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首页> 外文期刊>Academic radiology >Assessing First Year Radiology Resident Competence Pre-call. Development and Implementation of a Computer-based Exam before and after the 12 Month Training Requirement
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Assessing First Year Radiology Resident Competence Pre-call. Development and Implementation of a Computer-based Exam before and after the 12 Month Training Requirement

机译：评估第一年放射学居民能力预致电。 在12个月培训要求之前和之后的计算机考试的开发和实施

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摘要

Rationale and Objectives: Whether first-year radiology residents are ready to start call after 6 or 12 months has been a subject of much debate. The purpose of this study was to establish an assessment that would evaluate the call readiness of first-year radiology residents and identify any individual areas of weakness using a comprehensive computerized format. Secondarily, we evaluated for any significant differences in performance before and after the change in precall training requirement from 6 to 12 months. Materials and Methods: A list of >140 potential emergency radiology cases was given to first-year radiology residents at the beginning of the academic year. Over 4 years, three separate versions of a computerized examination were constructed using hyperlinked PowerPoint presentations and given to both first-year and second-year residents. No resident took the same version of the exam twice. Exam score and number of cases failed were assessed. Individual areas of weakness were identified and remediated with the residents. Statistical analysis was used to evaluate exam score and the number of cases failed, considering resident year and the three versions of the exam. Results: Over 4 years, 17 of 19 (89%) first-year radiology residents passed the exam on first attempt. The two who failed were remediated and passed a different version of the exam 6 weeks later. Using the oral board scoring system, first-year radiology residents scored an average of 70.7 with 13 cases failed, compared to 71.1 with eight cases failed for second-year residents who scored statistically significantly higher. No significant difference was found in first-year radiology resident scoring before and after the 12-month training requirement prior to call. Conclusions: An emergency radiology examination was established to aid in the assessment of first-year radiology residents' competency prior to starting call, which has become a permanent part of the first-year curriculum. Over 4 years, all first-year residents were ultimately judged ready to start call. Of the variables assessed, only resident year showed a significant difference in scoring parameters. In particular, length of training prior to taking call showed no significant difference. Areas of weakness were identified for further study.
机译：理由和目标：无论是第一年放射居民准备好后6或12个月一直备受争论的话题，开始通话。这项研究的目的是建立将评估第一年放射居民的号召准备，并确定使用全面的电脑格式的弱点任何个别地区进行评估。其次，我们评估之前，以及6至12个月precall培训需求的变化后的性能有任何显著的差异。材料与方法：> 140潜在的紧急放射例列表在学年开始时就给予第一年放射居民。超过4年，使用超链接的PowerPoint演示文稿构建并给双方第一年和第二年的居民计算机化考试的三个不同版本。无居民参加了考试相同版本的两倍。失败案例考试分数和数量进行了评估。虚弱的个别地区被确定，并与居民进行修复。统计分析被用来评估考试成绩和病例数失败，考虑到居民一年考试的三个版本。结果：4年以上，19（89％）17第一年放射居民传递的第一次尝试考试。谁没有被修复和6周后通过了不同版本的考试两种。使用口服板评分系统，第一年放射居民的平均分70.7 13例失败，比较失败的第二年的居民谁统计得分显著高于71.1八个案件。无显著差异，在第一年的放射居民进球之前和12个月的培训后的要求之前，呼吁找到。结论：紧急放射学检查是之前开始通话，这也成为了第一年课程的永久组成部分建立在第一年放射居民能力的评估援助。超过4年，所有的第一年居民最终判断就可以开始通话。评估的变量，只有居民的年份显示在得分参数显著差异。特别是，之前采取的呼叫训练时间没有表现出显著差异。薄弱环节，确定了进一步研究。

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  • 来源
    《Academic radiology》 |2012年第6期|共7页
  • 作者

    KhanR.; KrupinskiE.; GrahamJ.A.; BenodinL.; LewisP.;

  • 作者单位

    Department of Radiology College of Medicine University of Arizona Medical Center 1501 North;

    Department of Radiology College of Medicine University of Arizona Medical Center 1501 North;

    Department of Radiology College of Medicine Dartmouth-Hitchcock Medical Center Lebanon NH;

    Lighthouse Radiology PLLC Lebanon NH United States;

    Department of Radiology College of Medicine Dartmouth-Hitchcock Medical Center Lebanon NH;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 放射医学;
  • 关键词

    Emergency radiology exam; Precall ER exam; Resident exam;

    机译：紧急放射学考试;预防ER考试;居民考试;

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