Radiology services in emergency medicine residency programs: A national survey

被引:7
作者
Lowe, RA
Abbuhl, SB
Baumritter, A
Brensinger, C
Propert, K
Horii, S
Kundel, H
机构
[1] Oregon Hlth Sci Univ, Dept Emergency Med, Portland, OR 97201 USA
[2] Oregon Hlth Sci Univ, Dept Publ Hlth & Prevent Med, Portland, OR 97201 USA
[3] Univ Penn, Leonard Davis Inst, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Med, Dept Radiol, Philadelphia, PA 19104 USA
[5] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
[6] Univ Penn, Sch Med, Dept Epidemiol & Biostat, Philadelphia, PA 19104 USA
[7] Univ Penn, Sch Med, Dept Emergency Med, Philadelphia, PA 19104 USA
关键词
radiology; radiographs; x-rays; emergency medicine; residency;
D O I
10.1197/aemj.9.6.587
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objectives: To determine who reads plain film radiographs, how quickly radiologists' interpretations are available, how many initial readings require correction, and how satisfied emergency physicians (EPs) are with radiology in emergency departments (EDs) with emergency medicine (EM) residency programs. Methods: A questionnaire was sent to the chairs of all U.S. EM residencies, asking about EM radiology services. Results: Of 120 sites surveyed, 97 (81%) responded. Respondents reported that, on weekday days, EM attendings or residents performed the radiograph interpretation used for clinical decision making at 66% of sites; on nights and weekends, EPs performed the clinically relevant readings at 79% of sites. Twenty-one percent of sites reported that no radiologist reviewed images before patients left the ED on nights and weekends. Only 39% of sites reported that all images were read within four hours on weekday days, and only 19% of sites reported readings within this time frame on nights and weekends. Median misinterpretation rates were reported as 1% on weekday days and 1.5% at other times. Overall, EPs were satisfied with their interactions with radiology at 63% of EDs. Conclusions: This study summarizes the perceptions of El's regarding radiology services; the findings must be interpreted with caution, given the lack of external validation. Nevertheless, EPs report that many EM residency programs depend on EPs', interpretations of radiographs. Emergency physicians report that attending radiologists rarely read images on nights and weekends and that images are misread more frequently at these times. Although EPs were satisfied with many aspects of radiology, EPs expressed the most dissatisfaction with turnaround times and misreads.
引用
收藏
页码:587 / 594
页数:8
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