COVID-19 and Radiology Resident Imaging Volumes-Differential Impact by Resident Training Year and Imaging Modality.
COVID-19 and Radiology Resident Imaging Volumes-Differential Impact by Resident Training Year and Imaging Modality.
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DOI：
10.1016/j.acra.2020.09.010
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发表时间：
2021-01
影响因子：
4.8
通讯作者：
Griffith B
中科院分区：
文献类型：
--
作者：
Poyiadji N;Klochko C;LaForce J;Brown ML;Griffith B
新冠肺炎疫情对全国各地的放射科造成了巨大影响。由于各部门努力保持社会距离和减少成像量，疫情还扰乱了居民教育。本研究的目的是评估大流行对不同培训年份和成像方式的放射学住院成像量的不同影响。所有签署的放射学驻地报告都是在确定的大流行前和大流行内的时间段内整理的。影像学病例量以每位住院医师的平均值为基础进行分析，量化训练水平的绝对变化和百分比变化。通过成像方式评估总体积的变化。还计算了分配到正常阅览室外的常驻工作日数。从大流行前到大流行期间，居民成像解释量的总体下降百分比为62.8%。R1s和R2s降幅最大，分别为87.3%和64.3%。乳房x线摄影、MRI和核医学的居民解读量下降幅度最大，分别为92.0%、73.2%和73.0%。在大流行期间，共有478个住院日（平均每个住院日14.5天）被重新分配到放射科阅览室以外。新冠肺炎疫情导致住院医师影像学解译量明显下降，对住院医师教育产生巨大影响。案例解释和面对面教学的减少对住院教育产生了深远的影响。了解培训水平的差异将有助于住院医师项目为未来制定计划。
The COVID-19 pandemic has greatly impacted radiology departments across the country. The pandemic has also disrupted resident education, both due to departmental social distancing efforts and reduced imaging volumes. The purpose of this study was to assess the differential impact the pandemic had on radiology resident imaging volumes by training year and imaging modality. All signed radiology resident reports were curated during defined prepandemic and intrapandemic time periods. Imaging case volumes were analyzed on a mean per resident basis to quantify absolute and percent change by training level. Change in total volume by imaging modality was also assessed. The number of resident workdays assigned outside the normal reading room was also calculated. Overall percent decline in resident imaging interpretation volume from the prepandemic to intrapandemic time period was 62.8%. R1s and R2s had the greatest decline at 87.3% and 64.3%, respectively. Mammography, MRI and nuclear medicine had the greatest decline in resident interpretation volume at 92.0%, 73.2%, and 73.0%, respectively. During the intrapandemic time period, a total of 478 resident days (mean of 14.5 days per resident) were reassigned outside of the radiology reading room. The COVID-19 pandemic caused a marked decrease in radiology resident imaging interpretation volume and has had a tremendous impact on resident education. The decrease in case interpretation, as well as in-person teaching has profound implications for resident education. Knowledge of this differential decrease by training level will help residency programs plan for the future.
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4.8
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