英国两家大型教学医院的基金会医生接受介入放射学的情况

Z. Alsafi, S. Ramachandran, Vamsee Bhrugubanda, A. Graham, A. Alsafi
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引用次数: 1

摘要

背景:为了提高医学生对介入放射学(IR)的接触,已经做出了重大努力。然而,英国的基金会医生是一个被忽视的群体,几乎没有采取任何措施让这些处于培训关键时刻的医生参与进来。目的:本研究的目的是评估基础一年级(FY1)医生对IR的理解和接触情况。方法:英国两家教学医院的FY1在基础培训第一年结束时被邀请参加一项18个问题的调查,其中包括14个单项最佳答案(SBA)问题。这些问题考查了IR和其他专业的知识。SBA得分为14分,学生t检验用于比较IR和非IR得分。结果:对72名FY1医生进行了问卷调查,52名(72.2%)完成了问卷调查。中位得分为9/14(64.3%)[4.5/14-12/14]。与冠状动脉介入治疗和神经外科相关的问题得分最高(分别为96.2%和94.3%)。IR相关问题的平均得分显著低于非IR问题(分别为51.5%和81.1%,P<0.0001)。每月至少转诊一次IR的参与者得分高于很少转诊的参与者(分别为60.5%和47.2%,P<0.0084)。近83.0%的参与者表示希望更多地接触IR。结论:尽管基础医生对IR有一定的了解,反映出他们对该专业有一定的接触,但与其他专业的知识相比,这仍然是不足的。这可以通过在基础课程中引入IR特定教学来改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foundation Doctors’ Exposure to Interventional Radiology in Two Large Teaching Hospitals in the United Kingdom
Background: Significant efforts have been made to improve medical students' exposure to interventional radiology (IR). Foundation doctors in the UK, however, are a neglected group, with little being done engage these doctors who are at a crucial juncture in their training. Objectives: The objective of the study is to assess Foundation Year 1 (FY1) doctors' understanding of and exposure to IR. Methods: FY1s from two teaching hospitals in the UK at the end of their first year of Foundation training were invited to take part in an 18-question survey, including 14 single-best-answer (SBA) questions. The questions examined knowledge of IR and other specialties. The SBAs were scored out 14 and the Student's t-test was used to compare IR and non-IR scores. Results: Questionnaires were given to 72 FY1 doctors and 52 (72.2%) were completed. The median score was 9/14 (64.3%) [4.5/14–12/14]. Questions relating to coronary intervention and neurosurgery scored best (96.2% and 94.3%, respectively). The mean score for IR-related questions was significantly lower than that for non-IR questions (51.5% vs. 81.1%, respectively, P < 0.0001). Participants who referred patients to IR at least once per month scored higher than those who rarely referred (60.5% vs. 47.2%, respectively, P < 0.0084). Nearly 83.0% of participants expressed a desire to gain more exposure to IR. Conclusion: Although Foundation doctors have some understanding of IR, reflecting some exposure to the specialty, this remains deficient when compared with their knowledge of other specialties. This may be improved by the introduction of IR specific teaching during the Foundation program.
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