24/7/365 in-house radiologist coverage: effect on resident education.
Acad Radiol
; 21(7): 842-50, 2014 Jul.
Article
in En
| MEDLINE
| ID: mdl-24735756
ABSTRACT
RATIONALE AND OBJECTIVES:
To compare programs with and without 24-hour/7 days a week/365 days a year (24/7/365) in-house radiologist coverage regarding resident perceptions of their on-call experience, volume of resident dictations on call, and report turnaround time. MATERIALS ANDMETHODS:
Residents from six academic radiology departments were invited to participate in an 11-item online survey. Survey items were related to workload, level of autonomy, faculty feedback, comfort level, faculty supervision, and overall educational experience while on call from 8 pm to 8 am. Each site provided data on imaging volume, radiologist coverage, volume of examinations dictated by residents, number of residents on call, and report turnaround time from 8 pm to 8 am. F-ratios and eta-squares were calculated to determine the relationships between dependent and independent variables. A P value < .05 was considered statistically significant.RESULTS:
A total of 146 (67%) of 217 residents responded. Residents in programs with 24/7/365 in-house radiologist coverage dictated a lower percentage of examinations (46%) compared with other residents (81%) and rated faculty feedback more positively (mean 3.8 vs. 3.3) but rated their level of autonomy (mean 3.6 vs. 4.5) and educational experience (mean 3.6 vs. 4.2) more negatively (all P < .05). Report turnaround time was lower in programs with 24/7/365 coverage than those without (mean 1.7 hours vs. 9.1 hours). The majority of resident comments were negative and related to loss of autonomy with 24/7/365 coverage.CONCLUSION:
More rapid report turnaround time related to 24/7/365 coverage may come at the expense of resident education.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Radiology
/
Clinical Competence
/
After-Hours Care
/
Educational Measurement
/
Internship and Residency
Type of study:
Clinical_trials
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Acad Radiol
Journal subject:
RADIOLOGIA
Year:
2014
Document type:
Article