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Knowledge of ACR Thoracic Imaging Appropriateness Criteria ? among Trainees. One Institution's Experience

机译：知识ACR胸廓成像适当性标准吗？ 在学员中。 一个机构的经验

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Rationale and Objectives: Providing evidence-based appropriate imaging potentially increases diagnostic yield and prevents unnecessary imaging. The American College of Radiology's (ACR) evidence-based Appropriateness Criteria ? (ACR-AC) were developed to provide imaging guidelines given various clinical scenarios. The goal of this study was to evaluate the knowledge level of the appropriate thoracic imaging study to be performed, given a clinical scenario. Methods: An online survey comprising 20 multiple-choice questions was developed on the basis of excerpts from the ACR-AC for thoracic imaging. The survey was piloted and invitations were sent out to resident trainees in radiology (n = 32), medicine (n = 119), and surgery (n = 40) and to pulmonary and critical medicine fellows (n = 16). Results: Sixty-nine trainees (33%) completed the survey. The trainees among those who completed the survey included 14 (20%) in radiology, 32 (46%) in medicine, eight (12%) in surgery, and 15 (22%) in pulmonary and critical medicine. Of the 69 trainees, most were male (n = 47 [68%]), aged 25 to 35 years (n = 65 [94%]), and in postgraduate years 1 to 3 (n = 44 [64%]). The overall median and percentage number of correct responses were 13 (interquartile range [IQR], 11-15) and 65% (n = 44), respectively. As would be expected, radiology residents performed better, with a median number of correct responses of 15 (IQR, 11-16) compared to 10 (IQR, 9-12) for medicine trainees, nine (IQR, 9-12) for surgery trainees, and 13 (IQR, 12-15) for pulmonary and critical medicine trainees. There was an increase in the median number of correct responses with years of training, ranging from 10 for postgraduate year 1 to 12 for postgraduate year 6. Conclusions: This study shows an opportunity to increase the awareness of the ACR-AC. Increasing the awareness of the ACR-AC among trainees will likely increase their use in practice and ultimately improve patient care.
机译：理由和目标：提供基于证据的适当成像可能会增加诊断产量并防止不必要的成像。美国放射学院（ACR）基于证据的适当性标准？ （ACR-AC）开发为提供各种临床情景的成像指南。本研究的目标是评估临床情景的适当胸廓成像研究的知识水平。方法：根据来自ACR-AC用于胸廓成像的摘录开发了包括20个多项选择题的在线调查。该调查被驾驶，邀请函被送到放射学（n = 32），医学（n = 119）和手术（n = 40）和肺部和临界医学研究员（n = 16）。结果：六十九位学员（33％）完成了调查。在完成调查的人之间的学员包括14（20％）的放射学，32（46％），手术中的八（12％），肺癌和肺部医学中的15（22％）。在69名学员中，大多数是雄性（n = 47 [68％]），年龄25至35岁（n = 65 [94％]），并在研究生年份1到3（n = 44 [64％]）。正确响应的整体中位数和百分比数分别为13（间条范围[IQR]，11-15）和65％（n = 44）。正如预期的那样，放射学居民表现得更好，与医学学员的10名（IQR，9-12），九（IQR，9-12）进行手术，中位数为15（IQR，11-16）的正确响应数量学员和13名（IQR，12-15）用于肺部和关键医学学员。在研究生年度1至12年度的培训中，培训的正常答复数量增加了60多年的训练数目6.结论：本研究显示了增加对ACR-AC的认识的机会。提高学员中ACR-AC的意识可能会增加其在实践中的使用，并最终改善患者护理。

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