesh

{"title":"评估加强住院医师培训对放射学独立急性报告的影响","authors":"S. Vadera , L. Pillai , Y. Griffin , W. Adair , A. Syed , H. Chotai , A. Rajesh","doi":"10.1016/j.crad.2025.107025","DOIUrl":null,"url":null,"abstract":"<div><h3>AIM</h3><div>The aim of this study was to evaluate whether a structured training programme and earlier sign-off processes for radiology residents reduce the proportion of acute scans requiring a subsequent in-hour consultant review (CONREV).</div></div><div><h3>MATERIALS AND METHODS</h3><div>A retrospective comparative analysis was conducted on all acute inpatient and emergency department (ED) scans performed in 2014 and 2022 at a single tertiary centre (University Hospitals of Leicester National Health Service (NHS) Trust). Key interventions introduced after 2014 included the establishment of the Dispersed Radiology East Midlands Academy (DREaM) Academy, enhanced on-call training, earlier acute reporting exposure for junior residents via ST1 on-call, and an in-house post-final Fellowship of the Royal College of Radiologists (FRCR) 2B assessment.</div></div><div><h3>RESULTS</h3><div>There was a statistically significant reduction in the proportion of CONREV cases from 69.6% (13,977/20,091) in 2014 to 63.2% (22,155/35,081) in 2022 (<em>P</em><0.001). The reduction was most notable among senior residents (ST4/5), reflecting increased confidence and competence in independent reporting. Additionally, a redistribution of consultant-reviewed cases between neuroradiology and body imaging indicates evolving training priorities and greater resident confidence in computed tomography (CT) head interpretation.</div></div><div><h3>CONCLUSION</h3><div>These findings support the effectiveness of enhanced resident training and sign-off processes in optimising workflow efficiency and managing increased workload.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"89 ","pages":"Article 107025"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating the impact of enhanced resident training on independent acute reporting in radiology\",\"authors\":\"S. Vadera , L. Pillai , Y. Griffin , W. Adair , A. Syed , H. Chotai , A. Rajesh\",\"doi\":\"10.1016/j.crad.2025.107025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>AIM</h3><div>The aim of this study was to evaluate whether a structured training programme and earlier sign-off processes for radiology residents reduce the proportion of acute scans requiring a subsequent in-hour consultant review (CONREV).</div></div><div><h3>MATERIALS AND METHODS</h3><div>A retrospective comparative analysis was conducted on all acute inpatient and emergency department (ED) scans performed in 2014 and 2022 at a single tertiary centre (University Hospitals of Leicester National Health Service (NHS) Trust). Key interventions introduced after 2014 included the establishment of the Dispersed Radiology East Midlands Academy (DREaM) Academy, enhanced on-call training, earlier acute reporting exposure for junior residents via ST1 on-call, and an in-house post-final Fellowship of the Royal College of Radiologists (FRCR) 2B assessment.</div></div><div><h3>RESULTS</h3><div>There was a statistically significant reduction in the proportion of CONREV cases from 69.6% (13,977/20,091) in 2014 to 63.2% (22,155/35,081) in 2022 (<em>P</em><0.001). The reduction was most notable among senior residents (ST4/5), reflecting increased confidence and competence in independent reporting. Additionally, a redistribution of consultant-reviewed cases between neuroradiology and body imaging indicates evolving training priorities and greater resident confidence in computed tomography (CT) head interpretation.</div></div><div><h3>CONCLUSION</h3><div>These findings support the effectiveness of enhanced resident training and sign-off processes in optimising workflow efficiency and managing increased workload.</div></div>\",\"PeriodicalId\":10695,\"journal\":{\"name\":\"Clinical radiology\",\"volume\":\"89 \",\"pages\":\"Article 107025\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-07-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0009926025002302\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0009926025002302","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}

引用次数: 0

摘要

目的：本研究的目的是评估一个结构化的培训计划和早期的放射科住院医生的签字程序是否减少了急性扫描的比例，需要随后的一小时内的顾问审查（CONREV）。材料和方法回顾性比较分析了2014年和2022年在单一三级中心（莱斯特大学医院国家卫生服务（NHS）信托）进行的所有急性住院和急诊科（ED）扫描。2014年之后引入的主要干预措施包括建立分散放射学东米德兰兹学院（DREaM）学院，加强随叫随到培训，通过ST1随到随到为初级住院医师提供早期急性暴露报告，以及皇家放射科医师学院（FRCR） 2B评估的内部后期奖学金。结果CONREV病例比例由2014年的69.6%（13977 /20,091）下降至2022年的63.2%(22155 /35,081)，差异有统计学意义（P<0.001）。在老年住院医生（ST4/5）中，这种下降最为显著，反映出他们在独立报道方面的信心和能力有所提高。此外，在神经放射学和身体成像之间重新分配顾问审查的病例表明，不断发展的培训优先级和更大的住院医师对计算机断层扫描（CT）头部解释的信心。结论：这些发现支持了住院医师培训和签收流程在优化工作流程效率和管理增加的工作量方面的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Evaluating the impact of enhanced resident training on independent acute reporting in radiology

AIM

The aim of this study was to evaluate whether a structured training programme and earlier sign-off processes for radiology residents reduce the proportion of acute scans requiring a subsequent in-hour consultant review (CONREV).

MATERIALS AND METHODS

A retrospective comparative analysis was conducted on all acute inpatient and emergency department (ED) scans performed in 2014 and 2022 at a single tertiary centre (University Hospitals of Leicester National Health Service (NHS) Trust). Key interventions introduced after 2014 included the establishment of the Dispersed Radiology East Midlands Academy (DREaM) Academy, enhanced on-call training, earlier acute reporting exposure for junior residents via ST1 on-call, and an in-house post-final Fellowship of the Royal College of Radiologists (FRCR) 2B assessment.

RESULTS

There was a statistically significant reduction in the proportion of CONREV cases from 69.6% (13,977/20,091) in 2014 to 63.2% (22,155/35,081) in 2022 (P<0.001). The reduction was most notable among senior residents (ST4/5), reflecting increased confidence and competence in independent reporting. Additionally, a redistribution of consultant-reviewed cases between neuroradiology and body imaging indicates evolving training priorities and greater resident confidence in computed tomography (CT) head interpretation.

CONCLUSION

These findings support the effectiveness of enhanced resident training and sign-off processes in optimising workflow efficiency and managing increased workload.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Clinical radiology 医学-核医学

CiteScore

4.70

自引率

3.80%

发文量

528

审稿时长

76 days

期刊介绍： Clinical Radiology is published by Elsevier on behalf of The Royal College of Radiologists. Clinical Radiology is an International Journal bringing you original research, editorials and review articles on all aspects of diagnostic imaging, including: • Computed tomography • Magnetic resonance imaging • Ultrasonography • Digital radiology • Interventional radiology • Radiography • Nuclear medicine Papers on radiological protection, quality assurance, audit in radiology and matters relating to radiological training and education are also included. In addition, each issue contains correspondence, book reviews and notices of forthcoming events.