Jannette Collins1, Larry D Gruppen2, Janet E Bailey3, Syed Ahmad Jamal Bokhari4, Angelisa M Paladin5, Jessica Robbins6, Richard D White7. 1. Department of Radiology, University of Cincinnati College of Medicine, 234 Goodman Street, P.O. Box 670761, Cincinnati, OH 45267-0761. Electronic address: Jannette.collins@uchealth.com. 2. Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI. 3. Department of Radiology, University of Michigan Medical School, Ann Arbor, MI. 4. Department of Radiology, Yale University College of Medicine, New Haven, CT. 5. Department of Radiology, University of Washington College of Medicine, Seattle, WA. 6. Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI. 7. Department of Radiology, The Ohio State University College of Medicine, Columbus, OH.
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 AND METHODS: 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.
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 AND METHODS: 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.
Authors: Jeanne M Franzone; Benjamin C Kennedy; HelenMari Merritt; Jessica T Casey; Melissa C Austin; Timothy J Daskivich Journal: J Grad Med Educ Date: 2015-12
Authors: Rawan Abu Mughli; Eric Durrant; Deyvison Talmo Baia Medeiros; Dominick Shelton; Jason Robins; Sadia R Qamar; Michael E O'Keeffe; Ferco H Berger Journal: Emerg Radiol Date: 2021-01-11