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Radiation Safety Knowledge and Perceptions among Residents: A Potential Improvement Opportunity for Graduate Medical Education in the United States

机译:居民的辐射安全知识和看法:美国研究生教育的潜在改进机会

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Rationale and Objectives: To investigate residents' knowledge of adverse effects of ionizing radiation, frequency of their education on radiation safety, and their use of radioprotective equipment.Materials and Methods: Residents from 15/16 residency programs at Emory University were asked to complete a resident radiation safety survey through SurveyMonkey. The associations between the residents' knowledge and use of radioprotective equipment with residents' specialty and year of training were investigated.Results: Response rate was 32.5% (173/532 residents). Thirty-nine percent residents reported radiation safety is discussed in their residency curriculum at least every 6 months. Ninety-five percent believed in a link between radiation exposure and development of cancer. Overall and Radiology residents' knowledge about specific estimated dose effects (correct responses) was limited: radiation dose associated with fetus brain malformation in pregnancy (10% vs. 26%), risk of developing cataract in interventional personnel (27% vs. 47%), lifetime risk of cancer mortality from a single abdominal computed tomography (CT) in children (22% vs. 29%), greater radiosensitivity of children compared to adults (35% vs. 50%), and relative radiation dose from an abdominal CT compared to a chest x-ray (51 % vs. 48%). Radiology residents had modestly higher knowledge. There was no significant difference in residents' knowledge across their postgraduate training years. Use of lead thyroid shields was reported by 86% (97% radiology vs. 80% nonradioiogy; P = .03) and radiation-monitoring badges in 39% (68% radiology vs. 15% nonradioiogy; P < .001) of the residents.Conclusions: Although radiology residents scored higher, knowledge of radiation safety for patients and healthcare workers is limited among residents regardless of medical specialty. These findings emphasize the need for educational initiatives.
机译:理由和目标:调查居民对电离辐射的不良反应的认识,辐射安全性的教育频率,以及他们对辐射防护设备的使用。材料和方法:埃默里大学15/16居住计划的居民被要求完成通过Surveymonkey进行居民辐射安全调查。调查了居民知识和使用居民专业和培训年的射频设备之间的协会。结果:响应率为32.5%(173/532名)。 39%的居民报告辐射安全至少每6个月在其居住课程中讨论。九十五%相信辐射暴露与癌症发展之间的联系。总体而放射学居民对特定估计剂量效应(正确反应)的知识是有限的:妊娠中胎儿脑畸形的辐射剂量(10%对26%),在介入人员中发育白内障的风险(27%与47% ),儿童单一腹部计算机断层扫描(CT)的癌症死亡率的寿命风险(22%对29%),与成人(35%与50%)相比,儿童的更大放射敏感性,以及来自腹部的相对放射剂量CT与胸部X射线相比(51%vs.48%)。放射患者具有适度更高的知识。居民在研究生培训年度没有显着差异。报告使用铅甲状腺屏蔽86%(97%放射学与80%非adioIOGy; P = .03)和辐射监测徽章39%(68%放射学与15%非adioIOGy; P <.001)居民。结论:虽然放射学居民得分更高,但无论医学专业如何,患者和医疗保健工人的辐射安全知识有限。这些调查结果强调了需要教育举措。

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