Improving our PRODUCT

Leschied, Jessica R.; Glazer, Daniel I.; Bailey, Janet E.; Maturen, Katherine E.

doi:10.1016/j.acra.2014.09.004

Cited by 11 publications

(3 citation statements)

References 21 publications

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“…Several studies have shown mnemonics improve medical education and clinical application outcomes (13,14). On the other hand, a web-based radiological education platform was also found to be a user-friendly e-learning platform that allows for customized exercises and interactive imaging similar to the STMM group (24,28).…”

Section: Discussionmentioning

confidence: 99%

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Thompson

Johansen

Stoner

et al. 2017

Advances in Physiology Education

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The chest X-ray is the most commonly performed medical imaging study; however, the lateral chest film intimidates many physicians and medical students. The lateral view is more difficult to interpret than the frontal view but provides important information that is either not visible or not as evident on frontal view, and inability to read it may lead to missed diagnoses and more expensive imaging. The objective of this study was to assess a novel mnemonic-based approach to teaching medical students to proficiently read a lateral film using a prospective pilot study. A clinical faculty radiologist taught two groups of second-year medical students to read a lateral chest X-ray. One group learned a novel mnemonic-based method (MUM), and the other cohort performed directed web-based self-study (STMM). Each cohort was given a pre- and postassessment, and their performance was analyzed. A total of = 29 students participated with = 14 being taught the mnemonic method. The MUM group significantly ( = 0.001) improved their score vs. the STMM group This study demonstrates students can quickly and effectively learn to read a lateral chest film using this novel mnemonic.

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Section: Discussionmentioning

confidence: 99%

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Thompson

Johansen

Stoner

et al. 2017

Advances in Physiology Education

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“…Measuring this potential increase in exposure is essential to establish whether strategies are needed to minimize this discrepancy (eg, more prior training on techniques and safety 19,20 or tools to optimize the procedure). 21 The objective of this study is to determine whether a resident's presence and/or participation in spinal procedures under fluoroscopy significantly affects exposure (time and dose) to ionizing radiation. We hypothesize that exposure increases slightly when a resident is observing, as additional images may be taken for teaching purposes, and more significantly if the resident performs the procedure, as novices often require adjustments and additional views to confirm proper needle placement.…”

Section: Introductionmentioning

confidence: 99%

“…Although high‐quality teaching is essential to train competent clinicians, to the best of our knowledge, the influence of resident involvement, especially relatively junior ones, on radiation time and dose has not been formally studied. Measuring this potential increase in exposure is essential to establish whether strategies are needed to minimize this discrepancy (eg, more prior training on techniques and safety 19,20 or tools to optimize the procedure) 21 …”

Section: Introductionmentioning

confidence: 99%

Influence of resident involvement on fluoroscopy time and ionizing radiation exposure in fluoroscopy‐guided spinal procedures

Soucy,

Lee,

Moreau‐Bourbonnais

et al. 2023

PM&R

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BackgroundFluoroscopic guidance has become the standard for a variety of medical procedures. Mastering these techniques requires practice, which may entail additional radiation for patients and providers. Despite their widespread use, the literature examining factors influencing radiation exposure in fluoroscopically guided pain procedures is scarce.ObjectiveTo evaluate the influence of resident involvement on radiation exposure during fluoroscopy‐guided spinal interventions.DesignSingle‐center, observational study.SettingOutpatient physiatry clinic in a teaching hospital.PatientsAll patients who received cervical or lumbar facet block(s) (FBs), transforaminal epidural steroid injection(s) (TFESIs) without digital subtraction, or a caudal epidural (CE) during the study period were included.InterventionsResident involvement in the procedures: absent, observing, or participating.Main Outcome MeasuresMachine‐indicated fluoroscopy time (seconds) and radiation dose (milligrays [mGy]).ResultsTwo hundred ninety six procedures were included: 188 FBs (58 cervical, 130 lumbar), 48 CEs, and 60 TFESIs. For lumbar FBs, fluoroscopy time and radiation dose increased significantly when residents performed them (meantime = 24.5 s, confidence interval [CI] = 20.4–28.7; meandose = 3.53 mGy, CI = 2.57–4.49) compared to when they observed (meantime = 9.9 s, CI = 8.1–11.7; meandose = 1.28 mGy, CI = 0.98–1.59) (mean difference: time = 14.63 s, CI = 9.31–19.94; dose = 2.25 mGy, CI = 1.17–3.33) and were absent during the procedure (meantime = 12.9 s, CI = 11.1–14.6; meandose = 1.65 mGy, CI = 1.40–1.89) (mean difference: time = 11.67 s, CI = 7.35–15.98; dose = 1.88 mGy, CI = 1.01–2.76). In the case of TFESIs, time, but not dose, increased significantly when residents observed (meantime = 39.1 s, CI = 30.7–47.6; meandose = 6.73 mGy, CI = 3.39–10.07) compared to when they were absent (meantime = 27.1 s, CI = 22.4–31.8; meandose = 4.41 mGy, CI = 3.06–5.76 (mean difference: time = 11.99 s, CI = 1.37–22.61; dose = 2.32 mGy, CI = −1.20–5.84). Finally, resident involvement did not significantly affect the outcomes for CEs (ptime = .032, pdose = .74) and cervical FBs (ptime = .64, pdose = .68).ConclusionResident participation affected lumbar FBs the most, with an increase in both fluoroscopy time and radiation dose.

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Radiation Safety During Surgery for Urolithiasis

Inoue

Matsuda

2019

Ureteroscopy

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Improving our PRODUCT

Cited by 11 publications

References 21 publications

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Influence of resident involvement on fluoroscopy time and ionizing radiation exposure in fluoroscopy‐guided spinal procedures

Radiation Safety During Surgery for Urolithiasis

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