Does Orthopaedic Resident Pelvis Fluoroscopy Knowledge improve with testing with a Novel Pelvis Model and Educational website?

IF 2 3区 医学 Q2 ORTHOPEDICS International Orthopaedics Pub Date : 2025-02-01 Epub Date: 2024-12-23 DOI:10.1007/s00264-024-06393-0
Henry T Shu, Diane Ghanem, Justin E Hellwinkel, Nicholas J Tucker, Benjamin D Pesante, Marc Greenberg, Chima D Nwankwo, Babar Shafiq, Cyril Mauffrey
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Abstract

Purpose: We tested whether residents would improve in fluoroscopy knowledge and ability after using an inexpensive novel pelvis model and educational website.

Methods: Twenty-four orthopaedic residents were recruited from three United States residency programs and randomised into two groups with equal numbers of juniors and seniors. The OrthoAcademy group received educational materials from a website ( www.theorthoacademy.com ), whereas the control group did not. Survey scores, radiograph scores, number of fluoroscopic images taken, and overall radiation exposure were compared (1) between control and OrthoAcademy groups and (2) between junior and senior residents.

Results: Both groups had higher radiograph scores at the second round of testing than at the first (P =.004). The OrthoAcademy group had higher post-test than pre-test knowledge survey scores (P =.045), whereas the control group did not (P =.54). However, the OrthoAcademy group did not have higher radiograph scores between tests (P =.15), whereas the control group did (P =.01). Junior residents had higher second-round than first-round radiograph scores (P =.005) and survey scores (P =.006), whereas senior residents did not (P =.24 radiograph scores) (P =.30 survey scores).

Conclusions: Testing residents with this novel pelvis model improved the quality of the fluoroscopic images obtained by the residents, especially juniors. This study highlighted the need for more accessible resources for residents to learn about obtaining these images.

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通过新型骨盆模型和教育网站的测试,骨科住院医师骨盆透视知识是否有所提高?
目的:我们测试居民在使用廉价的新型骨盆模型和教育网站后是否会提高透视知识和能力。方法:从三个美国住院医师项目中招募了24名骨科住院医师,随机分为两组,分别为大三和大四。OrthoAcademy组从网站(www.theorthoacademy.com)获得教育材料,而对照组则没有。比较(1)对照组和OrthoAcademy组的调查评分、x线片评分、透视片拍摄次数和总体辐射暴露情况;(2)低龄和老年住院患者的调查评分、x线片评分、透视片拍摄次数和总体辐射暴露情况。结果:两组在第二轮检查时的x线片评分均高于第一轮(P = 0.004)。OrthoAcademy组的知识调查得分高于前测组(P = 0.045),而对照组的差异无统计学意义(P = 0.54)。然而,OrthoAcademy组在两次测试之间的x线片评分没有更高(P = 0.15),而对照组有(P = 0.01)。初级住院医师的第二轮x线片评分高于第一轮(P = 0.005)和调查评分(P = 0.006),而老年住院医师则没有(P = 0.006)。24个x线片评分)(P =。30个调查分数)。结论:使用这种新型骨盆模型对住院医生进行测试,提高了住院医生获得的透视图像的质量,尤其是青少年。这项研究强调了需要为居民提供更多可访问的资源来学习如何获取这些图像。
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来源期刊
International Orthopaedics
International Orthopaedics 医学-整形外科
CiteScore
5.50
自引率
7.40%
发文量
360
审稿时长
1 months
期刊介绍: International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.
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