Assessing surgical residents' imaging interpretation skills

Am J Surg. 2017 Mar;213(3):498-501. doi: 10.1016/j.amjsurg.2016.11.029. Epub 2016 Nov 19.

Abstract

Purpose: During general surgery (GS) training, residents are expected to accurately interpret radiologic images. Objective evidence evaluating residents' ability to provide accurate interpretation of imaging studies is currently lacking.

Methods: A 30-item web-based test was developed using images from different radiologic modalities. Residents from 6 ACGME accredited GS programs participated. Residents from 1 radiology program served as a control group.

Results: 74 GS residents (GSR) enrolled in the online test. The mean score for GSR was 75% (±9) and 83% (±6) for RR (p = 0.006). Residents correctly answered 63% x-rays, 74%, CT(head), 84% CT(body), 69% ultrasound, and 88% tube/line localization questions. Senior residents were more proficient than junior residents at interpreting CT (body) and ultrasound images.

Conclusion: GS residents were able to accurately interpret 75% of basic radiology images. In an effort to improve patient care, programs should consider integrating radiological education during surgical training.

Keywords: General surgery residency; Imaging interpretation; Radiology interpretation; Surgical education.

MeSH terms

  • Clinical Competence*
  • Diagnostic Imaging*
  • Education, Medical, Graduate
  • Female
  • General Surgery / education
  • Humans
  • Internship and Residency*
  • Male