Document Detail


CT colonography training for radiographers--a formal evaluation.
MedLine Citation:
PMID:  21070904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To evaluate the efficacy of a new intensive "hands-on" course designed to train small teams of radiographers in computed tomography colonography (CTC) technique and initial interpretation for patient triage.
MATERIALS AND METHODS: The course comprised small-group lectures, active participation in the daily CTC service with practical technique and image interpretation training by experienced radiologists and radiographers. Evaluation was by assessment of knowledge using randomized sets of multiple choice questions (MCQ; pre/post-course), practical technique using checklists and expert global scores, and interpretation performance outcomes using randomized pre/post-course test datasets (five validated CTC examinations each). Paired t-tests were used to investigate change in performance for MCQ score and interpretation accuracy.
RESULTS: Thirteen courses with 49 participants were evaluated over 2 years. Practical skills were high, with mean (SD) checklist scores of 14/15 (0.85) and global scores of 26/30 (2.3). MCQ scores increased significantly from a mean of 59% pre-course to 69% post-course, p<0.001. Correct classification of CTC examination improved significantly from a mean of 55% pre-course to 71% post-course, p<0.001. Cancer and large polyp (>10mm) detection rates also improved significantly from 49% to 60%, p=0.002.
CONCLUSION: Structured training in CTC can significantly improve knowledge and interpretation skills of radiographers, while assessing safe procedural performance. Implementation of similar programmes nationally may help reduce performance gaps between centres.
Authors:
A Haycock; D Burling; P Wylie; J Muckian; R Ilangovan; S Thomas-Gibson
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2010-09-15
Journal Detail:
Title:  Clinical radiology     Volume:  65     ISSN:  1365-229X     ISO Abbreviation:  Clin Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-12     Completed Date:  2011-02-11     Revised Date:  2011-07-18    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  997-1004     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Intestinal Imaging Centre and Wolfson Unit for Endoscopy, St Mark's Hospital, Imperial College London, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence / standards*
Colonic Polyps / classification,  radiography*
Colonography, Computed Tomographic / methods,  standards*
Education, Medical, Continuing / methods,  standards*
Female
Great Britain
Humans
Male
Program Evaluation
Prospective Studies
Radiology / education*
Comments/Corrections
Comment In:
Clin Radiol. 2011 Jul;66(7):691   [PMID:  21543058 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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