Facial trauma education in radiology: using surgeon feedback as the benchmark for success.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Emergency Radiology Pub Date : 2024-10-16 DOI:10.1007/s10140-024-02288-0
William T Malouf, Geeth Kondaveeti, Jacline G Phillips, Kunjan Patel, Justin A Hall, Torrey L Fourrier, Nelson May, Nuwan T Meegalla, Kevin J Reger, Christopher M Runyan, Kevin D Hiatt
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Abstract

Rationale and objectives: Interpreting CT studies of facial trauma is challenging, and there are often substantial differences in the characterization of complex facial trauma between radiologists and surgeons. We designed a collaborative multidisciplinary project to reconcile differences in facial fracture interpretation through an educational intervention. The effectiveness of this intervention was evaluated through surgeon feedback on radiology reports.

Materials and methods: Radiology residents, neuroradiology fellows, and neuroradiology attendings were recruited as participants at a single tertiary care academic center. Otolaryngology residents were recruited as evaluators. Participants completed surveys and provided preliminary reports for example cases of facial trauma before and after attending an educational session. Evaluators performed a blinded review of these preliminary reports based on ideal reports developed by surgical and neuroradiology attendings.

Results: 26 participants (20 residents, 1 neuroradiology fellow, 5 neuroradiology attendings) completed the study. Six otolaryngology residents participated as evaluators. To assess interrater reliability, three evaluators graded a shared set of 15 reports and demonstrated substantial agreement with a Kendall's W of 0.71. Participants demonstrated significant improvement in overall report accuracy, clarity, and organization. In subunit analysis, there were significant improvements in reporting Le Fort, nasoseptal, and nasoorbitoethmoid fractures. No significant improvements occurred in the reporting of upper face, zygomaticomaxillary complex, or mandibular fractures. In contrast, survey analysis demonstrated significantly improved confidence in interpreting trauma involving all facial subunits.

Conclusion: Compared with survey results, surgeon assessment of radiology reports better demonstrated areas of improvement after an educational intervention. A multidisciplinary approach to assessing educational efforts may better evaluate the practical effectiveness of educational interventions.

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放射学中的面部创伤教育:将外科医生的反馈作为成功的基准。
理由和目标:解读面部创伤的 CT 研究具有挑战性,放射科医生和外科医生对复杂面部创伤的定性往往存在很大差异。我们设计了一个多学科合作项目,通过教育干预来协调面部骨折判读方面的差异。通过外科医生对放射学报告的反馈来评估该干预措施的有效性:在一家三级医疗学术中心招募放射学住院医师、神经放射学研究员和神经放射学主治医师作为参与者。招募耳鼻喉科住院医师作为评估者。参与者在参加教育课程前后填写调查问卷并提供面部创伤病例的初步报告。结果:26 名参与者(20 名住院医师、1 名神经放射学研究员、5 名神经放射学主治医师)完成了研究。6名耳鼻喉科住院医师作为评估者参与了研究。为了评估评估者之间的可靠性,三位评估者对一组共用的 15 份报告进行了评分,结果表明他们的评分非常一致,Kendall's W 为 0.71。参与者在报告的整体准确性、清晰度和条理性方面都有明显改善。在亚单位分析中,乐堡骨折、鼻隔骨折和鼻眶乙状结肠骨折的报告有明显改善。上面部、颧颌复合体或下颌骨骨折的报告则没有明显改善。相比之下,调查分析表明,外科医生在解释涉及面部所有亚单位的创伤方面的信心明显提高:结论:与调查结果相比,外科医生对放射学报告的评估能更好地显示教育干预后的改进领域。采用多学科方法评估教育工作可更好地评估教育干预的实际效果。
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来源期刊
Emergency Radiology
Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.60
自引率
4.50%
发文量
98
期刊介绍: To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!
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