 |
|
Decision-making by residents on-call has 'miniscule' negative impact on patient care
September 24, 2007The study consisted of the review of approximately 12,000 emergency diagnostic imaging exams that were interpreted after hours by residents. "In the midst of our research, a vigorous national debate began concerning the appropriate stage of radiology resident training prior to independent call, said Richard B. Ruchman, MD, lead author of the study. Specifically, the ACGME proposed and subsequently approved a new requirement that would mandate one year of residency training prior to independent call," said Dr. Ruchman. "Our study examined the discrepancy rate by year of training, and attempted to answer the question whether it was safe for first year residents to take independent call with faculty back up," he said.
The study showed that the major discrepancy rate (the rate which the interpretation by residents after hours disagreed with the attending physicians' final interpretation and the difference in diagnosis had some negative affect on patient care) was 2.6 percent. A significant negative clinical effect of a discrepancy was only found in 0.3 percent. "This discrepancy rate is comparable to the discrepancy rates of the attending radiologists in our program," Dr. Ruchman noted.
Most major discrepancies involved abdominal or chest examinations, with the most frequently missed or corrected diagnosis being acute appendicitis, Dr. Ruchman said. The second most commonly missed diagnosis was pulmonary embolism.
"The results of our study demonstrate that well-trained and supervised residents at all levels can interpret imaging studies safely," said Dr. Ruchman. "The rate of significant adverse consequences was miniscule and, in fact, was not greater for residents in the early years of training. This should give a sense of confidence to referring physicians and patients that off-hour imaging studies are being interpreted accurately. It also suggests a re-examination of the ACGME's recent revision of the rule regarding resident independent on call duties," he said.
American Roentgen Ray Society
"The results of our study demonstrate that well-trained and supervised residents at all levels can interpret imaging studies safely," said Dr. Ruchman. "The rate of significant adverse consequences was miniscule and, in fact, was not greater for residents in the early years of training. This should give a sense of confidence to referring physicians and patients that off-hour imaging studies are being interpreted accurately. It also suggests a re-examination of the ACGME's recent revision of the rule regarding resident independent on call duties," he said.
American Roentgen Ray Society
Science News and Science Current Events Tag Cloud
This tag cloud is a visual representation of term frequencies of random science news topics with common terms grouped together and emphasized by their display size.
Video Game White Blood Cells Tropical Forests Stem Cell San Andreas Fault Metastasis Saturn Biofilms Meteorites Parkinson's disease Search Engine Biofuels Mortality Biodiversity Drug Discovery Neutron Star Gecko Cancer Development Flu Vaccine Cosmic Dust H5N1 Antibiotics Telomeres Soybean Parkinsons disease
See More: Science News Tags
More Emergency Diagnostic Imaging Current Events and Emergency Diagnostic Imaging News Articles
 |
Diagnostic Imaging: Emergency by R. Brooke Jeffrey MD (Author) Authored by some of the world's preeminent authorities in its field, this new book represents today's best single source of guidance on emergency imaging! It presents more details for each diagnosis . more representative images . more case data . and more current references than any other reference tool. At the same time, its user-friendly format lets you access all of this information remarkably quickly. It crosses both modality lines and anatomy lines in offering a comprehensive guide to imaging the Emergency patient. The radiologist as well as the ER team will come to depend on the text as an information - and image-rich source for addressing diagnostic dilemmas in the acute setting. Covers the top imaging diagnoses in emergency medicine, including both common and uncommon... |
 |
Aortic Diseases: Clinical Diagnostic Imaging Atlas with DVD (Cardiovascular Emergencies: Atlas and Multimedia) by Stuart J. Hutchison MD FRCPC FACC FAHA FASE FSCMR FSCCT (Author) The number of cases of aortic disease is on the rise. In fact, 20,000 patients in the United States died from abdominal aortic aneurysms alone. Now, you can detect and treat the many complications associated with aortic disease in time to save many more patients. This title in the brand-new Clinical Diagnostic Imaging Atlas Series offers you authoritative guidance from a well-known cardiologist and imaging expert about when and how to perform the latest diagnostic imaging tests, interpret the results, and effectively treat the emergency. Detailed discussions of hot topics, full-color illustrations, and a DVD of procedural videos, animations, and downloadable image libraries help you provide fast, appropriate treatment for each challenging case you face. Offers detailed advice on... |
 |
Complications of Myocardial Infarction: Clinical Diagnostic Imaging Atlas with DVD (Cardiovascular Emergencies: Atlas and Multimedia) by Stuart J. Hutchison MD FRCPC FACC FAHA FASE FSCMR FSCCT (Author) 1.2 million myocardial infarctions occurred last year in the U.S., and 480,000 patients died following complications of infarction. Now, you can detect and treat the many complications associated with myocardial infarction in time to save many more patients. This title in the brand-new Clinical Diagnostic Imaging Atlas Series offers you authoritative guidance from a well-known cardiologist and imaging expert about when and how to perform the latest diagnostic imaging tests, interpret the results, and effectively treat the emergency. Detailed discussions of hot topics, full-color illustrations, and a DVD of procedural video clips, animations, and downloadable image libraries help you provide fast, appropriate treatment for each challenging case you face. Offers detailed advice on... |
 |
The Right Imaging Study: A Guide for Physicians by Springer Ideal for family physicians, internists, pediatricians, emergency physicians and all involved in clinical diagnosis, this new edition provides need-to-know information when ordering the most clinically appropriate and cost-effective diagnostic imaging studies. Focused chapters target key questions for quick and easy reference for 300 clinical problems encountered in day-to-day practice. The first part of each chapter helps the reader establish a working diagnosis based on signs and symptoms and common causes. The second part provides coherent imaging strategies for confirming or refining the initial diagnosis. Most importantly, recognized experts in the fields of radiology and primary care draw on their own experience to provide clinically pertinent advice to help you select the... |
 |
Pericardial Diseases: Clinical Diagnostic Imaging Atlas with DVD (Cardiovascular Emergencies: Atlas and Multimedia) by Stuart J. Hutchison MD FRCPC FACC FAHA FASE FSCMR FSCCT (Author) Often times the symptoms of pericardial disease such as fever, chest pain, and shortness of breath are non-specific, making an accurate diagnosis a challenging task. Now, you can detect and treat pericardial disease in time to save many more patients. This title in the brand-new Clinical Diagnostic Imaging Atlas Series offers you authoritative guidance from a well-known cardiologist and imaging expert about when and how to perform the latest diagnostic imaging tests, interpret the results, and effectively treat the emergency. Detailed discussions of hot topics, full-color illustrations, and a DVD of procedural video clips, animations, and downloadable image libraries help you provide fast, appropriate treatment for each challenging case you face. Offers detailed advice on when and... |
 |
Emergency Pediatric Radiology (Medical Radiology / Diagnostic Imaging) by Helen Carty (Editor), A.L. Baert (Editor) This unique book covers the main clinical presentations of children to an emergency room and considers in detail the radiological investigation of such emergencies. Numerous high-quality illustrations of the radiological manifestations of acutely presenting illness in children ensure that the volume will serve as a rapid reference source for both pediatricians and radiologists. All of the authors are specialist pediatric radiologists who provide emergency radiological services on a daily basis, and the text reflects this level of expertise. |
 |
Interpretation of Emergency Head CT: A Practical Handbook by Cambridge Interpretation of Emergency Head CT is an invaluable quick reference to the key aspects of the head CT. It provides the clinician with an easy-to-use 'ABCs' system to analyze any head CT scan that may be encountered in the acute setting. The first section contains a comprehensive section on radiological anatomy of the brain and cranial anatomy, showing cranial anatomy on actual CT images. The details of the CT imaging process are also covered in a straightforward manner. The second section discusses a wide gamut of conditions that are likely to be encountered in acute medical practice. Pitfalls are highlighted and tips are included to assist the clinician in recognition of important signs, along with ways to distinguish other pathologies with a similar appearance. This is an excellent... |
 |
Pediatric ENT Radiology (Medical Radiology / Diagnostic Imaging) by S.J. King (Editor), A.E. Boothroyd (Editor), A.L. Baert (Editor) This is a comprehensive textbook of imaging of the ear, nose and throat in children. Each of the 25 chapters is devoted to a particular disorder or imaging technique. Both usual and unusual aspects of imaging are presented, and use of the latest techniques is described. The book is also unique in drawing together information from the radiology and clinical ENT literature. The organisation of the book into numbered paragraphs makes it particularly easy to use as a reference work. All of the authors are radiologists or other healthcare professionals who see and treat large numbers of children. They include distinguished experts from North America, Europe and Asia, ensuring that a global overview of the subject is provided. This book will be of great value to radiologists in training,... |
 |
Functional Imaging of the Chest (Medical Radiology / Diagnostic Imaging) by H.-U. Kauczor (Editor) For a long time, imaging of the chest was based on the use of either radiography, demonstrating lung morphology, or scintigraphy, looking at lung function. However, as a result of recent developments in CT and MRI technology it is now possible to perform dedicated investigations of different aspects of lung function, such as ventilation, perfusion, gas exchange, and respiratory mechanics. This volume, written by acknowledged experts in the field, provides a well-illustrated and comprehensive review of these novel approaches to functional imaging of the chest. It will be of great assistance to all who are establishing such strategies in the research or clinical arenas for the diagnostic work-up and follow-up of patients with lung diseases. |
 |
Emergency Ultrasound by McGraw-Hill Professional A state-of-the-art reference on the training, techniques, and diagnostic skills needed to perform successful ultrasound exams in the Emergency Department. Includes detailed guidelines on performing ultrasound exams, case studies, and side-by-side comparisons of normal and abnormal scans. |
| © 2009 BrightSurf.com |