| Do radiologists still need to report chest x rays? | |
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MedLine Citation:
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PMID: 19581241 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: Chest x rays (CXRs) are among the most difficult radiographs to interpret accurately. The aim of this study was to assess the ability of different grades and specialities of clinicians to evaluate a series of CXRs correctly. METHODS: 60 clinicians of different grades and from different specialities were randomly recruited to interpret 15 CXRs within 30 min. Radiographs included normal (n = 5) and abnormal images of common medical emergencies (n = 10). Non-parametric statistical tests examined for significant differences in the ability of different grades and specialities of doctors to interpret CXRs. RESULTS: Senior doctors (consultants and registrars, n = 32) attained significantly higher scores than junior doctors (senior house officers, foundation 1 and 2 doctors, n = 28, p = 0.001). Specialists (consultants and registrars in radiology and respiratory medicine, n = 7) achieved significantly higher scores than non-specialists (all other consultants and registrars, n = 25, p = 0.0002). In addition, senior radiologists (consultants and registrars) attained significantly higher scores than senior doctors from other specialities (p = 0.002). CONCLUSION: To improve patient care, we suggest that all chest x rays should be reviewed at an early stage during a patient's hospital admission by a senior clinician and reported by a radiologist at the earliest opportunity. We also suggest that structured teaching on CXR interpretation should be made available for newly qualified doctors, especially with the introduction of shortened training. |
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Authors:
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P Mehrotra; V Bosemani; J Cox |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Postgraduate medical journal Volume: 85 ISSN: 1469-0756 ISO Abbreviation: Postgrad Med J Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0234135 Medline TA: Postgrad Med J Country: England |
Other Details:
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Languages: eng Pagination: 339-41 Citation Subset: IM |
Affiliation:
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Department of Radiology, University Hospital of North Durham, North Road, Durham DH1 5TW, UK. mehr75@doctors.org.uk |
Export Citation:
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Descriptor/Qualifier:
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| Comments/Corrections | |
Comment In:
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Postgrad Med J. 2009 Jul;85(1005):337-8
[PMID:
19581240
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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