Subspecialized medical team mode facilitates radiology resident training

iRadiology Pub Date : 2024-07-05 DOI:10.1002/ird3.90
Youjin Zhao, Yidi Chen, Jin Yao, Weixia Chen, Qiang Yue, Bin Wu, Na Hu, Su Lui
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Abstract

Purpose

Our institution developed the subspecialized medical team (SMT) mode in radiology reporting workflows in July 2022 to strengthen professionalism in radiology residency training. This study aimed to investigate whether adopting the SMT mode facilitated radiology resident training.

Method

This observational study was conducted in October 2022. An online questionnaire was distributed among first-to third-year radiology residents to determine their levels of perceived stress, anxiety, competency in image interpretation, and learning effectiveness in using the SMT mode and other approaches. Responses were on 4 or 5 point Likert scales, and multiple-choice responses were used for semi-open questions. The turnaround time for radiology reports was measured for both residents and senior radiologists. Statistical significance (p < 0.05) was determined using chi-square or Fisher's exact tests, one-way analysis of variance, pairwise t-tests, and the Kruskal‒Wallis H test.

Results

In total, 71 residents completed the questionnaire survey. The turnaround times for radiology reports were collected for these residents and 23 senior radiologists. Residents' stress and anxiety scores, perceived levels of competency in image interpretation, and time spent writing reports were significantly increased in the SMT mode. In contrast, the time senior radiologists spent reviewing a single report was decreased for the majority of report types after 1 year of implementing the SMT mode.

Conclusion

These findings suggest adopting the SMT mode could facilitate the training of radiology residents. However, residents' mental health and well-being should also be considered.

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亚专业医疗团队模式促进放射科住院医师培训
我院于2022年7月在放射科报告工作流程中开发了亚专业医疗团队(SMT)模式,以加强放射科住院医师培训的专业性。本研究旨在探讨采用 SMT 模式是否有助于放射科住院医师培训。这项观察研究于 2022 年 10 月进行,向一年级至三年级放射科住院医师发放了一份在线问卷,以确定他们在使用 SMT 模式和其他方法时的压力、焦虑感、图像解读能力和学习效率水平。问卷采用 4 点或 5 点李克特量表,半开放式问题采用多选回答。对住院医生和资深放射科医生的放射报告周转时间进行了测量。统计显著性(P < 0.05)通过卡方检验或费雪精确检验、单因素方差分析、配对 t 检验和 Kruskal-Wallis H 检验来确定。调查收集了这些住院医师和 23 名资深放射科医师的放射报告周转时间。在 SMT 模式下,住院医师的压力和焦虑得分、图像解读能力感知水平以及撰写报告所花费的时间都明显增加。这些研究结果表明,采用 SMT 模式可以促进放射科住院医生的培训。这些研究结果表明,采用 SMT 模式可促进放射科住院医生的培训,但同时也应考虑到住院医生的心理健康和福祉。
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