BACKGROUND Pediatric residents exhibit knowledge gaps in appropriateness of imaging utilization. OBJECTIVE This study evaluates the value of radiologist-driven imaging education in a pediatric residency program. The primary goals of this educational program were to provide pediatric residents with resources such as the American College of Radiology Appropriateness Criteria, support optimal resource utilization and patient care, increase resident understanding of radiation risk, and determine the value of integrating radiologists into pediatric education. MATERIALS AND METHODS A needs assessment was performed in which the chief residents of a large pediatric program were surveyed. The consensus of chief residents was that a four-part lecture series delivered by a pediatric radiology fellow would be beneficial to the pediatric residents. Topics included general radiation risk as well as basic imaging topics in the chest, abdomen, neurological system, extremities and vasculature. Each lecture integrated appropriate ordering, ALARA (As Low As Reasonably Achievable)/Image Gently, and basic image interpretation. Residents were asked, using a Likert scale, to rate their understanding of radiation risk, the ACR Appropriateness Criteria, and other topics of interest before and after each lecture. Pediatric residents were given a 10-item quiz before and after the lecture series to assess their knowledge regarding the best test to order in clinical scenarios. RESULTS The average pre-lecture score for knowledge of radiation risk was 3.27 (95% confidence interval [CI]: 3.02-3.51) out of 5, which improved to 4.27 (95% CI: 4.09-4.57) post-lecture. There was an increase in understanding of ACR appropriateness, with pre-lecture rating of knowledge increasing from 1.91 (95% CI 1.54-2.29) out of 5 to 3.61 (95% CI 3.33-3.90) post-lecture. The residents averaged 82.7% (95% CI 77.3%-88.1%) on the appropriateness pre-test and 93.8% (95% CI 90.3%-97.2%) on the post-test. Residents provided positive feedback upon conclusion of the program and reported a beneficial effect on their education. CONCLUSION A radiologist-driven lecture series in a pediatric residency can improve resident understanding of appropriate ordering practices and radiation risk. Radiologist participation in pediatric residency training is well-received.

中文翻译：

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儿科放射医师驱动的儿科住院医师计划教学方法：质量倡议。

背景技术儿科居民在成像利用的适当性方面表现出知识鸿沟。目的本研究评估了放射科医师主导的影像学教育在儿科住院医师项目中的价值。该教育计划的主要目标是向儿科住院医师提供资源，例如美国放射学学院的适当标准，支持最佳资源利用和患者护理，增加住院医师对放射风险的了解以及确定将放射科医生纳入儿科教育的价值。材料和方法进行了需求评估，其中调查了一个大型儿科计划的主要居民。主要居民的共识是，由儿科放射科医师进行的由四个部分组成的系列讲座将对儿科居民有益。主题包括一般放射风险以及胸部，腹部，神经系统，四肢和脉管系统的基本影像学主题。每次讲座都集成了适当的排序，ALARA（尽可能合理地降低）/轻轻地进行图像和基本图像解释。在每次演讲之前和之后，都使用李克特量表对居民进行评估，以评估他们对辐射风险，ACR适当性标准以及其他感兴趣的话题的理解。在讲座系列之前和之后，小儿科居民都进行了10项测验，以评估他们对临床情况下最佳测试的知识。结果讲座前关于放射风险知识的平均评分为3.27（95％可信区间[CI]：3.02-3.51），满分5分，提高至讲座后的4.27（95％CI：4.09-4.57）。对ACR适当性的了解有所增加，讲座前知识的等级从讲座后的5.91（95％CI 3.33-3.90）中的1.91（95％CI 1.54-2.29）提高到3.61（95％CI 3.33-3.90）。居民在适当性测试前的平均水平为82.7％（95％CI 77.3％-88.1％），在测试后的平均水平为93.8％（95％CI 90.3％-97.2％）。居民在计划结束时提供了积极的反馈，并报告了对其教育的有益影响。结论在小儿科住院医师进行放射科医师指导的系列讲座可以提高住院医师对适当的订购习惯和放射风险的了解。放射科医生参与小儿住院医师培训的情况广受好评。测试前的适当性为7％（95％CI 77.3％-88.1％），测试后为93.8％（95％CI 90.3％-97.2％）。居民在计划结束时提供了积极的反馈，并报告了对其教育的有益影响。结论在小儿科住院医师进行放射科医师指导的系列讲座可以提高住院医师对适当的订购习惯和放射风险的了解。放射科医生参与小儿住院医师培训的情况广受好评。测试前的适当性为7％（95％CI 77.3％-88.1％），测试后为93.8％（95％CI 90.3％-97.2％）。居民在计划结束时提供了积极的反馈，并报告了对其教育的有益影响。结论在小儿科住院医师进行放射科医师指导的系列讲座可以提高住院医师对适当的订购习惯和放射风险的了解。放射科医生参与小儿住院医师培训的情况广受好评。